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ISASS Recommendations and Coverage Criteria for Bone Graft Substitutes used in Spinal Surgery.


ABSTRACT: Autologous bone graft remains the gold standard by which bone graft substitutes are compared in spine fusion surgery. The utilization of bone graft substitutes, either as (1) an extender for spinal fusion constructs or (2) an alternative to minimize morbidity while maximizing outcomes, is changing. Moreover, current procedures technology (CPT) code 20939 became effective in 2018 defining bone marrow aspirate for bone grafting, spine surgery only. Changes in the complex landscape of grafting materials have prompted ISASS to provide category guidance for bone graft substitutes by comparing and contrasting US regulatory pathways, mechanisms of action, and supportive clinical evidence for these bone grafting materials.

SUBMITTER: Abjornson C 

PROVIDER: S-EPMC6314336 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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ISASS Recommendations and Coverage Criteria for Bone Graft Substitutes used in Spinal Surgery.

Abjornson Celeste C   Brecevich Antonio A   Callanan Tucker T   Dowe Christina C   Cammisa Frank P FP   Lorio Morgan P MP  

International journal of spine surgery 20181221 6


Autologous bone graft remains the gold standard by which bone graft substitutes are compared in spine fusion surgery. The utilization of bone graft substitutes, either as (1) an extender for spinal fusion constructs or (2) an alternative to minimize morbidity while maximizing outcomes, is changing. Moreover, current procedures technology (CPT) code 20939 became effective in 2018 defining bone marrow aspirate for bone grafting, spine surgery only. Changes in the complex landscape of grafting mate  ...[more]

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