In vivo evaluation of porous nanohydroxyapatite/polyamide 66 struts in a goat cervical fusion model

The hollow cylindrical nanohydroxyapatite/polyamide 66 strut (n-HA/PA66) has been used clinically for anterior cervical reconstruction. However, rates of occurrence of a “radiolucent gap” between the dense strut and adjacent endplates were reported. The aim of this in vivo study was to evaluate the...

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Veröffentlicht in:Scientific reports 2020-06, Vol.10 (1), p.10495, Article 10495
Hauptverfasser: Liang, Xi, Li, Feilong, Gong, Xuan, Li, Junchao, Yin, Shijie, Li, Qi, Liu, Ziming, Zhao, Zenghui, Tu, Xiaolin, Huang, Wei, Hu, Ning
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container_title Scientific reports
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creator Liang, Xi
Li, Feilong
Gong, Xuan
Li, Junchao
Yin, Shijie
Li, Qi
Liu, Ziming
Zhao, Zenghui
Tu, Xiaolin
Huang, Wei
Hu, Ning
description The hollow cylindrical nanohydroxyapatite/polyamide 66 strut (n-HA/PA66) has been used clinically for anterior cervical reconstruction. However, rates of occurrence of a “radiolucent gap” between the dense strut and adjacent endplates were reported. The aim of this in vivo study was to evaluate the viability and advantages of the novel porous n-HA/PA66 strut. The goat C3/4 partial discectomy and fusion model was built, and two groups of n-HA/PA66 struts were implanted into C3/4: group 1, porous n-HA/PA66 strut; and group 2, hollow cylindrical n-HA/PA66 strut filled with autogenous cancellous bone. CT evaluation was performed to assess the fusion status after 12 and 24 weeks. The cervical spines were harvested. Histomorphological analysis was performed to determine new bone formation. Biomechanical testing was performed to determine range of motion (ROM). CT confirmed the disappearance of the boundary of the porous strut and host bone, while the radiolucent gap remained clearly discernible in the dense strut group. The mean CT fusion scores of the porous group were significantly higher. Histologic evaluation showed that the porous struts promoted better osteointegration. Calcein fluorochrome labelling indicated faster bone ingrowth in the porous struts. Biomechanical tests revealed that the porous struts had significantly reduced micromotion. The porous n-HA/PA66 strut could offer interesting potential for cervical reconstruction after corpectomy.
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However, rates of occurrence of a “radiolucent gap” between the dense strut and adjacent endplates were reported. The aim of this in vivo study was to evaluate the viability and advantages of the novel porous n-HA/PA66 strut. The goat C3/4 partial discectomy and fusion model was built, and two groups of n-HA/PA66 struts were implanted into C3/4: group 1, porous n-HA/PA66 strut; and group 2, hollow cylindrical n-HA/PA66 strut filled with autogenous cancellous bone. CT evaluation was performed to assess the fusion status after 12 and 24 weeks. The cervical spines were harvested. Histomorphological analysis was performed to determine new bone formation. Biomechanical testing was performed to determine range of motion (ROM). CT confirmed the disappearance of the boundary of the porous strut and host bone, while the radiolucent gap remained clearly discernible in the dense strut group. The mean CT fusion scores of the porous group were significantly higher. Histologic evaluation showed that the porous struts promoted better osteointegration. Calcein fluorochrome labelling indicated faster bone ingrowth in the porous struts. Biomechanical tests revealed that the porous struts had significantly reduced micromotion. 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However, rates of occurrence of a “radiolucent gap” between the dense strut and adjacent endplates were reported. The aim of this in vivo study was to evaluate the viability and advantages of the novel porous n-HA/PA66 strut. The goat C3/4 partial discectomy and fusion model was built, and two groups of n-HA/PA66 struts were implanted into C3/4: group 1, porous n-HA/PA66 strut; and group 2, hollow cylindrical n-HA/PA66 strut filled with autogenous cancellous bone. CT evaluation was performed to assess the fusion status after 12 and 24 weeks. The cervical spines were harvested. Histomorphological analysis was performed to determine new bone formation. Biomechanical testing was performed to determine range of motion (ROM). CT confirmed the disappearance of the boundary of the porous strut and host bone, while the radiolucent gap remained clearly discernible in the dense strut group. The mean CT fusion scores of the porous group were significantly higher. Histologic evaluation showed that the porous struts promoted better osteointegration. Calcein fluorochrome labelling indicated faster bone ingrowth in the porous struts. Biomechanical tests revealed that the porous struts had significantly reduced micromotion. The porous n-HA/PA66 strut could offer interesting potential for cervical reconstruction after corpectomy.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32591524</pmid><doi>10.1038/s41598-020-65341-1</doi><orcidid>https://orcid.org/0000-0002-3511-6594</orcidid><oa>free_for_read</oa></addata></record>
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subjects 13/51
59/36
59/57
631/535/1258
639/301/54/989
Animals
Biomechanics
Bone and Bones - drug effects
Bone and Bones - surgery
Bone growth
Calcein
Cancellous bone
Cervical Vertebrae - drug effects
Cervical Vertebrae - surgery
Diskectomy - methods
Durapatite - pharmacology
Female
Goats
Humanities and Social Sciences
Labeling
multidisciplinary
Nanoparticles - administration & dosage
Nylons - pharmacology
Osseointegration
Osteogenesis
Osteogenesis - drug effects
Polyamides
Porosity
Prostheses and Implants
Science
Science (multidisciplinary)
Spinal Diseases - surgery
Spinal Fusion - methods
title In vivo evaluation of porous nanohydroxyapatite/polyamide 66 struts in a goat cervical fusion model
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