Evidence map›Paper›PMID 28697772›Full record

ArticleJournal of orthopaedic surgery and research2017

Injectable and compression-resistant low-viscosity polymer/ceramic composite carriers for rhBMP-2 in a rabbit model of posterolateral fusion: a pilot study.

Stefanie M Shiels, Anne D Talley, Madison A P McGough, Katarzyna J Zienkiewicz, Kerem Kalpakci, Daniel Shimko, Scott A Guelcher, Joseph C Wenke

Abstract readEvaluation Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Biomimetic Polyurethanes in Tissue Engineering.Biomimetics (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Stefanie M ShielsUS Army Institute of Surgical Research, Fort Sam Houston, TX, USA. stefanie.m.shiels.ctr@mail.mil.
Anne D TalleyDepartment of Chemical and Biomolecular Engineering, Vanderbilt University, Nashville, TN, USA.
Madison A P McGoughDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA.
Katarzyna J ZienkiewiczDepartment of Chemical and Biomolecular Engineering, Vanderbilt University, Nashville, TN, USA.
Kerem KalpakciMedtronic Spine LLC, Memphis, TN, USA.
Daniel ShimkoMedtronic Spine LLC, Memphis, TN, USA.
Scott A GuelcherDepartment of Chemical and Biomolecular Engineering, Vanderbilt University, Nashville, TN, USA.
Joseph C WenkeUS Army Institute of Surgical Research, Fort Sam Houston, TX, USA.

Funding

Novel ultrahigh resolution microCT imaging systemS10RR027631 · NCRR · VANDERBILT UNIVERSITY · PI PERRIEN, DANIEL S · 2010 to 2010
$460k
NCRR NIH HHS S10 RR027631
6 · The paper itself

Abstract

backgroundThe challenging biological and mechanical environment of posterolateral fusion (PLF) requires a carrier that spans the transverse processes and resists the compressive forces of the posterior musculature. The less traumatic posterolateral approach enabled by minimally invasive surgical techniques has prompted investigations into alternative rhBMP-2 carriers that are injectable, settable, and compression-resistant. In this pilot study, we investigated injectable low-viscosity (LV) polymer/composite bone grafts as compression-resistant carriers for rhBMP-2 in a single-level rabbit PLF model.

methodsLV grafts were augmented with ceramic microparticles: (1) hydrolytically degradable bioactive glass (BG), or (2) cell-degradable 85% β-tricalcium phosphate/15% hydroxyapatite (CM). Material properties, such as pore size, viscosity, working time, and bulk modulus upon curing, were measured for each LV polymer/ceramic material. An in vivo model of posterolateral fusion in a rabbit was used to assess the grafts' capability to encourage spinal fusion.

resultsThese materials maintained a working time between 9.6 and 10.3 min, with a final bulk modulus between 1.2 and 3.1 MPa. The LV polymer/composite bone grafts released 55% of their rhBMP-2 over a 14-day period. As assessed by manual palpation in vivo, fusion was achieved in all (n = 3) animals treated with LV/BG or LV/CM carriers incorporating 430 μg rhBMP-2/ml. Images of μCT and histological sections revealed evidence of bone fusion near the transverse processes.

conclusionThis study highlights the potential of LV grafts as injectable and compression-resistant rhBMP-2 carriers for posterolateral spinal fusion.

Indexed as

AnimalsBone Morphogenetic Protein 2Bone TransplantationCeramicsFeasibility StudiesMinimally Invasive Surgical ProceduresPilot ProjectsPolyurethanesRabbitsRecombinant ProteinsSpinal FusionTransforming Growth Factor betaBone Morphogenetic Protein 2Polyurethanesrecombinant human bone morphogenetic protein-2Recombinant ProteinsTransforming Growth Factor betaBone morphogenetic proteinCompression resistantInjectablePolyurethanePosterolateral fusionRabbit

Identifiers

PMID28697772
PMCPMC5504717

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.