Guest guest Posted January 25, 2003 Report Share Posted January 25, 2003 In a message dated 1/24/03 9:04:03 PM, touchingsouls1x1@... writes: << It is BMP or Bone Morphogenetic Protein. >> It is also (as I understand it) produced in the lab Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 25, 2003 Report Share Posted January 25, 2003 In a message dated 1/24/03 9:19:12 PM, touchingsouls1x1@... writes: << Availability BMP has not yet been approved for use in the United States. However there are indications that the Food and Drug Administration (FDA) is close to granting approval for the use of BMP in spine surgery. It is widely believed that BMP will eventually be useful in a variety of spinal surgeries, creating less invasive surgical techniques, shortening recovery time and relieving pain of millions of back pain sufferers. >> This is an old article. BMP has been approved by FDA (2002)********************* Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 26, 2003 Report Share Posted January 26, 2003 >BMP: Fusion Made Better C. Wang, M.D.>> Have I told you lately that I LOVE you?????????????? Ask me about my new MSM lotion for aches/pains! http://www.scentsappeal.net Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2006 Report Share Posted May 15, 2006 , Are you sure BMP is only used when there is a suspected problem with fusion....it seems almost every one of us have recieved it. I know I didn't have any trouble getting insurance authorization for it. It seems like it is becoming the standard of care for this surgery. Cam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2006 Report Share Posted May 15, 2006 Hi Cam... If it is, I haven't heard about it. I'm fairly certain that the UCSF surgeons only use it if there's a prior fusion problem or if there is a lack of material because of a previous iliac crest harvesting. I'll check with one of my sources. Regards, -- In , " cammaltby " <cammaltby@...> wrote: > > , > > Are you sure BMP is only used when there is a suspected problem with > fusion....it seems almost every one of us have recieved it. I know I > didn't have any trouble getting insurance authorization for it. It > seems like it is becoming the standard of care for this surgery. > > Cam > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2006 Report Share Posted May 15, 2006 What does BMP stand for? My surgeon will be using some artificial substance in addition to the bone he gets from the osteotomy. (I've already had a bone graft from each hip in the two previous surgeries). > >> > ,> > > > Are you sure BMP is only used when there is a suspected problem with > > fusion....it seems almost every one of us have recieved it. I know I > > didn't have any trouble getting insurance authorization for it. It > > seems like it is becoming the standard of care for this surgery.> > > > Cam> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2006 Report Share Posted May 15, 2006 Hi Cam... According to Serena Hu... " No it's not routinely used. Insurance carriers vary as to whether they `carve out' the costs of `implants' such as BMP. " That doesn't mean, however, that it's not different at other institutions. Regards, > > > > , > > > > Are you sure BMP is only used when there is a suspected problem with > > fusion....it seems almost every one of us have recieved it. I know I > > didn't have any trouble getting insurance authorization for it. It > > seems like it is becoming the standard of care for this surgery. > > > > Cam > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 15, 2006 Report Share Posted May 15, 2006 Hi... It's bone morphogenetic protein. It sounds like that's what your surgeon is planning to use on you. Regards, > > What does BMP stand for? My surgeon will be using some artificial > substance in addition to the bone he gets from the osteotomy. (I've > already had a bone graft from each hip in the two previous surgeries). Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2006 Report Share Posted May 16, 2006 ---., I had asked my doctor if there was a problem when I received the BGS (bone growth stimulator). I was told no, no problems. I believe it is used to ensure a more solid fusion. I think it is becoming more standared practice to have folks use these, problems or not...,PA In , " cammaltby " <cammaltby@...> wrote: > > , > > Are you sure BMP is only used when there is a suspected problem with > fusion....it seems almost every one of us have recieved it. I know I > didn't have any trouble getting insurance authorization for it. It > seems like it is becoming the standard of care for this surgery. > > Cam > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2006 Report Share Posted May 16, 2006 Hi , Cam & all: I, too, had no problem with insurance covering Dr. Bridwell's use of the BMP for my revision. I had plenty of chips of old fusion bone for him to use as well (as he removed the Harrington rod), but he combined that with the BMP. On my post-revision x-rays, he has the amounts of BMP he used written down in different areas of my spine to remind him of what he used where. It's all part of his research studies, and keeping track of all the results. P.S. I did not have any areas of pseudoarthrosis from my previous (1977) fusion. Hope this helps to clarify. Martha > > > > , > > > > Are you sure BMP is only used when there is a suspected problem with > > fusion....it seems almost every one of us have recieved it. I know I > > didn't have any trouble getting insurance authorization for it. It > > seems like it is becoming the standard of care for this surgery. > > > > Cam > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2006 Report Share Posted May 16, 2006 My suspicion is that this may then be an evolving methodology? I too never had problems fusing and had plenty of bone available. If I were to hazard a guess, if the insurance will cover, it seems like it is just an little extra insurance that the fusion will " take " . I did double check my operative report and for both the L4-L5 and L5- S1 discs spces the HARM cages were " loaded with patients own bone harvested off the fusion mass with the osteotomy the week prior..they were put in place and then BMP sponges were used on either side and in front of the cage as a sentinel graft device " . I also wonder with the more extraordinary forces as play with fusion to the sacrum if this won't become more commonplace. We all know we have been guinea pigs before, so if they are going to test on us ...at least it might as well be that little extra that might prevent the need for yet another surgery. Same thing with the bone growth stimulator. I, for one, am/was more than happy to do anything that might alleviate the need for more surgery...especially since insurance was not a factor. Cam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 16, 2006 Report Share Posted May 16, 2006 Hi... More on BMP, this time for Dr. Sig Berven: "There is a nice paper on BMP in deformity surgery from the St Louis group in Spine from 2 mos ago. Overall, there is no role for BMP in adolescent surgery, other than revision for pseudarthrosis. In adults, there is a role for anterior interbody work and for posterior at the lumbosacral or thoracolumbar regions in the setting of pseudarthrosis or other challenging healing environment. I have had no trouble with insurance coverage- generally this is not paid separately and comes from the overall reimbursement." I think this is the paper to which he's referring: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve & db=pubmed & dopt=Abstract & list_uids=16138058 & query_hl=2 & itool=pubmed_docsum Regards, >> My suspicion is that this may then be an evolving methodology? I too > never had problems fusing and had plenty of bone available. If I > were to hazard a guess, if the insurance will cover, it seems like > it is just an little extra insurance that the fusion will "take".> > I did double check my operative report and for both the L4-L5 and L5-> S1 discs spces the HARM cages were "loaded with patients own bone > harvested off the fusion mass with the osteotomy the week > prior..they were put in place and then BMP sponges were used on > either side and in front of the cage as a sentinel graft device". > > I also wonder with the more extraordinary forces as play with > fusion to the sacrum if this won't become more commonplace. We all > know we have been guinea pigs before, so if they are going to test > on us ...at least it might as well be that little extra that might > prevent the need for yet another surgery. Same thing with the bone > growth stimulator. I, for one, am/was more than happy to do anything > that might alleviate the need for more surgery...especially since > insurance was not a factor.> > Cam> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 17, 2006 Report Share Posted May 17, 2006 Hey , Tho't I would add that I did see a show on Discovery channel (I think) 2 weeks ago about child that had huge tumor on face involving many, many surgeries to reduce/remove it. At one of the later stages, the doctor used BMP to reform nose and check area, as original bone had been " consumed " by the tumor. Actually showed him squeezing and forming the BMP to use. Interesting. Marty --- " Racine " <linda@...> wrote: ...Overall, there is no role for BMP in adolescent surgery, other than revision for pseudarthrosis. Quote Link to comment Share on other sites More sharing options...
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