Graft Substitutes for Spine Fusion Surgery

The spine surgery market has recently been overwhelmed with commercially available bone graft substitutes for spine fusion surgery.  The bone graft substitutes are designed to replace the need for taking autograft from the patient, or using allograft bone.  There are numerous studies showing that using the patient’s own bone marrow aspirate combined with a synthetic osteoconductive scaffold has fusion healing properties that mimic those of autologous bone graft. The confusion lies in the choice of osteoconductive scaffold to use as the market is saturated with choices in osteoconductive scaffolds from a variety of companies. The major differences in these osteoconductive scaffolds is in the material they are made of. The ideal material would have the property of resorbing in sequence with the growth/replacement with new bone.
If you are considering spine fusion surgery you may consider inquiring about the graft material choice of your surgeon as this is sometimes overlooked while the attention is focused on the technique of fusion and instrumentation used.

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