Evidence map›Paper›PMID 37021767›Full record

ArticleJournal of neurosurgery. Spine2023

Creation and preclinical evaluation of a novel mussel-inspired, biomimetic, bioactive bone graft scaffold: direct comparison with Infuse bone graft using a rat model of spinal fusion.

Ethan Cottrill, Zach Pennington, Matthew T Wolf, Naomi Dirckx, Jeff Ehresman, Alexander Perdomo-Pantoja, Christian Rajkovic, Jessica Lin, David R Maestas, Ashlie Mageau and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neurosurgery. Spine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
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  4. Review
  5. Article
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

16 authors at 7 institutions in 1 country.

Ethan CottrillDepartments of1Neurosurgery.
Zach PenningtonDepartments of1Neurosurgery.
Matthew T Wolf2Biomedical Engineering, and.
Naomi Dirckx6Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Jeff EhresmanDepartments of1Neurosurgery.
Alexander Perdomo-PantojaDepartments of1Neurosurgery.
Christian RajkovicDepartments of1Neurosurgery.
Jessica LinDepartments of1Neurosurgery.
David R Maestas2Biomedical Engineering, and.
Ashlie Mageau2Biomedical Engineering, and.
Dennis Lambrechts2Biomedical Engineering, and.
Veronica StewartDepartments of8Chemistry and.
Daniel M SciubbaDepartments of1Neurosurgery.
Nicholas TheodoreDepartments of1Neurosurgery.
Jennifer H Elisseeff2Biomedical Engineering, and.
Timothy WithamDepartments of1Neurosurgery.
Neurosurgery Research & Education Foundation · USJohns Hopkins University · USBarrow Neurological Institute · USDuke University Health System · USMayo Clinic · USNational Cancer Institute · USNorthwell Health · US

Funding

Cancer Biomaterials EngineeringZIABC012021 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WOLF, MATTHEW · 2020 to 2025
$6.7M
Intramural NIH HHS ZIA BC012021
6 · The paper itself

Abstract

objectiveInfuse bone graft is a widely used osteoinductive adjuvant; however, the simple collagen sponge scaffold used in the implant has minimal inherent osteoinductive properties and poorly controls the delivery of the adsorbed recombinant human bone morphogenetic protein-2 (rhBMP-2). In this study, the authors sought to create a novel bone graft substitute material that overcomes the limitations of Infuse and compare the ability of this material with that of Infuse to facilitate union following spine surgery in a clinically translatable rat model of spinal fusion.

methodsThe authors created a polydopamine (PDA)-infused, porous, homogeneously dispersed solid mixture of extracellular matrix and calcium phosphates (BioMim-PDA) and then compared the efficacy of this material directly with Infuse in the setting of different concentrations of rhBMP-2 using a rat model of spinal fusion. Sixty male Sprague Dawley rats were randomly assigned to each of six equal groups: 1) collagen + 0.2 µg rhBMP-2/side, 2) BioMim-PDA + 0.2 µg rhBMP-2/side, 3) collagen + 2.0 µg rhBMP-2/side, 4) BioMim-PDA + 2.0 μg rhBMP-2/side, 5) collagen + 20 µg rhBMP-2/side, and 6) BioMim-PDA + 20 µg rhBMP-2/side. All animals underwent posterolateral intertransverse process fusion at L4-5 using the assigned bone graft. Animals were euthanized 8 weeks postoperatively, and their lumbar spines were analyzed via microcomputed tomography (µCT) and histology. Spinal fusion was defined as continuous bridging bone bilaterally across the fusion site evaluated via µCT.

resultsThe fusion rate was 100% in all groups except group 1 (70%) and group 4 (90%). Use of BioMim-PDA with 0.2 µg rhBMP-2 led to significantly greater results for bone volume (BV), percentage BV, and trabecular number, as well as significantly smaller trabecular separation, compared with the use of the collagen sponge with 2.0 µg rhBMP-2. The same results were observed when the use of BioMim-PDA with 2.0 µg rhBMP-2 was compared with the use of the collagen sponge with 20 µg rhBMP-2.

conclusionsImplantation of rhBMP-2-adsorbed BioMim-PDA scaffolds resulted in BV and bone quality superior to that afforded by treatment with rhBMP-2 concentrations 10-fold higher implanted on a conventional collagen sponge. Using BioMim-PDA (vs a collagen sponge) for rhBMP-2 delivery could significantly lower the amount of rhBMP-2 required for successful bone grafting clinically, improving device safety and decreasing costs.

Indexed as

Spinal FusionAnimalsBiomimeticsBone Morphogenetic Protein 2Bone TransplantationCollagenHumansLumbar VertebraeMaleRatsRats, Sprague-DawleyRecombinant ProteinsTransforming Growth Factor betaX-Ray MicrotomographyBone Morphogenetic Protein 2CollagenRecombinant ProteinsTransforming Growth Factor betaanimal modelsbone graftsbone tissue engineeringrhBMP-2spinal fusionsurgical technique

Identifiers

PMID37021767
PMCPMC10758288
OpenAlexW4362467020

What OpenQuestion holds

Textmetadata
LicenceTDM
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.