A bridging demineralized bone implant facilitates posterolateral lumbar fusion in New Zealand white rabbits

Randomized controlled animal study. Test the effectiveness of a single-strip demineralized bone matrix with hyaluronan and gelatin. Demineralized bone matrix is widely used to augment spinal fusion, however, the effect of changing the physical characteristic and carrier is not known. Demineralized b...

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Veröffentlicht in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2007, Vol.32 (1), p.36-41
Hauptverfasser: CHOI, Yongsoo, PARKE OLDENBURG, F, SAGE, Latifa, JOHNSTONE, Brian, YOO, Jung U
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container_issue 1
container_start_page 36
container_title Spine (Philadelphia, Pa. 1976)
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creator CHOI, Yongsoo
PARKE OLDENBURG, F
SAGE, Latifa
JOHNSTONE, Brian
YOO, Jung U
description Randomized controlled animal study. Test the effectiveness of a single-strip demineralized bone matrix with hyaluronan and gelatin. Demineralized bone matrix is widely used to augment spinal fusion, however, the effect of changing the physical characteristic and carrier is not known. Demineralized bone matrix was extracted from the bones of New Zealand White rabbits, and combined with hyaluronan and gelatin to form solid strips. Forty-eight rabbits were randomized into a control and 2 experimental groups. In the control group, fusion was attempted with autograft bone. For group 2, demineralized bone matrix strips alone and for group 3, autograft and demineralized bone matrix strips were used. The fusion was assessed with manual manipulation and radiographs. The volume of the fusion mass was determined from computed tomographic images. By the manual palpation test, the fusion rates were 37.5%, 93.8%, and 100%, for groups 1-3, respectively (P < 0.05). By radiography, the control group fusion rate was 68.7% compared with 100% for the experimental groups (P < 0.05). The mean bone volumes of the fusion mass were 2142.2 +/- 318.5, 3132.9 +/- 632.1, and 4181.6 +/- 609.5 mm3 for groups 1-3, respectively (P < 0.05). The demineralized bone matrix-gel strip was able to function as both a bone-graft enhancer and a bone graft substitute in rabbit posterolateral spine fusion.
doi_str_mv 10.1097/01.brs.0000250982.41666.55
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Test the effectiveness of a single-strip demineralized bone matrix with hyaluronan and gelatin. Demineralized bone matrix is widely used to augment spinal fusion, however, the effect of changing the physical characteristic and carrier is not known. Demineralized bone matrix was extracted from the bones of New Zealand White rabbits, and combined with hyaluronan and gelatin to form solid strips. Forty-eight rabbits were randomized into a control and 2 experimental groups. In the control group, fusion was attempted with autograft bone. For group 2, demineralized bone matrix strips alone and for group 3, autograft and demineralized bone matrix strips were used. The fusion was assessed with manual manipulation and radiographs. The volume of the fusion mass was determined from computed tomographic images. By the manual palpation test, the fusion rates were 37.5%, 93.8%, and 100%, for groups 1-3, respectively (P &lt; 0.05). 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Meninges. Spinal cord</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the spine</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Orthopedic surgery</topic><topic>Rabbits</topic><topic>Radiography</topic><topic>Spinal Fusion - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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ispartof Spine (Philadelphia, Pa. 1976), 2007, Vol.32 (1), p.36-41
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1528-1159
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source MEDLINE; Journals@Ovid Complete
subjects Animals
Biological and medical sciences
Bone Demineralization Technique - methods
Bone Matrix - transplantation
Bone Transplantation - methods
Cerebrospinal fluid. Meninges. Spinal cord
Diseases of the osteoarticular system
Diseases of the spine
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Orthopedic surgery
Rabbits
Radiography
Spinal Fusion - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
title A bridging demineralized bone implant facilitates posterolateral lumbar fusion in New Zealand white rabbits
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