Biologic Graft Options for Spine Surgery

DBM and demineralized cortical fibers are commonly incorporated into spine grafting strategies as extenders or enhancers rather than structural implants.

Evologics offers putty, crushed matrix, strips, cubes, fibers, fiber boats and blended forms, allowing the surgeon to select handling characteristics according to the surgical approach and graft location.

Product-specific instructions govern whether a configuration may be mixed with autograft, bone marrow aspirate or another approved material.

Bone allograft options include cervical spacers, structural grafts, cancellous cubes and crushed cancellous tissue.

Structural and nonstructural products perform different roles and should not be treated as interchangeable.

Synthetic hydroxyapatite and tricalcium-phosphate materials may provide an osteoconductive scaffold within a surgeon-directed fusion construct.

Available handling forms should be matched to the anatomy, fixation system and intended graft location.

Point-of-care BMA systems may be used to process autologous marrow for clinician-directed use with a grafting strategy when permitted by the system labeling and institutional protocol.