title: Complications Associated With Bone Morphogenetic Protein in the Lumbar Spine.
abstract: Complications associated with the use of recombinant human bone morphogenetic protein in the lumbar spine include retrograde ejaculation, ectopic bone formation, vertebral osteolysis and subsidence, postoperative radiculitis, and hematoma and seroma. These complications are controversial and remain widely debated. This article discusses the reported complications and possible implications for the practicing spine surgeon. Understanding the complications associated with the use of recombinant human bone morphogenetic protein and the associated controversies allows for informed decision making by both the patient and the surgeon. [Orthopedics. 2017; 40(2):e229-e237.].
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Kang
authors.forename: Wellington K
authors.initials: WK
authors.lastname: Hsu
authors.forename: Ronald A
authors.initials: RA
authors.lastname: Lehman
mesh_terms: D019485:Bone Morphogenetic Proteins / Q000009:adverse effects* / Q000627:therapeutic use; D006406:Hematoma / Q000139:chemically induced; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D009999:Ossification, Heterotopic / Q000139:chemically induced; D010014:Osteolysis / Q000139:chemically induced; D011183:Postoperative Complications / Q000139:chemically induced*; D011843:Radiculopathy / Q000209:etiology; D011994:Recombinant Proteins / Q000009:adverse effects* / Q000627:therapeutic use; D013123:Spinal Fusion / Q000009:adverse effects* / Q000379:methods
chemical_list: D019485:Bone Morphogenetic Proteins; D011994:Recombinant Proteins