AI Article Synopsis

  • Two cases of seroma formation were reported after surgeries using recombinant human bone morphogenetic protein-2 (rhBMP-2) in posterior cervical fusion.
  • Although rhBMP-2 is considered safe by some for off-label use in these procedures, there is limited information on its complication rates.
  • The findings suggest that rhBMP-2 increases the risk of seromas, indicating the need for postoperative drains and potentially requiring MRI for symptom evaluation.

Article Abstract

Case: We present 2 cases of postoperative seroma formation following posterior cervical fusion with the use of recombinant human bone morphogenetic protein-2 (rhBMP-2).

Conclusion: Although some who advocate for the off-label use of rhBMP-2 in patients undergoing posterior cervical spine fusion believe it to be safe, relatively little has been published regarding complication rates. We believe that rhBMP-2 carries a risk of seroma formation in patients who undergo posterior cervical fusion, which necessitates the use of a postoperative drain. Surgeons should have a low threshold for obtaining postoperative magnetic resonance imaging in a symptomatic patient.

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Source
http://dx.doi.org/10.2106/JBJS.CC.18.00089DOI Listing

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