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Spinal fusion surgery makes it possible for surgeons to strengthen
the spine, restore function, and reduce pain in patients who need
it. This type of surgery has traditionally relied on bone grafts.
Bone grafts are small pieces of bone, usually taken from the patient's
own hip or pelvis, and placed into the spaces between two vertebrae.
In time, this added bone "fuses" to the vertebrae and hardens
like regular bone.
While this is often the best way to treat a variety of spinal
disorders, bone grafts carry with them a host of possible problems.
The biggest downside to bone grafts is that fusion does not always
take place. Fusion rates can vary, based on the procedure, between
75% and 98%. In addition, many patients report significant post-operative
pain in the area where the graft was taken - pain that often lasts
for many months or years. In some patients, the bone graft harvest
site can remain a permanent source of discomfort. Likewise, bone
grafting requires additional time in the operating room, which
increases many surgical risks such as infection and bleeding,
as well as prolongs the patient's hospital stay and recovery time.
Today, there is a new alternative to bone grafting that alleviates
these problems. It is a genetically produced protein called recombinant
human bone morphogenetic protein-2 (rhBMP-2), or just BMP for
short. This remarkable material stimulates the body to grow new
bone. BMP is a naturally occurring human protein that has been
isolated and reproduced as a result of cutting edge human gene
research. Numerous clinical trials have determined that BMP is
a safe and effective alternative to bone graft. Most importantly,
BMP facilitates fusion at a rate equivalent to or greater than
traditional bone grafts. Thus, BMP allows surgeons to perform
fusion surgery without relying on bone grafts. This shortens the
amount of time in surgery, reduces complication rates, and allows
for a quicker and less painful recovery time. Patients whose fusion
surgery involved the use of BMP are able to return to their activities
of daily living quicker than ever before.
At CCSI we use BMP in a variety of fusion surgeries. Our goal
is to treat our patients' spinal conditions in the most effective
and safest ways possible - and to return them to an active and
pain free life. If you are a candidate for spinal fusion surgery,
our specialists here are CCSI will talk to you about the possibility
of using BMP.
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