How do you choose a bone graft substitute for spine fusion?

For spine teams in Bon Secours Mercy Health, OH, a local medical equipment supplier explains what matters before you choose.

Contact Us (440) 488-0091

You have spine cases on the schedule and you are moving away from autograft. Now you have to compare synthetic bone graft substitutes. In Bon Secours Mercy Health, that means sorting through dozens of products with different chemistry and handling. The right choice affects fusion rates and what works inside your OR.

You are moving from autograft to synthetic substitutes, and the wall of options makes that hard. Each product claims to support fusion. But spine cases need specific things. The graft must have open pores above 75% so blood and cells can move in. It must resorb at a pace that matches new bone growth. Silicate substitution makes the material act more like real bone. Those two traits drive most of the clinical differences you will see.

Cost depends on format, volume, and your hospital contract. Synthetic grafts often cost less than BMP-2, but they can cost more than basic allograft. Plan for about an hour of review to compare porosity, resorption rate, and clinical fusion data. Delivery method changes the scope. A syringe makes sense for MIS cases. A moldable strip works better for open posterior procedures. The more complex your approach, the more format and handling matter. Ask for the price per case after you compare those factors.

This week, ask any graft rep for porosity above 75%, silicate substitution, and published spine fusion rate data. Then match the format to your own cases. A syringe fits MIS. A moldable shape fits open procedures. Do not choose based on price alone. Elite Surgical can walk you and your Bon Secours Mercy Health OR team through ACTIFUSE and ALTAPORE formats and the clinical evidence behind them.

Once you sort the criteria, the decision gets simpler. You will have a short list of grafts that fit your approach and your evidence standards. Your Bon Secours Mercy Health spine cases get a consistent graft without autograft harvest site pain. The fusion plan is clear, and your value analysis committee has the data it asked for.

Authorized distributor of Baxter ACTIFUSE
93% fusion across 694 patients, independent review
FDA cleared and used in US spine surgery since 2007

Other things people in Bon Secours Mercy Health ask

autograft vs synthetic bone graft substitute

Modern synthetic bone graft substitutes like ACTIFUSE and ALTAPORE show fusion rates comparable to autograft without donor site morbidity. Synthetics eliminate harvest time and reduce patient pain. Consider synthetic for single-level fusions, combine with autograft for complex cases.

bone graft substitute not integrating

Poor integration often comes from low porosity or inadequate bioactivity in the graft material. Switch to a silicate-substituted calcium phosphate with 80%+ porosity like ACTIFUSE or ALTAPORE. The enhanced porosity allows better bone ingrowth and vascularization.

consistent bone graft substitute results

Consistent results need consistent material quality and technique. Use bone graft substitutes with proven fusion rates like ALTAPORE's 86.3% rate. Ensure proper hydration, avoid overpacking, and maintain sterile handling. Elite Surgical provides technique guides for optimal results.

bone graft substitute syringe clogging

Clogging usually means the particle size is wrong for the delivery system or the material is too thick. ACTIFUSE FLOW is specifically designed for syringe delivery with consistent particle size. ACTIFUSE MIS offers minimally invasive delivery without clogging issues.

when to use bone graft substitute vs allograft

Use synthetic bone graft substitutes like ACTIFUSE when you want consistent quality without disease transmission risk. Allograft works for structural support in large defects. Synthetics are better for biological fusion enhancement in routine cases.

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Contact Us (440) 488-0091

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