ViBone in Cervical and Lumbar Spine Fusion

Inclusion Criteria: * Male or female, 18-80 years of age * For cervical cases - ACDF surgery at 1, 2, or 3 contiguous levels between C2-C7 * For lumbar cases - lumbar interbody fusion surgery at 1, 2, or 3 contiguous levels between L1-S1 * Patient signed Consent Form with HIPAA Authorization * Appropriate candidate for surgery * Patient will adhere to the scheduled follow-up visits and requirements of the protocol including routine patient exams - pre-operative, operative, and at least two post- operative visits (6 and 12 months post-surgery). Pre-operative and post-operative visits include X-ray (required) and CT scan (if available). Exclusion Criteria: * Long term use of medications that are known to inhibit fusion or bone metabolism or immune suppressants 6 months prior to surgery (i.e., steroids, chemotherapy, DMARDs, etc.) * Treatment with radiotherapy * Acute or chronic systemic or localized spinal infections * Instability associated with major reconstructive surgery for primary tumors or metastatic malignant tumors of the cervical (for ACDF patients) or lumbar (for TLIF, PLIF, ALIF, or LLIF patients) spine * Previous pseudoarthrosis at any level of the cervical (for ACDF patients) or lumbar (for * TLIF, PLIF, ALIF, or LLIF patients) spine * Nursing mothers or women who are pregnant or plan to become pregnant during the course of the study * Current or recent history of malignancy or infectious disease. Patients with current or recent history of basal cell carcinoma …