Evidence map›Paper›PMID 40741218›Full record

ArticleJOR spine2025

Comparative Performance of Calcium Phosphate Grafts and Iliac Crest Autograft in Posterolateral Spinal Fusion in Rabbits.

William R Walsh, Rema A Oliver, Matthew H Pelletier, Tian Wang, Chris Christou, Emma R Walsh, Jonathan M Page, Chase T Davis, Gregory M Williams

Abstract read
In one paragraph

Article in JOR spine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

William R WalshSurgical and Orthopaedic Research Laboratories University of New South Wales, Prince of Wales Hospital Sydney Australia.
Rema A OliverSurgical and Orthopaedic Research Laboratories University of New South Wales, Prince of Wales Hospital Sydney Australia.
Matthew H PelletierSurgical and Orthopaedic Research Laboratories University of New South Wales, Prince of Wales Hospital Sydney Australia.ORCID https://orcid.org/0000-0003-1643-6696
Tian WangSurgical and Orthopaedic Research Laboratories University of New South Wales, Prince of Wales Hospital Sydney Australia.
Chris ChristouSurgical and Orthopaedic Research Laboratories University of New South Wales, Prince of Wales Hospital Sydney Australia.
Emma R WalshSurgical and Orthopaedic Research Laboratories University of New South Wales, Prince of Wales Hospital Sydney Australia.
Jonathan M PageNuVasive Inc San Diego California USA.
Chase T DavisNuVasive Inc San Diego California USA.
Gregory M WilliamsNuVasive Inc San Diego California USA.ORCID https://orcid.org/0000-0003-4685-758X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Calcium phosphate (CaP) biomaterials are widely used in surgical applications such as spinal fusion to substitute for or extend autogenous bone graft. Preclinical testing in standardized animal models is useful for evaluating the relative performance of materials differing in composition and structure, including a newer generation of submicron-structured CaP (sCaP) with surface features uniformly smaller than 1 μm. The purpose of this study was to compare three clinically available CaP-based materials and iliac crest autograft in the rabbit posterolateral fusion (PLF) model. Methods: A novel sCaP with bovine collagen type I (sCaP/Col I) and two clinically established materials, sCaP with alkylene oxide copolymer (sCaP/AOC) and microstructured CaP with bovine collagen type I (mCaP/Col I), were evaluated in a skeletally mature, single-level, non-instrumented, bilateral rabbit PLF model. Iliac crest autograft served as a control. Endpoints included radiographic, mechanical, and histological evaluation at postoperative 6, 9, and 12 weeks. Results: Fusion progressed with postoperative time with all grafts, and the CaP materials yielded fusion rates by micro-CT and manual palpation similar to those of the autograft control at each time point. When tested as autograft extenders, sCaP/Col I and sCaP/AOC demonstrated equivalent results for all endpoints. When hydrated with bone marrow aspirate and used as bone graft substitutes, sCaP/Col I supported earlier fusion than mCaP/Col I with an increased radiographic fusion rate at 9 weeks ( Conclusions: Differences in the composition and structure of clinically available CaP-based materials influenced the achievement of spinal fusion in a standardized rabbit PLF model. These results may help guide the selection and use of materials in clinical applications and the future development of biomaterials with improved performance.

Indexed as

animal modelbiomaterialsbone graft substitutecalcium phosphateiliac crest autograftpreclinicalspine fusionsynthetic bone graft

Identifiers

PMID40741218
PMCPMC12309731

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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.