The alternatives to bone graft include using cadaver bone or allograft, or using bone substitutes. There are multiple bone substitutes including BMP, which is a protein that induces bone formation. Each surgeon has his or her own preference. In general, BMP has worked very well in surgery that is performed from the front. The use of BMP in surgeries performed from the back is currently being studied.
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A person’s own bone fragments obtained from decompressing the spinal nerves can be saved and used for graft. Bone can also be used from a bone bank, though this type of bone does not have any live cells capable of creating new bone. Another option is a genetically engineered protein that will cause bone to form.
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There are a number of alternatives to bone being taken from the hip. Local bone from the vertabrae can be used. So can bone from a cadaver. There are also a number of bone graft substitutes that are commercially available.
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Yes, there are numerous alternatives. However, the most important factor is what method will yield the best results. Failure of fusion will lead to repeated surgeries and more pain than the hip graft harvest. There are factors that affect the success of fusion and affects the decision making of whether hip graft or alternatives are appropriate.
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There are other alternatives to having a bone graft taken from your hip. The surgeon can elect to take local bone graft in combination or to use bone substitute materials. Several of these materials are available at this time. Bone morphogenetic proteins (BMPs) have been approved by the FDA for use anteriorly in combination with a collagen sponge and the LT-CAGE® device. There are other materials, which combine a blood aspirate taken from iliac-crest bone marrow with a collagen sponge. There are also synthetic materials that have been used with good results.
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Traditionally the other choices are donated or cadaver bone. There are other so-called synthetic bone choices that are man-made, but these usually still require some of your own bone to be mixed in with them. Recently the FDA approved a new substance where you don't need to use any bone graft at all. It is called bone morphogenetic protein. Basically this protein stimulates bone growth so you don't need to take bone from your own body to get fusion.
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Alternatives to bone graft include bone from donors and engineered substances that can stimulate bone growth. Some situations are not appropriate for these alternatives, and you will need to discuss them with your spine specialist to determine which option is best for your situation.
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Yes. We can use donor bone and in certain cases we can also now use bone morphogenetic protein.
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Although taking bone graft from the pelvis is still considered the gold standard, there are several options available. Some surgeons combine allograft with bone taken during the spinal decompression to form a graft that has abundant growth factors without the risks associated with harvesting bone from a donor site. Bone graft substitutes are currently a field of intense research that has yielded many new developments — synthetic products, bone marrow aspirate, and bone morphogenetic protein (BMP) may be used to enhance the fusion without having to take bone from the pelvis.
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The alternatives to taking a bone graft from the hip, would be to take bone from a bone bank. However bone bank bone does not work with all procedures. To use bone bank bone alone in the lumbar spine does not work very well.
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The alternatives to using a bone graft from the patient's hip are to use local bone, cadaver bone or a bone graft substitute.
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Yes, BMP-2 [bone morphogenetic protein] is a new bone stimulant that can be used as an alternative to bone graft for certain lumbar spinal fusion involving the use of metal interbody cages.
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In some instances, local bone products removed from where the spinal surgery is being performed can be used. Also, sometimes another bone harvesting site, such as rib or fibula (a calf bone), can be considered. In addition, sometimes bone from the bone bank (cadaver bone) can be utilized. The is called allograft bone. Each bone choice has its own advantages and disadvantages.
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The alternatives to bone graft from the hip are those mentioned, which include allograft, or bone from another person, bone substitutes, which include various bone substitutes that are not human or animal and bone morphogenic proteins recently developed.
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There are alternatives to bone graft from the pelvis/hip area. These include bone donated by other people (cadaver bone) or some type of material that is similar to bone, but is synthetic. So far, neither cadaver bones nor the synthetic materials have proven to be any better than your own bone for healing and in certain cases are clearly not as successful.
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There are many alternatives that can be explored. Bone bank bone and other commercial preparations can be used. Sometimes it is still best to use your own bone.
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