The Impact of Instrumentation and Implant Surface Technology on Cervical and Thoracolumbar Fusion.

Journal Article (Journal Article;Review)

Spinal fusion has undergone significant evolution and improvement over the past 50 yr. Historically, spine fusion was noninstrumented and arthrodesis was based entirely on autograft. Improved understanding of spinal anatomy and materials science ushered in a new era of spinal fusion equipped with screw-based technologies and various interbody devices. Osteobiologics is another important realm of spine fusion, and the evolution of various osteobiologics has perhaps undergone the most change within the past 20 yr. A new element to spinal instrumentation has recently gained traction-namely, surface technology. New data suggest that surface treatments play an increasingly well-recognized role in inducing osteogenesis and successful fusion. Until now, however, there has yet to be a unified resource summarizing the existing data and a lack of consensus exists on superior technology. Here, authors provide an in-depth review on surface technology and its impact on spinal arthrodesis.

Full Text

Duke Authors

Cited Authors

  • Wang, TY; Mehta, VA; Sankey, EW; Shaffrey, CI; Abd-El-Barr, MM; Than, KD

Published Date

  • June 15, 2021

Published In

Volume / Issue

  • 21 / Suppl 1

Start / End Page

  • S12 - S22

PubMed ID

  • 34128071

Electronic International Standard Serial Number (EISSN)

  • 2332-4260

Digital Object Identifier (DOI)

  • 10.1093/ons/opaa321


  • eng

Conference Location

  • United States