Chinese Journal of Tissue Engineering Research ›› 2018, Vol. 22 ›› Issue (14): 2140-2145.doi: 10.3969/j.issn.2095-4344.0186

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Dispersion degree of a small-dose bone cement

Sun Hai-bo1, Qi Ming1, Hai Yong2, Wang Xin-kuan1, Zhang Wu-jun3, He Ying-hua3, Li Hua1, Zhang Guo-fu1, Zhao Ji-yang1, Cao Lian-xu1   

  1. 1Department of Orthopaedics, 3Department of Radiology, the Traditional Chinese and Western Medicine Hospital of Tongzhou District, Beijing 101100, China; 2Department of Orthopaedics, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China
  • Received:2017-12-01 Online:2018-05-18 Published:2018-05-18
  • Contact: Sun Hai-bo, Department of Orthopaedics, 2Department of Radiology, the Traditional Chinese and Western Medicine Hospital of Tongzhou District, Beijing 101100, China
  • About author:Sun Hai-bo, Master, Attending physician, Department of Orthopaedics, the Traditional Chinese and Western Medicine Hospital of Tongzhou District, Beijing 101100, China
  • Supported by:

     the Special Research Fund for Health Development in Tongzhou District of Beijing. No. TWKY-2016-PT-01-08

Abstract:

BACKGROUND: During the percutaneous vertebroplasty, the optimal dose of bone cement that can bring favorable cement dispersion and remodel the biomechanical balance of the fractured vertebrae remains controversial.

OBJECTIVE: To investigate the dispersion degree of small dose of bone cement in vertebroplasty.
METHODS: In this experiment, 18 sheep selected with the same condition were randomly divided into three groups (group A, group B, group C), 6 in each group. A model of thoracolumbar vertebral compression fracture (T12, L1, L2) was made in each sheep. The injected volume of bone cement in groups A, B, C was 15%, 20%, 25% of the average volume of adjacent vertebral bodies, respectively. Postoperative CT images were used to evaluate the bone cement dispersion. Dispersion degree of bone cement among the three groups was compared by the Kruskal-Wallis test.
RESULTS AND CONCLUSION: There was no statistical difference in the dispersion degree of bone cement among the three groups, and the excellent and good rate of dispersion was over 80%. To conclude, the optimal dose of bone cement injected into the fractured vertebra is 15% of the average volume of adjacent vertebral bodies, which can achieve good dispersion degree and restore the biomechanical stability of the vertebral body. 

Key words: Vertebroplasty, Diffusion Magnetic Resonance Imaging, Animal Experimentation, Tissue Engineering

CLC Number: