. 2022 May 30;14(5):e25509.
doi: 10.7759/cureus.25509.
eCollection 2022 May.
Affiliations
Affiliations
- 1 Department of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, JPN.
- 2 Department of Orthopaedics, Medical Sciences Research Institute, Shonan University, Chigasaki, JPN.
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Akiyoshi Kuroda et al.
Cureus.
.
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. 2022 May 30;14(5):e25509.
doi: 10.7759/cureus.25509.
eCollection 2022 May.
Affiliations
- 1 Department of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, JPN.
- 2 Department of Orthopaedics, Medical Sciences Research Institute, Shonan University, Chigasaki, JPN.
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Abstract
Several types of calcium phosphate (CaP) biomaterial carriers have been designed to deliver bone morphogenetic protein-2 (BMP-2) to augment spinal fusion in spinal surgery. Here, we evaluated an in situ-formed hydrogel (IFH) constructed from hyaluronan (IFH-HA) combined with a BMP2/hydroxyapatite (HAP) composite in bone formation in a murine model of posterolateral lumbar fusion (PLF). HAP was submerged in HA-tyramine (TA) polymer solution containing horseradish peroxidase (HRP) and 2 µg BMP-2 (BMP2/HA-TA/HRP solution). H2O2 was added to initiate the curing reaction (BMP-2/IFH-HA). phosphate-buffered saline (PBS) was added to the BMP2/HA-TA/HRP solution (BMP-2/HA-TA) instead of H2O2 to evaluate the effectiveness of the curing reaction. HAP immersed in PBS was used as a control. PLF model mice were randomly assigned to receive one these composites (n = 10 each). X-ray images were taken to assess the bone fusion, and microcomputed tomography analysis was conducted to examine new bone formation at the graft site four weeks following surgery. No evidence of fusion was observed four weeks after surgery in the Control or BMP2/HA-TA group. In contrast, the BMP2/IFH-HA group exhibited newly formed bone between the transverse processes and bone union in coronal sections. Relative to the Control and BMP2/HA-TA groups, the BMP2/IFH-HA group showed significantly greater bone volume. The BMP2/IFH-HA group also showed significantly elevated bone mineral content relative to the BMP2/HA-TA group. A composite comprising BMP2/HAP and IFH-HA, thus, enhanced the new bone formation in a murine model of PLF, suggesting its promise for augmenting spinal fusion.
Keywords:
bone morphogenetic protein-2; hyaluronan; hydroxyapatite; in situ-formed hydrogel; posterolateral lumbar fusion.
Copyright © 2022, Kuroda et al.
Conflict of interest statement
The authors have declared that no competing interests exist.
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