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Research ArticleFull Length Article
Open Access

Bone grafting options for lumbar spine surgery: a review examining clinical efficacy and complications

Kenneth Vaz, Kushagra Verma, Themistocles Protopsaltis, Frank Schwab, Baron Lonner and Thomas Errico
International Journal of Spine Surgery January 2010, 4 (3) 75-86; DOI: https://doi.org/10.1016/j.esas.2010.01.004
Kenneth Vaz
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases–Langone Medical Center, New York, NY
BS
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  • For correspondence: kenneth.vaz@gmail.com
Kushagra Verma
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases–Langone Medical Center, New York, NY
MS
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Themistocles Protopsaltis
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases–Langone Medical Center, New York, NY
MD
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Frank Schwab
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases–Langone Medical Center, New York, NY
MD
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Baron Lonner
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases–Langone Medical Center, New York, NY
MD
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Thomas Errico
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases–Langone Medical Center, New York, NY
MD
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    Table 1

    Funding sources and reported results for use of ceramics in lumbar fusion.

    Funding sourcePositive resultsNegative resultsMixed resultsTotal
    Industry7007
    Hospital0011
    Foundation1001
    Not reported3014
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    Table 2

    Funding sources and reported results for use of rhbmps in lumbar fusion.

    Funding sourcePositive resultsNegative resultsMixed resultsTotal
    Industry132318
    Hospital1001
    Foundation0101
    Not reported22711
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    Table 3

    Summary of relative benefits and disadvantages of each type of grafting option.

    Graft typeAdvantagesDisadvantages
    Iliac crestLarge availability, low cost, growth factors, live cellsDonor-site morbidity, increased blood loss, increased operative time
    Local boneLow cost, growth factors, live cellsLimited availability
    Bone marrow aspirateLive cells, growth factorsNeeds carrier
    Fresh-frozen allograftLarge availability, low cost, growth factorsDisease transmission, inflammation, no live cells
    Freeze-dried allograftLarge availability, low costBrittle, no growth factors, no live cells
    Demineralized bone matrixLarge availability, low costAmorphous, few growth factors, no mineral portion
    rhBMPLarge availability, potent growth factorsRequires carrier, no live cells, expensive
    Ceramics (β-TCP and CHA)Large availability, structurally sound, low immunogenicityNo live cells, no growth factors, no organic matrix
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International Journal of Spine Surgery
Vol. 4, Issue 3
1 Jan 2010
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Bone grafting options for lumbar spine surgery: a review examining clinical efficacy and complications
Kenneth Vaz, Kushagra Verma, Themistocles Protopsaltis, Frank Schwab, Baron Lonner, Thomas Errico
International Journal of Spine Surgery Jan 2010, 4 (3) 75-86; DOI: 10.1016/j.esas.2010.01.004

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Bone grafting options for lumbar spine surgery: a review examining clinical efficacy and complications
Kenneth Vaz, Kushagra Verma, Themistocles Protopsaltis, Frank Schwab, Baron Lonner, Thomas Errico
International Journal of Spine Surgery Jan 2010, 4 (3) 75-86; DOI: 10.1016/j.esas.2010.01.004
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Keywords

  • lumbar fusion
  • bone graft
  • iliac crest

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