![]() Spinal fusion requires a complex cascade of biologic events and osseous union is not always successful. Bioactive glasses have converged into the third-generation with the ability to activate genes and stimulate bone formation ( 11). The materials produced demonstrated biological inertness with body fluids (first-generation), the production of a strong tissue-implant bond (second-generation) and genetic activation of specific cell pathway (third-generation) ( 11). One such alternative, bioactive glass, has shown the ability to produce an environment conducive for bone formation and has been utilized in various specialties, including ENT and Dentistry, over the last twenty years as a synthetic bone graft substitute ( 10).īiomaterials have evolved over the last fifty years, from generation to generation through bioengineering. ![]() Due to the donor site morbidity of iliac crest harvest, bone substitute alternatives have become increasingly attractive. It is well supported that autogenous grafts demonstrate improved rates of fusion when compared to allografts ( 6- 8) however, separate incision bone graft harvesting techniques are associated with donor site pain ( 9). One of the grafting materials used for promoting fusion is autogenous iliac crest bone graft (ICBG). There are various grafting techniques that have been described to accomplish these goals ( 3- 5). ACDF is well established as reliably effective in achieving improved patient outcomes and satisfaction for singe level and multi-level cervical spondylosis ( 1, 2).įollowing anterior decompression the aims of cervical interbody fusion are to provide stabilization, maintain segmental lordosis, and restored anatomic disc space height. Indirect decompression of the canal and neuroforamina can also be achieved simultaneously during restoration of disc space height as well as normal segmental lordosis. FedEx Express delivers on Business Days (Monday-Friday).Į-mail (or click Contact Us, if you have any questions about shipping.Anterior discectomy and interbody fusion (ACDF) is routinely engaged to decompress the central spinal canal and neuroforamina by direct removal of disc fragments, radial osteophytes, and uncovertebral joint osteophytes. Orders received after 2 PM EST will ship the following business day. Orders received before 2 PM EST on a business day will be shipped the same day. USPS Express delivers to most addresses on Monday-Saturday. Our Cart will display USPS Express Mail shipping times and prices to your address. USPS Express Mail is a faster option for shipping in the US and Worldwide. Just pick the best option from the "Calculate Shipping" list in your shopping cart. Our Cart will display FedEx Express shipping times and prices to your address. FedEx Ground delivers on Business Days (Monday-Friday).įedEx Express is the fastest option for shipping within the US. USPS Express delivers to most addresses on Monday-Saturday.įedEx Ground is the best value for larger orders (over 2 pounds). USPS Priority Mail is the best option to Alaska, Hawaii, Canada, and most addresses worldwide. USPS Priority Mail Shipping starts at about $7.50. USPS Priority Mail Shipping is a good value for medium sized orders (under 2 pounds). To offer you the best prices, our cart calculates both US Mail and FedEx rates based on the weight of your order to your location. Orders before 2 PM ship on the same day!įlat Rate Shipping can be a really great deal if your order is medium to large.įlat Rate Shipping is available for orders delivered in the United States (continental 48 states only). Pick the Flat Rate Shipping ($7.99) option at checkout for any size order. $7.99 Fast Flat Rate Shipping - Ships Today! Only $5.99 Today! On Any Size Order - No Coupon Code Required $5.99 Economy Shipping - Any Size Order (USA/48) Most packages arrive in 2 to 5 business days in US/48 States.įree Shipping is available for orders delivered in the United States (continental 48 states only). Your order ships Free by Ground or First Class Mail. FREE Shipping Today in USA! (Use Coupon: FREESHIPUSA)
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