Evidence map›Paper›PMID 33573634›Full record

ArticleBMC musculoskeletal disorders2021

Additive-manufactured Ti-6Al-4 V/Polyetheretherketone composite porous cage for Interbody fusion: bone growth and biocompatibility evaluation in a porcine model.

Pei-I Tsai, Meng-Huang Wu, Yen-Yao Li, Tzu-Hung Lin, Jane S C Tsai, Hsin-I Huang, Hong-Jen Lai, Ming-Hsueh Lee, Chih-Yu Chen

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 22% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
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  6. 3D-printed polyether-ether-ketone/n-TiOOpen medicine (Warsaw, Poland) · 2023
    Article
  7. Article
  8. Evolution of polyetheretherketone (PEEK) and titanium interbody devices for spinal procedures: a comprehensive review of the literature.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Review
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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

9 authors at 5 institutions in 1 country.

Pei-I Tsai *Biomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Chutung, Hsinchu, Taiwan.
Meng-Huang Wu *Department of Orthopedics, Taipei Medical University Hospital, Taipei, Taiwan.
Yen-Yao LiDepartment of Orthopedic Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Tzu-Hung LinMaterial and Chemical Research Laboratories, Industrial Technology Research Institute, Chutung, Hsinchu, Taiwan.
Jane S C TsaiBiomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Chutung, Hsinchu, Taiwan.
Hsin-I HuangBiomedical Technology and Device Research Laboratories, Industrial Technology Research Institute, Chutung, Hsinchu, Taiwan.
Hong-Jen LaiMaterial and Chemical Research Laboratories, Industrial Technology Research Institute, Hsinchu, 31040, Taiwan.
Ming-Hsueh LeeDepartment of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, Chiayi, 61363, Taiwan. maxwutmu@gmail.com.
Chih-Yu ChenDepartment of Orthopaedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. aleckc2424@gmail.com.ORCID http://orcid.org/0000-0002-5508-7647
Industrial Technology Research Institute · TWChang Gung University · TWChang Gung University of Science and Technology · TWTaipei Medical University Hospital · TWTaipei Medical University-Shuang Ho Hospital · TW

Funding

Chiayi Chang Gung Memorial Hospital CMRPG6D0113Chiayi Chang Gung Memorial Hospital CMRPG6D0172Chiayi Chang Gung Memorial Hospital CMRPG6D0252Industrial Technology Research Institute H301AR5J30
6 · The paper itself

Abstract

backgroundWe developed a porous Ti alloy/PEEK composite interbody cage by utilizing the advantages of polyetheretherketone (PEEK) and titanium alloy (Ti alloy) in combination with additive manufacturing technology.

methodsPorous Ti alloy/PEEK composite cages were manufactured using various controlled porosities. Anterior intervertebral lumbar fusion and posterior augmentation were performed at three vertebral levels on 20 female pigs. Each level was randomly implanted with one of the five cages that were tested: a commercialized pure PEEK cage, a Ti alloy/PEEK composite cage with nonporous Ti alloy endplates, and three composite cages with porosities of 40, 60, and 80%, respectively. Micro-computed tomography (CT), backscattered-electron SEM (BSE-SEM), and histological analyses were performed.

resultsMicro-CT and histological analyses revealed improved bone growth in high-porosity groups. Micro-CT and BSE-SEM demonstrated that structures with high porosities, especially 60 and 80%, facilitated more bone formation inside the implant but not outside the implant. Histological analysis also showed that bone formation was higher in Ti alloy groups than in the PEEK group.

conclusionThe composite cage presents the biological advantages of Ti alloy porous endplates and the mechanical and radiographic advantages of the PEEK central core, which makes it suitable for use as a single implant for intervertebral fusion.

Indexed as

Spinal FusionTitaniumAnimalsBenzophenonesBone DevelopmentFemaleKetonesLumbar VertebraePolyethylene GlycolsPolymersPorositySwineX-Ray MicrotomographyBenzophenonesKetonespolyetheretherketonePolyethylene GlycolsPolymersTitanium4 V (Ti alloy)/polyetheretherketone (PEEK) composite porous cage, porcine study6AlAdditive manufacturing (3D printing), Ti

Identifiers

PMID33573634
PMCPMC7879644
OpenAlexW3126318954

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.