Fusion Surgery: BMP-2 vs.Allograft vs. Autograft ?

[Metalneck07]

With my surgery pending in two weeks I have been researching alot.I'm know questioning what is the best for my Fusion due to a recent report that came out on Medpage.com/surgery/orthopedics/21908.My surgeon plans on using BMP-2 which I have allready had a bad experience with.BMP-2 was used in my Cervical fusion back in 07.It should have never been used I had problems with it from day one.Eventually it was removed but I have paid a big price for it in every aspect.I discussed my concerns with my surgeon intially about my problems Cervically but he when on to tell me it works very well in the Lumbar .It has far better Fusions rates and was meant to be used in the Lumbar.So at that point I did not question it.Now I came across this report it states alot against using BMP-2 for any reason. So I'm wondering what others feel about this ?? I know of course this is just a report of opinions and anyone commenting on my thread is an opinion but I'm open to hear what others feel.It's so important to make the best decision.And I don't want history to repeat itself if I can help it.Thanks for all input on this matter.
Caitlin aka Metalneck07

[trkdoc714]

There are other options. A graft from your hip or even cadaver bone. I've read several times the pain from removing the donor bone lasts longer than most of the pain associated with the surgery and recovery.

My stepdaughter has scoliosis and underwent a 5 level fusion 6 years ago. Cadaver bone was used and the bone growth was perfect.

I understand there could be religious or moral reasons for not using cadaver bone, but it was donated by the deceased just as an organ donor donates a kidney or heart.

Don't let your surgeon bully you into something you don't want. Stand your ground once you make your educated decision. It is your surgery after all.

I'm sure you will research the heck out of this issue and make the best choice for you.

Bob

[Metalneck07]

Thanks Bob for replying.I really trust and like my surgeon but I have serious doubts with the use of BMP.I have had cadaver Bone placed for my Revision Surgery to my Cervical.I felt it was a special gift from another as well as God.I would have no problem with it being used again.I was a little slow Fusioning last surgery no growth at 6mon.but complete Fusion at 10mon.I think when you look at the small percentage of non-union compared to the stats. in this report it's not worth the chance.
I sure feel all this research is alot like being back in college.I should be recieving my Doctorate of the Spine at any given moment.Just kidding not close but I sure know more than I ever thought I would.
Alot to think over !!
Caitlin aka Metalneck07

[KBear]

I agree with Bob on this one. I would explain to surgeon that you had a bad experience with it, that you have read this report and tell him you would prefer cadaver bone. He will either agree or give you a great reason to get the BMP. I think you have an awesome surgeon, but I would still trust your gut feeling (that's why God gave you one).

[Metalneck07]

Thanks Kathy I agree the best I can do is show the report.Dr.Blumenthal and expalin my concerns.And listen to what he thinks.And if this doesn't resolve my concerns I will ask him to use cadaver bone.Yes I definetly trust my gut and I'm thankful that God gave me a working one.Now if we could get this whole Spine thing straightned out.Thanks for your thoughts and take care.
Caitlin aka Metalneck07

[Rob]

Hi Caitlin,

Out of curiosity is your doctor the "Rufuse to fuse" Dr. Scott Blumenthal at the Texas Back Institute in Plano, TX?

[Metalneck07]

Hi Rob !!! Yes Dr. Blumenthal from TBI is my surgeon for my upcoming surgery.I'm having a hybrid surgery L4-5 ADR and L5-S1 Fusion on September 28th. I know I guess one can't always refuse to fuse.Since ADR at two levels is not covered by insurance.Though I'm completely ok with Fusion at the L5-S1 I have seen too many problems with ADR at that level.I'm confident with the proposed plan for my back.The only thing I'm still wavering on is the use of BMP-2 for the Fusion.I plan to talk with him in person on this. Will see.I didn't happen to catch your signature do you have Lumbar issues ?
Caitlin aka metalneck07