Osteogenic protein-1 overcomes the inhibitory effect of nicotine on posterolateral lumbar fusion

An established rabbit posterolateral lumbar fusion model was used to evaluate the ability of osteogenic protein-1 to overcome the inhibitory effect of nicotine. To determine whether osteogenic protein-1 should be considered as a bone graft alternative for the patient who smokes. Smoking interferes w...

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Veröffentlicht in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2001-08, Vol.26 (15), p.1656-1661
Hauptverfasser: PATEL, Tushar Ch, ERULKAR, Jonathan S, GRAUER, Jonathan N, TROIANO, Nancy W, PANJABI, Manohar M, FRIEDLAENDER, Gary E
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container_end_page 1661
container_issue 15
container_start_page 1656
container_title Spine (Philadelphia, Pa. 1976)
container_volume 26
creator PATEL, Tushar Ch
ERULKAR, Jonathan S
GRAUER, Jonathan N
TROIANO, Nancy W
PANJABI, Manohar M
FRIEDLAENDER, Gary E
description An established rabbit posterolateral lumbar fusion model was used to evaluate the ability of osteogenic protein-1 to overcome the inhibitory effect of nicotine. To determine whether osteogenic protein-1 should be considered as a bone graft alternative for the patient who smokes. Smoking interferes with the success of posterolateral lumbar fusion. This inhibitory effect has been attributed to nicotine and confirmed in a New Zealand white rabbit model. Osteoinductive protein-1 has been shown to induce posterolateral spine fusion reliably in the rabbit model. The effectiveness with which osteogenic protein-1 induces fusion in the presence of nicotine has not been studied previously. Single-level posterolateral intertransverse process fusions were performed at L5-L6 in 18 New Zealand white rabbits. Either autograft or osteogenic protein-1 was used as grafting material. Nicotine was administered via subcutaneous mini-osmotic pumps. The animals were killed 5 weeks after surgery, and the resulting fusion masses were studied. Three rabbits (17%) were excluded because of complications. By manual palpation, two of the eight nicotine-exposed autograft rabbits (25%) and all of the nicotine-exposed osteogenic protein-1 rabbits (100%) were found to be fused. These results correlated well with those obtained from biomechanical testing. Histologically, the fusion zones of the nicotine-exposed autograft rabbits were distinctly less mature than the fusion masses of the nicotine-exposed osteogenic protein-1 rabbits. Osteoinductive protein-1 was able to overcome the inhibitory effects of nicotine in a rabbit posterolateral spine fusion model, and to induce bony fusion reliably at 5 weeks.
doi_str_mv 10.1097/00007632-200108010-00004
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To determine whether osteogenic protein-1 should be considered as a bone graft alternative for the patient who smokes. Smoking interferes with the success of posterolateral lumbar fusion. This inhibitory effect has been attributed to nicotine and confirmed in a New Zealand white rabbit model. Osteoinductive protein-1 has been shown to induce posterolateral spine fusion reliably in the rabbit model. The effectiveness with which osteogenic protein-1 induces fusion in the presence of nicotine has not been studied previously. Single-level posterolateral intertransverse process fusions were performed at L5-L6 in 18 New Zealand white rabbits. Either autograft or osteogenic protein-1 was used as grafting material. Nicotine was administered via subcutaneous mini-osmotic pumps. The animals were killed 5 weeks after surgery, and the resulting fusion masses were studied. Three rabbits (17%) were excluded because of complications. By manual palpation, two of the eight nicotine-exposed autograft rabbits (25%) and all of the nicotine-exposed osteogenic protein-1 rabbits (100%) were found to be fused. These results correlated well with those obtained from biomechanical testing. Histologically, the fusion zones of the nicotine-exposed autograft rabbits were distinctly less mature than the fusion masses of the nicotine-exposed osteogenic protein-1 rabbits. Osteoinductive protein-1 was able to overcome the inhibitory effects of nicotine in a rabbit posterolateral spine fusion model, and to induce bony fusion reliably at 5 weeks.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/00007632-200108010-00004</identifier><identifier>PMID: 11474350</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Animals ; Biological and medical sciences ; Bone Morphogenetic Protein 7 ; Bone Morphogenetic Proteins - pharmacology ; Bone Transplantation ; Cotinine - blood ; Graft Survival - drug effects ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - drug effects ; Lumbar Vertebrae - pathology ; Lumbar Vertebrae - surgery ; Medical sciences ; Models, Animal ; Nicotine - adverse effects ; Nicotine - blood ; Orthopedic surgery ; Rabbits ; Radiography ; Spinal Fusion ; Surgery (general aspects). 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To determine whether osteogenic protein-1 should be considered as a bone graft alternative for the patient who smokes. Smoking interferes with the success of posterolateral lumbar fusion. This inhibitory effect has been attributed to nicotine and confirmed in a New Zealand white rabbit model. Osteoinductive protein-1 has been shown to induce posterolateral spine fusion reliably in the rabbit model. The effectiveness with which osteogenic protein-1 induces fusion in the presence of nicotine has not been studied previously. Single-level posterolateral intertransverse process fusions were performed at L5-L6 in 18 New Zealand white rabbits. Either autograft or osteogenic protein-1 was used as grafting material. Nicotine was administered via subcutaneous mini-osmotic pumps. The animals were killed 5 weeks after surgery, and the resulting fusion masses were studied. Three rabbits (17%) were excluded because of complications. By manual palpation, two of the eight nicotine-exposed autograft rabbits (25%) and all of the nicotine-exposed osteogenic protein-1 rabbits (100%) were found to be fused. These results correlated well with those obtained from biomechanical testing. Histologically, the fusion zones of the nicotine-exposed autograft rabbits were distinctly less mature than the fusion masses of the nicotine-exposed osteogenic protein-1 rabbits. Osteoinductive protein-1 was able to overcome the inhibitory effects of nicotine in a rabbit posterolateral spine fusion model, and to induce bony fusion reliably at 5 weeks.</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Bone Morphogenetic Protein 7</subject><subject>Bone Morphogenetic Proteins - pharmacology</subject><subject>Bone Transplantation</subject><subject>Cotinine - blood</subject><subject>Graft Survival - drug effects</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - drug effects</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Medical sciences</subject><subject>Models, Animal</subject><subject>Nicotine - adverse effects</subject><subject>Nicotine - blood</subject><subject>Orthopedic surgery</subject><subject>Rabbits</subject><subject>Radiography</subject><subject>Spinal Fusion</subject><subject>Surgery (general aspects). 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Transforming Growth Factor beta</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PATEL, Tushar Ch</creatorcontrib><creatorcontrib>ERULKAR, Jonathan S</creatorcontrib><creatorcontrib>GRAUER, Jonathan N</creatorcontrib><creatorcontrib>TROIANO, Nancy W</creatorcontrib><creatorcontrib>PANJABI, Manohar M</creatorcontrib><creatorcontrib>FRIEDLAENDER, Gary E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PATEL, Tushar Ch</au><au>ERULKAR, Jonathan S</au><au>GRAUER, Jonathan N</au><au>TROIANO, Nancy W</au><au>PANJABI, Manohar M</au><au>FRIEDLAENDER, Gary E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Osteogenic protein-1 overcomes the inhibitory effect of nicotine on posterolateral lumbar fusion</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2001-08-01</date><risdate>2001</risdate><volume>26</volume><issue>15</issue><spage>1656</spage><epage>1661</epage><pages>1656-1661</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>An established rabbit posterolateral lumbar fusion model was used to evaluate the ability of osteogenic protein-1 to overcome the inhibitory effect of nicotine. To determine whether osteogenic protein-1 should be considered as a bone graft alternative for the patient who smokes. Smoking interferes with the success of posterolateral lumbar fusion. This inhibitory effect has been attributed to nicotine and confirmed in a New Zealand white rabbit model. Osteoinductive protein-1 has been shown to induce posterolateral spine fusion reliably in the rabbit model. The effectiveness with which osteogenic protein-1 induces fusion in the presence of nicotine has not been studied previously. Single-level posterolateral intertransverse process fusions were performed at L5-L6 in 18 New Zealand white rabbits. Either autograft or osteogenic protein-1 was used as grafting material. Nicotine was administered via subcutaneous mini-osmotic pumps. The animals were killed 5 weeks after surgery, and the resulting fusion masses were studied. Three rabbits (17%) were excluded because of complications. By manual palpation, two of the eight nicotine-exposed autograft rabbits (25%) and all of the nicotine-exposed osteogenic protein-1 rabbits (100%) were found to be fused. These results correlated well with those obtained from biomechanical testing. Histologically, the fusion zones of the nicotine-exposed autograft rabbits were distinctly less mature than the fusion masses of the nicotine-exposed osteogenic protein-1 rabbits. Osteoinductive protein-1 was able to overcome the inhibitory effects of nicotine in a rabbit posterolateral spine fusion model, and to induce bony fusion reliably at 5 weeks.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>11474350</pmid><doi>10.1097/00007632-200108010-00004</doi><tpages>6</tpages></addata></record>
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ispartof Spine (Philadelphia, Pa. 1976), 2001-08, Vol.26 (15), p.1656-1661
issn 0362-2436
1528-1159
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source MEDLINE; Journals@Ovid Complete
subjects Animals
Biological and medical sciences
Bone Morphogenetic Protein 7
Bone Morphogenetic Proteins - pharmacology
Bone Transplantation
Cotinine - blood
Graft Survival - drug effects
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - drug effects
Lumbar Vertebrae - pathology
Lumbar Vertebrae - surgery
Medical sciences
Models, Animal
Nicotine - adverse effects
Nicotine - blood
Orthopedic surgery
Rabbits
Radiography
Spinal Fusion
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Transforming Growth Factor beta
title Osteogenic protein-1 overcomes the inhibitory effect of nicotine on posterolateral lumbar fusion
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