Posterolateral spinal fusion with ostegenesis induced BMSC seeded TCP/HA in a sheep model

Autogenous bone graft is the gold standard for fusion procedure. However, pain at donor site and inconsistent outcome have left a surgeon to venture into some other technique for spinal fusion. The objective of this study was to determine whether osteogenesis induced bone marrow stem cells with the...

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Main Authors: Sulaiman, Shamsul, Tan, Kok Keong, Chen, Hui Cheng, Saim, Aminuddin, Idrus, Ruszymah
Format: Article
Language:English
Published: Elsevier 2014
Online Access:http://psasir.upm.edu.my/id/eprint/34966/
http://psasir.upm.edu.my/id/eprint/34966/1/Posterolateral%20spinal%20fusion%20with%20ostegenesis%20induced%20BMSC%20seeded%20TCP.pdf
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author Sulaiman, Shamsul
Tan, Kok Keong
Chen, Hui Cheng
Saim, Aminuddin
Idrus, Ruszymah
author_facet Sulaiman, Shamsul
Tan, Kok Keong
Chen, Hui Cheng
Saim, Aminuddin
Idrus, Ruszymah
author_sort Sulaiman, Shamsul
building UPM Institutional Repository
collection Online Access
description Autogenous bone graft is the gold standard for fusion procedure. However, pain at donor site and inconsistent outcome have left a surgeon to venture into some other technique for spinal fusion. The objective of this study was to determine whether osteogenesis induced bone marrow stem cells with the combination of ceramics granules (HA or TCP/HA), and fibrin could serve as an alternative to generate spinal fusion. The sheep's bone marrow mesenchymal stem cells (BMSCs) were aspirated form iliac crest and cultured for several passages until confluence. BMSCs were trypsinized and seeded on hydroxyapatite scaffold (HA) and tricalcium phosphate/hydroxyapatite (TCP/HA) for further osteogenic differentiation in the osteogenic medium one week before implantation. Six adult sheep underwent three-level, bilateral, posterolateral intertransverse process fusions at L1–L6. Three fusion sites in each animal were assigned to three treatments: (a) HA constructs group/L1–L2, (b) TCP/HA constructs group/L2–L3, and (c) autogenous bone graft group/L5–L6. The spinal fusion segments were evaluated using radiography, manual palpation, histological analysis and scanning electron microscopy (SEM) 12 weeks post implantation. The TCP/HA constructs achieved superior lumbar intertransverse fusion compared to HA construct but autogenous bone graft still produced the best fusion among all.
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spelling upm-349662016-02-03T03:04:36Z http://psasir.upm.edu.my/id/eprint/34966/ Posterolateral spinal fusion with ostegenesis induced BMSC seeded TCP/HA in a sheep model Sulaiman, Shamsul Tan, Kok Keong Chen, Hui Cheng Saim, Aminuddin Idrus, Ruszymah Autogenous bone graft is the gold standard for fusion procedure. However, pain at donor site and inconsistent outcome have left a surgeon to venture into some other technique for spinal fusion. The objective of this study was to determine whether osteogenesis induced bone marrow stem cells with the combination of ceramics granules (HA or TCP/HA), and fibrin could serve as an alternative to generate spinal fusion. The sheep's bone marrow mesenchymal stem cells (BMSCs) were aspirated form iliac crest and cultured for several passages until confluence. BMSCs were trypsinized and seeded on hydroxyapatite scaffold (HA) and tricalcium phosphate/hydroxyapatite (TCP/HA) for further osteogenic differentiation in the osteogenic medium one week before implantation. Six adult sheep underwent three-level, bilateral, posterolateral intertransverse process fusions at L1–L6. Three fusion sites in each animal were assigned to three treatments: (a) HA constructs group/L1–L2, (b) TCP/HA constructs group/L2–L3, and (c) autogenous bone graft group/L5–L6. The spinal fusion segments were evaluated using radiography, manual palpation, histological analysis and scanning electron microscopy (SEM) 12 weeks post implantation. The TCP/HA constructs achieved superior lumbar intertransverse fusion compared to HA construct but autogenous bone graft still produced the best fusion among all. Elsevier 2014-04 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/34966/1/Posterolateral%20spinal%20fusion%20with%20ostegenesis%20induced%20BMSC%20seeded%20TCP.pdf Sulaiman, Shamsul and Tan, Kok Keong and Chen, Hui Cheng and Saim, Aminuddin and Idrus, Ruszymah (2014) Posterolateral spinal fusion with ostegenesis induced BMSC seeded TCP/HA in a sheep model. Tissue and Cell, 46 (2). pp. 152-158. ISSN 0040-8166; ESSN: 1532-3072 http://www.sciencedirect.com/science/article/pii/S0040816614000123 10.1016/j.tice.2014.02.001
spellingShingle Sulaiman, Shamsul
Tan, Kok Keong
Chen, Hui Cheng
Saim, Aminuddin
Idrus, Ruszymah
Posterolateral spinal fusion with ostegenesis induced BMSC seeded TCP/HA in a sheep model
title Posterolateral spinal fusion with ostegenesis induced BMSC seeded TCP/HA in a sheep model
title_full Posterolateral spinal fusion with ostegenesis induced BMSC seeded TCP/HA in a sheep model
title_fullStr Posterolateral spinal fusion with ostegenesis induced BMSC seeded TCP/HA in a sheep model
title_full_unstemmed Posterolateral spinal fusion with ostegenesis induced BMSC seeded TCP/HA in a sheep model
title_short Posterolateral spinal fusion with ostegenesis induced BMSC seeded TCP/HA in a sheep model
title_sort posterolateral spinal fusion with ostegenesis induced bmsc seeded tcp/ha in a sheep model
url http://psasir.upm.edu.my/id/eprint/34966/
http://psasir.upm.edu.my/id/eprint/34966/
http://psasir.upm.edu.my/id/eprint/34966/
http://psasir.upm.edu.my/id/eprint/34966/1/Posterolateral%20spinal%20fusion%20with%20ostegenesis%20induced%20BMSC%20seeded%20TCP.pdf