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Bone grafting for spinal fusion
H S Sandhu1, H S Grewal, H Parvataneni
1Department of Orthopaedic Surgery, Hospital for Special Surgery, Cornell University Medical College, New York, New York, USA.
The Orthopedic Clinics of North America
|September 3, 1999
Summary
Spinal fusion surgery commonly uses autologous bone grafts from the iliac crest. This review examines current bone graft options for spinal fusion procedures.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Spinal fusion is a common procedure, with over 250,000 performed annually in the US.
- Autologous corticocancellous bone from the iliac crest is the preferred bone graft material.
- Spinal fusion surgery is the leading reason for autologous bone graft harvesting.
Purpose of the Study:
- To review the clinical status of autogenous bone grafts.
- To discuss alternative bone graft materials used in spinal fusion.
Main Methods:
- Literature review of current clinical practices and materials.
- Analysis of the efficacy and application of different bone grafts.
Main Results:
- Autologous bone grafts remain the gold standard but have limitations.
- Alternative bone graft materials are increasingly being investigated and utilized.
Conclusions:
- The choice of bone graft material impacts spinal fusion outcomes.
- Ongoing research aims to optimize bone graft solutions for spinal arthrodesis.