RT Journal Article
SR Electronic
T1 ISASS Recommendations and Coverage Criteria for Bone Graft Substitutes used in Spinal Surgery
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 5095
DO 10.14444/5095
A1 Abjornson, Celeste
A1 Brecevich, Antonio
A1 Callanan, Tucker
A1 Dowe, Christina
A1 Cammisa, Frank P.
A1 Lorio, Morgan P.
YR 2018
UL https://www.ijssurgery.com/content/early/2018/12/19/5095.abstract
AB 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.