Department of Engineering and Physics, University of Central Oklahoma, Edmond, OK 73034, USA.
J Healthc Eng. 2017;2017:5283846. doi: 10.1155/2017/5283846. Epub 2017 Oct 18.
The nucleus pulposus (NP) substitution by polymeric gel is one of the promising techniques for the repair of the degenerative intervertebral disc (IVD). Silicone gel is one of the potential candidates for a NP replacement material. Electrospun fiber anchorage to silicone disc, referred as ENAS disc, may not only improve the biomechanical performances of the gel but it can also improve restoration capability of the gel, which is unknown. This study successfully produced a novel process to anchor any size and shape of NP gel with electrospun fiber mesh. Viscoelastic properties of silicone and ENAS disc were measured using standard experimental techniques and compared with the native tissue properties. Ex vivo mechanical tests were conducted on ENAS disc-implanted rabbit tails to the compare the mechanical stability between intact and ENAS implanted spines. This study found that viscoelastic properties of ENAS disc are higher than silicone disc and comparable to the viscoelastic properties of human NP. The ex vivo studies found that the ENAS disc restore the mechanical functionality of rabbit tail spine, after discectomy of native NP and replacing the NP by ENAS disc. Therefore, the PCL ENF mesh anchoring technique to a NP implant can have clinical potential.
髓核(NP)的聚合物凝胶替代物是修复退行性椎间盘(IVD)的有前途的技术之一。硅凝胶是 NP 替代材料的潜在候选物之一。电纺纤维锚定于硅盘(称为 ENAS 盘)不仅可以改善凝胶的生物力学性能,而且还可以改善凝胶的恢复能力,但这一点尚不清楚。本研究成功地开发了一种将任何大小和形状的 NP 凝胶与电纺纤维网结合的新方法。使用标准实验技术测量硅凝胶和 ENAS 盘的黏弹性,并将其与天然组织的性能进行比较。对植入了 ENAS 盘的兔尾进行了体外力学测试,以比较完整和植入了 ENAS 的脊柱之间的机械稳定性。本研究发现,ENAS 盘的黏弹性高于硅凝胶盘,与人体 NP 的黏弹性相当。体外研究发现,在切除天然 NP 并将 NP 替换为 ENAS 盘后,ENAS 盘可以恢复兔尾脊柱的机械功能。因此,PCL ENF 网格锚定技术在 NP 植入物上具有临床应用潜力。