Nakamura T
Department of Orthopedic Surgery, School of Medicine, Tokushima University, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1992 Jul;66(7):753-62.
The possibility of repairing the defect of the pars interarticularis (pars defect) with Bone Morphogenetic Protein (BMP) and fibrin glue was studied. The pars defect established in the 5th lumbar vertebra of Wistar rat was treated with surgical implantation of a composite consisting of BMP, fibrin glue and autologous cancellous bone. At 3, 6, 9 and 12 weeks after implantation, the osteoinductive activity in the pars defect was observed histologically and compared with that of other composite implants such as BMP with fibrin glue, autologous cancellous bone alone and autologous cancellous bone with fibrin glue. Although perfect bone fusion was not obtained with any of the composites employed, a significant increase in bone formation was seen in a composite of BMP, fibrin glue and autologous cancellous bone (p less than 0.01) as compared with that seen in the others. Consequently, implantation of BMP and fibrin glue combined with some biomaterials which support osteo-induction of BMP and stabilize the pars defect might be successfully applied to repair the pars defect.
研究了使用骨形态发生蛋白(BMP)和纤维蛋白胶修复关节突间部缺损(峡部缺损)的可能性。对Wistar大鼠第五腰椎建立的峡部缺损,采用手术植入由BMP、纤维蛋白胶和自体松质骨组成的复合材料进行治疗。植入后3、6、9和12周,对峡部缺损处的骨诱导活性进行组织学观察,并与其他复合植入物(如BMP与纤维蛋白胶、单独的自体松质骨以及自体松质骨与纤维蛋白胶)进行比较。尽管所使用的任何一种复合材料均未实现完美的骨融合,但与其他材料相比,BMP、纤维蛋白胶和自体松质骨组成的复合材料中骨形成有显著增加(p<0.01)。因此,将BMP和纤维蛋白胶与一些支持BMP骨诱导并稳定峡部缺损的生物材料联合植入,可能成功应用于修复峡部缺损。