What bone graft alternatives are available for use in anterior spinal fusion procedures

Both autograft and allograft bone graft have been reported to provide reasonable fusion rates in the anterior spinal column. The high rate of fusion obtained with autograft must be weighed against the morbidity of harvesting large sections of autogenous bone graft from the pelvis. Use of anterior and/or posterior spinal instrumentation can improve fusion rates when structural allograft bone grafts are used. Additional graft options include synthetic cages used in combination with BMPs, nonstructural allograft, or synthetic osteoconductive materials.

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