LI Kainan,LI Jiyou,LAN Hai.Osteoinducibility of degradable poly-D and L-lactic acid cage[J].Chinese Journal of Spine and Spinal Cord,2011,(11):923-928.
Osteoinducibility of degradable poly-D and L-lactic acid cage
Received:February 21, 2011  Revised:July 05, 2011
English Keywords:Histology  Osteoblast  Poly-D and L-lactic acid  Lumbar vertebra  Fusion
Fund:
Author NameAffiliation
LI Kainan The Department of OrthopaedicsAffiliated Hospital of Chengdu UniversityChengdu610081China 
LI Jiyou 成都大学附属医院骨科 610081成都市 
LAN Hai 成都大学附属医院骨科 610081成都市 
汪学军  
母建松  
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English Abstract:
  【Abstract】 Objective:To investigate in vivo osteoinducibility of degradable poly-D and L-lactic acid cage.Method:48 healthy 9-month Neijiang Pig were divided into experimental group and control group randomly with 24 animals in each group .Experimental group received PDLLA cage and filling autograft implantation,while control group received autograft alone with the same size at L4/5.At 1,3,6,9,12 and 18 months respectively,the animals were sacrificed,and the surgical sites were harvested and tested histologically.Result:At 1 month after operation:fibrous tissue was not found at the edge of cage and filling bone,while a few cartilage cells were evidenced between cage and vertebra;3 month after operation:a lots of collagen fiber,fibrous tissue and cartilage tissue grew interactively on cage-vertebra and cage-bone interfaces,and matured bone trabeculae formed by cartilaginous ossification was seen and disarranged;6 month after operation:collagen fiber,small amount of fibrous tissue,cartilage cells and osteocytes still could be seen,and part of cartilage tissue fell into ossification and calcification;9 month after operation:fusion could be seen in experimental group,and the edge between filling autograft and vertebra disappeared,collagen fiber and fibrous tissue still could be seen and chondrocyte evolved into osteocyte;12 month after operation,bony fusion had been accomplished basically in experimental group,collagen fiber and fibrous tissue still could be seen,while bony fusion was finished completely incontrol group;18 month after operation:bony fusion had been accomplished in two groups which approached normal bone tissue.Conclusion:Degradable poly-D and L-lactic acid cage act as intracartilaginous ossification and fibrous ossification rather than intramembranous ossification.
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