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A biomimetic gradient porous cage with a micro-structure for enhancing mechanical properties and accelerating osseointegration in spinal fusion.

作者信息

Jia Cheng-Qi, Zhang Zhen, Cao Shi-Qi, Wang Tian-Jiao, Yu Hai-Chao, Wang Wen-Xiang, Guo Bo-Min, Qiu Xiong-Ying, You Yong-Gang, Hu Fan-Qi, Zhao Jun, Zhang Xue-Song

机构信息

Medical School of Chinese PLA, Beijing, 100853, China.

Department of Orthopedics, Chinese PLA General Hospital, Beijing, 100853, China.

出版信息

Bioact Mater. 2022 Nov 16;23:234-246. doi: 10.1016/j.bioactmat.2022.11.003. eCollection 2023 May.


DOI:10.1016/j.bioactmat.2022.11.003
PMID:36439084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9673047/
Abstract

OBJECTIVES: Spinal fusion is a widely employed treatment of patients with degenerative disc disease, in which a cage is used to replace the disc for spinal fusion. But it often fails for insufficient mechanical strength and poor osseointegration. Here, we designed a polyether-ether-ketone (PEEK)/tantalum (Ta) composite cage with a biomimetic gradient porous micro-structure, simultaneously enhancing mechanical properties and accelerating osseointegration in spinal fusion. MATERIALS AND METHODS: In the study, based on the mechanical performances of PEEK and osteogenic potential of Ta, and the three-dimensional (3D) structures of cuttlebone and vertebra, the cages were respectively 3D printed by pure PEEK, PEEK with 5 wt% Ta (PEEK/Ta-5), PEEK with 10 wt% Ta (PEEK/Ta-10) and PEEK with 15 wt% Ta (PEEK/Ta-15), then verified and in sheep cervical fusion model systematically. RESULTS: Vertebral Gyroid structure PEEK/Ta-15 cage exhibited superior mechanical properties than Cuttlebone-like structure PEEK/Ta-15 cage, closer to the cervical vertebra. Furthermore, PEEK/Ta-15 cage with higher Ta microparticles in PEEK provided a biomimetic gradient porous micro-structure with higher surface energy, guiding cell biological behavior, promoting new bone penetration, and accelerating osseointegration . CONCLUSION: In conclusion, the study designed a biomimetic gradient porous cage with a micro-structure for enhancing mechanical properties, accelerating osseointegration and forming an anatomical lock in the fusion segment through composites, mechanical efficiency, surface extension, and pores.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/007c2b2bf4ae/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/6ed049155e1d/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/35608d43219b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/8dc617ced77d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/806720fbec28/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/7ed8be3cd0b2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/203708ceccba/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/007c2b2bf4ae/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/6ed049155e1d/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/35608d43219b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/8dc617ced77d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/806720fbec28/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/7ed8be3cd0b2/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/203708ceccba/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a68/9673047/007c2b2bf4ae/gr9.jpg

相似文献

[1]
A biomimetic gradient porous cage with a micro-structure for enhancing mechanical properties and accelerating osseointegration in spinal fusion.

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引用本文的文献

[1]
Transforming spinal surgery with innovations in biologics and additive manufacturing.

Mater Today Bio. 2025-5-13

[2]
Innovative 3D-printed porous tantalum cage with non-window design to accelerate spinal fusion: A proof-of-concept study.

Mater Today Bio. 2025-2-15

[3]
Evaluation of biological performance of 3D printed trabecular porous tantalum spine fusion cage in large animal models.

J Orthop Translat. 2025-1-16

[4]
Structural design and biomechanical analysis of a combined titanium and polyetheretherketone cage based on PE-PLIF fusion.

Med Biol Eng Comput. 2025-3

[5]
Progress in the Application of Porous Tantalum Metal in Hip Joint Surgery.

Orthop Surg. 2024-12

[6]
A novel porous interbody fusion cage modified by microarc oxidation and hydrothermal treatment technology accelerate osseointegration and spinal fusion in sheep.

RSC Adv. 2024-10-9

[7]
High Strength and Shape Memory Spinal Fusion Device for Minimally Invasive Interbody Fusions.

Int J Nanomedicine. 2024

[8]
A novel artificial vertebral implant with Gyroid porous structures for reducing the subsidence and mechanical failure rate after vertebral body replacement.

J Orthop Surg Res. 2023-11-3

[9]
3D printing metal implants in orthopedic surgery: Methods, applications and future prospects.

J Orthop Translat. 2023-9-1

本文引用的文献

[1]
Mechanically Efficient Cellular Materials Inspired by Cuttlebone.

Adv Mater. 2021-4

[2]
Bioinspired Modifications of PEEK Implants for Bone Tissue Engineering.

Front Bioeng Biotechnol. 2021-1-12

[3]
Osteointegration of 3D-Printed Fully Porous Polyetheretherketone Scaffolds with Different Pore Sizes.

ACS Omega. 2020-10-7

[4]
Implantable PEKK/tantalum microparticles composite with improved surface performances for regulating cell behaviors, promoting bone formation and osseointegration.

Bioact Mater. 2020-10-8

[5]
Heparan sulfate co-immobilized with cRGD ligands and BMP2 on biomimetic platforms promotes BMP2-mediated osteogenic differentiation.

Acta Biomater. 2020-9-15

[6]
Gaseous sulfur trioxide induced controllable sulfonation promoting biomineralization and osseointegration of polyetheretherketone implants.

Bioact Mater. 2020-7-4

[7]
Tantalum-coated polylactic acid fibrous membranes for guided bone regeneration.

Mater Sci Eng C Mater Biol Appl. 2020-10

[8]
3D printed porous titanium cages filled with simvastatin hydrogel promotes bone ingrowth and spinal fusion in rhesus macaques.

Biomater Sci. 2020-8-7

[9]
Bioactive amorphous magnesium phosphate-polyetheretherketone composite filaments for 3D printing.

Dent Mater. 2020-5-22

[10]
Polyhedral Oligomeric Silsesquioxane-Incorporated Gelatin Hydrogel Promotes Angiogenesis during Vascularized Bone Regeneration.

ACS Appl Mater Interfaces. 2020-5-20

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