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In vivo evaluation of recombinant human osteogenic protein (rhOP-1) implants as a bone graft substitute for spinal fusions.
- Source :
-
Spine [Spine (Phila Pa 1976)] 1994 Aug 01; Vol. 19 (15), pp. 1655-63. - Publication Year :
- 1994
-
Abstract
- Study Design: Posterior spinal fusion segments were evaluated in adult mongrel dogs at 6, 12, and 26 weeks post-implantation. Four sites on each animal received implants consisting of recombinant human osteogenic protein-1 on a bone collagen carrier, bone collagen carrier alone, autogenous iliac crest bone, or no implant material.<br />Objective: To determine the efficacy of recombinant human osteogenic protein-1 as a bone graft substitute in achieving posterior spinal fusion and compare the results to those obtained using autogenous bone graft.<br />Summary of Background Data: Posterior spinal fusion generally includes onlay grafting of autogenous or allogeneic bone after decortication of bony surfaces of the vertebral elements. The search for an acceptable bone graft substitute material has in recent years centered upon proteins capable of inducing bone in vivo. Recombinant human osteogenic protein-1 has demonstrated efficacy in healing large segmental osteoperiosteal defects in rabbits, dogs, and monkeys and appears ideally suited as a bone graft substitute for spinal fusions.<br />Methods: The quality of fusion and new bone formation was evaluated using plain films, computed tomography, and magnetic resonance imaging.<br />Results: Radiographic and histologic studies demonstrated that recombinant human osteogenic protein-1-treated fusion segments attained a stable fusion by 6 weeks post-implantation and were completely fused by 12 weeks. The autograft sites demonstrated fusion at 26 weeks post-implantation.<br />Conclusions: The results indicated that recombinant human osteogenic protein-1 is an effective bone graft substitute for achieving stable posterior spinal fusions in a significantly more rapid fashion than can be achieved with autogenous bone graft.
- Subjects :
- Animals
Bone Morphogenetic Protein 7
Collagen administration & dosage
Dogs
Humans
Lumbar Vertebrae pathology
Magnetic Resonance Imaging
Male
Prostheses and Implants
Proteins administration & dosage
Recombinant Proteins administration & dosage
Recombinant Proteins therapeutic use
Stress, Mechanical
Thoracic Vertebrae pathology
Tomography, X-Ray Computed
Transforming Growth Factor beta administration & dosage
Bone Morphogenetic Proteins
Bone Transplantation
Lumbar Vertebrae surgery
Proteins therapeutic use
Spinal Fusion methods
Thoracic Vertebrae surgery
Transforming Growth Factor beta therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 0362-2436
- Volume :
- 19
- Issue :
- 15
- Database :
- MEDLINE
- Journal :
- Spine
- Publication Type :
- Academic Journal
- Accession number :
- 7973957
- Full Text :
- https://doi.org/10.1097/00007632-199408000-00002