Evidence map›Paper›PMID 39277741›Full record

ArticleBMC musculoskeletal disorders2024

Osseointegration potential of boron-coated titanium alloy pedicle screw in rabbit spine model.

Hidir Ozer, Mehdi Hekimoğlu, Ibrahim Kulac, Ozgur Can Eren, Yeliz Kasko Arici, Haydar Çelik, Ali Fahir Ozer

Erratum issuedAbstract read
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Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

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

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Hidir OzerNeurosurgery Department, Ordu University Hospital, Ordu, Turkey.
Mehdi HekimoğluNeurosurgery Department, American Hospital, Istanbul, Turkey. mehdih@amerikanhastanesi.org.
Ibrahim KulacPathology Department, Koc University Hospital, Istanbul, Turkey.
Ozgur Can ErenPathology Department, Koc University Hospital, Istanbul, Turkey.
Yeliz Kasko AriciFaculty of Medicine, Biostatics and Medical Informatics Department, Ordu University, Ordu, Turkey.
Haydar ÇelikAnkara Research and Training Hospital, Neurosurgery Department, Ankara, Turkey.
Ali Fahir OzerNeurosurgery Department, American Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal implants' longevity is crucial, but titanium alloys, while advantageous, lack strong bone integration. This study aimed to achieve better osseointegration rates by utilizing the ability of boron compounds to transform stem cells in the vertebra into osteoblasts.

methodTwenty male albino rabbits were divided into control (n = 10) and experimental (n = 10) groups. Control group received titanium alloy pedicle screws, while experimental group received boron-coated titanium alloy screws. Under general anesthesia, screws were inserted into the L6 and L7 lumbar spines. After 16 weeks, all animals were euthanized for histological examination. Vertebra samples underwent decalcification and H&E staining. Microscopic examination assessed osseointegration, necrosis, fibrosis, and vascularization using a triple scoring system by two blinded observers.

resultIn the boron-coated titanium alloy group, all subjects exhibited osseointegration, with 50% showing focal, 40% moderate, and 10% complete osseointegration. In the titanium alloy group, 90% showed osseointegration (70% focal, 10% moderate, and 10% complete).The differences between the groups were not statistically significant (p = 0.302). Focal necrosis rates were similar between groups, with 50.0% in the titanium alloy and 60.0% in the boron-coated group (p = 0.653).Fibrosis was absent in the titanium alloy group but present in the boron-coated group, albeit with lower rates of focal fibrosis (20.0%). However, the difference was not statistically significant (p = 0.086).Vascularization patterns showed no significant difference between groups.

conclusionBoron-coated titanium alloy pedicle screws provided osseointegration rates comparable to standard titanium screws and exhibited acceptable levels of necrosis and fibrosis. With stronger biomechanical properties, they could be a better alternative to currently used titanium screws.

Indexed as

AlloysBoronOsseointegrationPedicle ScrewsTitaniumAnimalsCoated Materials, BiocompatibleLumbar VertebraeMaleRabbitsAlloysBoronCoated Materials, BiocompatibleTitaniumBoronizationInstrumantatin failureOsseointegratıonSpine surgeryTitanyum alloy

Identifiers

PMID39277741
PMCPMC11401436

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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.