Fusion rates of a morselized local bone graft in polyetheretherketone cages in posterior lumbar interbody fusion by quantitative analysis using consecutive three-dimensional computed tomography scans

Lee, Jae Hyup; Lee, Ji-Ho; Park, Jae-Woo; Lee, Hye Soo

doi:10.1016/j.spinee.2011.04.029

Cited by 53 publications

(46 citation statements)

References 21 publications

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“…When comparing stability of the construct, whilst using the same radiological definition as others [43], our results are similar to those reported earlier from instrumented fusions (PLIF) for DDD (73-95 %) [11,13,27,[36][37][38][39][40][41]. A recent study evaluated the use of TM as standalone device for the treatment of recurrent disc herniation [29].…”

Section: Sa Pfsupporting

confidence: 84%

“…Although to date, there is still no uniform definition of successful fusion, we applied the same validated method, as most authors of the studies with which we compared our results [31,[36][37][38][39][40][41][42]. Besides the problem that CT scan could not be used to demonstrate fusion, another weakness of the study is that X-rays were interpreted by only one dedicated neuroradiologist.…”

Section: Sa Pfmentioning

confidence: 99%

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Trabecular metal spacers as standalone or with pedicle screw augmentation, in posterior lumbar interbody fusion: a prospective, randomized controlled trial

Kelft

Goethem

2015

Eur Spine J

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In this study, TM spacers were found to provide a solid construct at more than 6-year follow-up after PLIF for DDD both with and without additional pedicle fixation. The clinical, but also radiological results were not significantly different between both cohorts. Future studies focusing on the differences of SA and PF at L4/5 level should be powered to study differences in post-surgery stability at the long term.

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Section: Sa Pfsupporting

confidence: 84%

Section: Sa Pfmentioning

confidence: 99%

Trabecular metal spacers as standalone or with pedicle screw augmentation, in posterior lumbar interbody fusion: a prospective, randomized controlled trial

Kelft

Goethem

2015

Eur Spine J

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“…Preoperatively, median ODI score was 62 (48, 70), which decreased to median 16 [6,26] after 3 months and to median 14 (2, 38) at 12 months follow-up. The ODI scores at 3 and 12 months follow-up showed significant improvement as compared to preoperatively (Fig.…”

Section: Resultsmentioning

confidence: 91%

“…Lee et al [26] showed an overall fusion rate of 90.0 % with local bone graft in PEEK cages, and of 96.2 % with local bone graft in titanium cages [28], both assessed by CT 1 year after surgery. However, the fused area of local bone inside the cages at regions exposed to endplates was only 58.5 % for PEEK cages and less than 50 % for titanium cages.…”

Section: Discussionmentioning

confidence: 99%

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The use of beta-tricalcium phosphate and bone marrow aspirate as a bone graft substitute in posterior lumbar interbody fusion

et al. 2012

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Purpose Due to the disadvantages of iliac crest bone and the poor bone quality of autograft gained from decompression surgery, alternative filling materials for posterior lumbar interbody fusion cages have been developed. b-Tricalcium phosphate is widely used in cages. However, data regarding the fusion rate of b-TCP assessed by computer tomography are currently not available. Materials A prospective clinical trial involving 34 patients (56.7 years) was performed: 26 patients were treated with single-level, five patients double-level and three patients triple-level PLIF filled with b-TCP and bone marrow aspirate perfusion, and additional posterior pedicle screw fixation. Fusion was assessed by CT and X-rays 1 year after surgery using a validated fusion scale published previously. Functional status was evaluated with the visual analogue scale and the Oswestry Disability Index before and 1 year after surgery. Results Forty-five levels in 34 patients were evaluated by CT and X-ray with a follow-up period of at least 1 year. Clinically, the average ODI and VAS for leg and back scores improved significantly (P \ 0.001). CT assessment revealed solid fusion in 12 levels (26.67 %) and indeterminate fusion in 15 levels (34.09 %). Inadequate fusion (non-union) was detected in 17 levels (38.63 %). Conclusion The technique of PLIF using b-TCP yielded a good clinical outcome 1 year after surgery, however, a high rate of pseudoarthrosis was found in this series therefore, we do not recommend b-TCP as a bone graft substitute using the PLIF technique.

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Cold-spray coating of hydroxyapatite on a three-dimensional polyetheretherketone implant and its biocompatibility evaluated byin vitroandin vivominipig model

Lee

Jang

Lee

et al. 2015

J. Biomed. Mater. Res.

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PEEK is a bioinert material that does not chemically bind to native bone tissue and thus formation of natural bone-like hydroxyapatite (HA) coating layer on PEEK has been an important challenge to improve biocompatibility and to preserve mechanical property of PEEK. Among various coating techniques, cold-spray coating method is suitable to form stable HA coating layer on PEEK while maintaining their chemical properties, because it can be conducted in relatively low-temperature range. Therefore, in this research, we used cold-spray coating method to form a thick layer of HA on the topographically complex PEEK substrates with periodic ridges on the surface and implanted in iliac bone defects of minipigs which is known to be similar with human body system. In addition, PEEK cage for clinical usage was coated with HA and inserted in the lumbar intervertebral disc space of minipig. We observed higher ALP activity, calcium production, and BSP production of human bone marrow mesenchymal stem cells on the HA-coated PEEK implants than the bare PEEK group in in vitro test. In addition, two-dimensional histological analysis and three-dimensional micro CT analysis demonstrated that implantation of complex shape of HA-PEEK hybrid implant in in vivo minipig model resulted sufficient biocompatibility and osseointegration for further clinical applications. Notably, due to the enhanced stability of PEEK cage induced from HA coating layer, osseointegration rate of the small HA blocks loaded inside the PEEK cage was also significantly improved which indicates overall increased fusion rate and adherence of the HA-coated PEEK cage. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 105B: 647-657, 2017.

show abstract

Fusion rates of a morselized local bone graft in polyetheretherketone cages in posterior lumbar interbody fusion by quantitative analysis using consecutive three-dimensional computed tomography scans

Cited by 53 publications

References 21 publications

Trabecular metal spacers as standalone or with pedicle screw augmentation, in posterior lumbar interbody fusion: a prospective, randomized controlled trial

Trabecular metal spacers as standalone or with pedicle screw augmentation, in posterior lumbar interbody fusion: a prospective, randomized controlled trial

The use of beta-tricalcium phosphate and bone marrow aspirate as a bone graft substitute in posterior lumbar interbody fusion

Cold-spray coating of hydroxyapatite on a three-dimensional polyetheretherketone implant and its biocompatibility evaluated byin vitroandin vivominipig model

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