NASS 2015 Annual Meeting

Section on Biologics and Basic Research: Interbody Fusion Options: So many Designs, So Many Materials... How Do You Choose the Best Option for Your Patient (Room Skyline Ballroom AB)

Moderator: Celeste Abjornson, PhD

This symposium is designed to provide spine care providers scientific and clinical data on the various materials and designs currently available for interbody fusion. The cage design and material can play an important role in the biological response towards the ultimate goal of achieving fusion. From traditional allografts to three-dimensional printed metal cages, attendees will be provided information to enable them to choose the most cost-effective, patient-appropriate device for different surgical situations. The session will close with an overview of the appropriate bone grafting materials for different cage designs.

Upon completion of this session, participants should gain strategies to:

  • Describe the various interbody cage designs and the biologic implications;
  • Understand the difference between allograft, polymer and metal-based cage designs;
  • Discuss methods used to determine the cost-effective, patient-appropriate choice;
  • Evaluate bone grafting options for the interbody space.

Agenda

Introduction
Celeste Abjornson, PhD

What We Have Learned from the Past and where the Technology Stands Today
Frank P. Cammisa Jr., MD

Changes in the FDA Regulatory Landscape for Interbody Cages
Glenn Stiegman, MS

Bone Grafting in a Cage: The Importance of Finding the Best Match
Sam Stupp, PhD

Debate: What is the Best Material for a Structural Interbody Cage?
Bone – Scott Daffner, MD
Ceramic – David a. Stafford, BS
PEEK – R. Todd Allen, MD
Metals – Darren Lebl, MD

Debate: To Integrate or Not to Integrate, That is the Question
Classic Cages Work (PEEK, Allograft) – Safdar Khan, MD
Integrated Designs Are the Future – Richard Guyer, MD

The Future: Novel Biomaterials are the Way to Go
Wellington Hsu, MD

Discussion/Q&A