{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:35:08Z","timestamp":1787762108934,"version":"build-2784847793"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The objectives of our study were to compare the fusion rates and surgical outcomes of lumbar fusion surgery based on the (1) type of demineralized bone matrix (DBM) carrier allograft, (2) the presence\/absence of a carrier, and (3) the presence of bone fibers in DBM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients &gt;18 years of age who underwent single-level posterolateral decompression and fusion (PLDF) between L3 and L5 between 2014 and 2021 were retrospectively identified. We assessed bone grafts based on carrier type (no carrier, sodium hyaluronate carrier, and glycerol carrier) and the presence of bone fibers. Fusion status was determined based on a radiographic assessment of bony bridging, screw loosening, or change in segmental lordosis &gt;5\u00b0. Analyses were performed to assess fusion rates and surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Fifty-four patients were given DBM with a hyaluronate carrier, 75 had a glycerol carrier, and 94 patients were given DBM without a carrier. DBM carrier type, bone fibers, and carrier presence had no impact on 90-day readmission rates (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.195,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.099, and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 1.000, respectively) or surgical readmissions (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.562,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.248, and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.640, respectively). Multivariable logistic regression analysis found that type of carrier, presence of fibers (odds ratio [OR] = 1.106 [0.524\u20132.456],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.797), and presence of a carrier (OR = 0.701 [0.370\u20131.327],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.274) were also not significantly associated with successful fusion likelihood.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study found no significant differences between DBM containing glycerol, sodium hyaluronate, or no carrier regarding fusion rates or surgical outcomes after single-level PLDF. Bone particulates versus bone fibers also had no significant differences regarding the likelihood of bony fusion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_45_23","type":"journal-article","created":{"date-parts":[[2023,7,16]],"date-time":"2023-07-16T03:25:34Z","timestamp":1689477934000},"page":"194-200","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["The impact of demineralized bone matrix characteristics on pseudarthrosis and surgical outcomes after posterolateral lumbar decompression and fusion"],"prefix":"10.4103","volume":"14","author":[{"given":"Jeremy C.","family":"Heard","sequence":"first","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunsoo","family":"Lee","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.","family":"Lambrechts","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Washington University, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Berthiaume","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas D","family":"D'Antonio","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Bodnar","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Paulik","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John J.","family":"Mangan","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose A.","family":"Canseco","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark F.","family":"Kurd","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. David","family":"Kaye","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander R.","family":"Vaccaro","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher K.","family":"Kepler","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D.","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan S.","family":"Hilibrand","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute, Philadelphia, PA, 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