Spinal Fusion: Understanding Bone Graft
To fuse the spine, very small pieces of extra bone are needed. Called bone graft, this bone acts as the “cement” that fuses the vertebrae together. Bone graft comes from a bone bank or from your own body. Your surgeon will choose the type of graft that’s best for you.
From a Bone Bank
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Bone banks collect, evaluate, and store bone. The bone comes from human donors who are recently deceased.
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Donors are checked for their cause of death and medical history. Tests are done to check for viruses such as HIV and hepatitis. The bone is also treated before it is used as a graft. The risk of getting a disease from bone graft is very slight.
From Your Own Body
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If bone from your own body is used, a small amount of bone is taken from the surface of the front or back of your pelvic bone.
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The bone is removed during the fusion surgery—a separate surgery is not needed. Bone may be taken through the incision made for your fusion, or through a separate incision. The area the bone is taken from can hurt quite a bit until it heals.
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Bone from your own body may work better than bone from a bone bank. Your surgeon will decide whether it is a better choice for your fusion.


Publication Source:
Samartzis D, Journal of the American College of Surgeons, 200(2), Update on bone morphogenetic proteins and their application in spine surgery, Feb 1, 2005, pp 236-48
Online Source:
U.S. National Institutes of Health. National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), Bethesda, MD
http://www.niams.nih.gov/Health_Info/Back_Pain/default.asp
Online Medical Reviewer:
Bhattacharyya, Tim MD
Date Last Reviewed:
1/15/2007
Date Last Modified:
7/9/2002