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Anterior Thoracic Spinal Fusion in Dogs by Injection of Recombinant Human Bone Morphogenetic Protein-2 and a Synthetic Polymer

 

作者: Jun Takahashi,   Naoto Saito,   Sohei Ebara,   Tetsuya Kinoshita,   Hidehiro Itoh,   Takao Okada,   Kazutoshi Nozaki,   Kunio Takaoka,  

 

期刊: Journal of Spinal Disorders & Techniques  (OVID Available online 2003)
卷期: Volume 16, issue 2  

页码: 137-143

 

ISSN:1536-0652

 

年代: 2003

 

出版商: OVID

 

关键词: Injection;Recombinant human bone morphogenetic protein-2 (rhBMP-2);Spinal fusion;Polylactic acid polyethylene glycol (PLA-PEG) block copolymer

 

数据来源: OVID

 

摘要:

The purpose of this study was to achieve spinal fusion in the absence of bone graft material using a new, injectable, and semi-liquid synthetic polymer (polylactic acid polyethylene glycol [PLA-PEG] block copolymer) containing recombinant human bone morphogenetic protein-2 (rhBMP-2). Twenty-seven skeletally mature beagles underwent anterior thoracic spinal fusion at T9–T10. Group I (n = 9) was injected with 1 mL of PLA-PEG block copolymer carrier alone into space under the vertebral pleura and the anterior longitudinal ligament. Group II (n = 9) was injected with 1 mL of PLA-PEG carrier containing 500 &mgr;g of rhBMP-2. Group III (n = 9) was injected with 1 mL of PLA-PEG carrier containing 1000 &mgr;g of rhBMP-2. In the Group I animals, no evidence of new bone formation was noted at the implanted sites both radiographically and histologically. In contrast, all of the nine animals in Group III showed new bone formation in 12 weeks, and four of the nine animals in Group II showed bony mass at the injected sites. However, vertebral bony fusion was incomplete despite the significant amount of new bone formation in both groups that showed new bone formation. In addition to resulting in improvements in the surgical procedure, injection of rhBMP-2 and a synthetic polymer is useful for bone formation for spinal fusion.

 

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