RhBMP-2/ACS: Cost effective alternative to ICBG in posterolateral lumbar spinal fusion .
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The perioperative cost of Infuse bone graft in posterolateral lumbar spine fusion
Spine J. 2008 May-Jun;8(3):443-8. Epub 2007 May 15.102 patients, over 60 years old, scheduled to undergo an instrumented posterolateral lumbar spine fusion were randomized to receive recombinant bone morphogenetic protein rhBMP-2/ACS or Iliac crest bone graft (ICBG) during the procedure. The use of BMP is a significant cost burden to the patient and hospital. However, upon meticulous calculation of the aggregate cost in the 3 month period after surgery, it was observed that with the utilization of rhBMP, a net savings of $3367 was calculated, primarily due to reduced expenditure on inpatient rehabilitation, decreased hospital reimbursement, physician costs and other outpatient services rendered.
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