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The Journal of Bone and Joint Surgery 82:1809 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Evidence-Based Orthopaedics

Commentary

James N. Weinstein, D.O., M.S.

The Spine Center at Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

The study by Mirovsky and Neuwirth addresses an interesting clinical question comparing the traditional "outer table" approach with the nontraditional "intracortical" technique for obtaining autologous iliac crest bone graft. Some of the issues raised deserve closer attention.

First, the duration of preoperative symptoms and/or the characterization of those symptoms may be important in the outcome, and these were not considered in this study. Second, patients in this study were . . . [Full Text of this Article]


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