The study intends tracking the usage patterns of a Bonegraft device within spine surgery in a multicenter setting in Canada.

The study wil track the usage patterns of a bone graft by identifying and classifying spine surgery procedures by access and segment type within the spins and furthet, record and analyse safety and performance measures associated with each classification. This is a post-market surveillance study

Inclusion Criteria:

• Adult patient subjects not responding to conservative management of neck / arm or back/leg pain and requiring spinal fusion between levels C1 - T2 or L1 - S1
• Informed Consent

Exclusion Criteria:

• Hypersensitivity to i-FACTOR Bone Graft Devices
• Adult Spinal deformity, Spinal Cord Injury
• Infection
• Compromised renal function