Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (43): 6396-6402.doi: 10.3969/j.issn.2095-4344.2016.43.002

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A tissue-engineered bone constructed with bone marrow mesenchymal stem cells and calcium sulfate artificial bone: its osteoinductive effects in spinal fusion

Ying Lv-fang1, Jia Xu-feng2, Cheng Yin1, Feng Da-xiong1
  

  1. 1Department of Spine Surgery, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China; 2Department of Orthopedics, People’s Hospital of Jianyang in Sichuan, Jianyang 641400, Sichuan Province, China
  • Received:2016-08-20 Online:2016-10-21 Published:2016-10-21
  • Contact: Feng Da-xiong, M.D., Professor, Chief physician, Department of Spine Surgery, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
  • About author:Ying Lv-fang, Studying for master’s degree, Department of Spine Surgery, Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
  • Supported by:
    the National Natural Science Foundation of China, No. 30872602

Abstract:

BACKGROUND: Biodegrable calcium sulfate artificial bone has a good biocompatibility, so it is used as a bone graft substitute in the treatment of spinal fusion.
OBJECTIVE: To investigate the osteoinductive effects of the tissue-engineered bone made of bone marrow mesenchymal stem cells and calcium sulfate artificial bone in spinal fusion.
METHODS: Bone marrow mesenchymal stem cells were cultured in vitro, and then combined with the calcium sulfate artificial bone. The composite material was observed under electron microscope. Totally 67 patients undergoing spinal fusion were enrolled, who were divided into control group (n=35) and observation group (n=32), receiving autologous iliac bone graft and autologous bone marrow mesenchymal stem cells combined with calcium sulfate transplantation, respectively. Subsequently, spinal fusion Lenke classification and low back outcome score were conducted.
RESULTS AND CONCLUSION: Under electron microscope, the visible calcium sulfate artificial bone presented a good porous structure, on which bone marrow mesenchymal stem cells grew and adhered well. Slightly but insignificantly better outcomes in the spinal fusion through the use of the Lenke classification system were obtained in the observation group than the control group after surgery (P > 0.05). Besides, scores on low back outcomes in both two groups were significantly higher than baseline data (P < 0.05). These results suggest that the tissue-engineered bone made of calcium sulfate artificial bone as the scaffold and bone marrow mesenchymal stem cells as seed cells can exert a good osteoinduction in spinal fusion, and obtain ideal effects.

Key words: Stem Cells, Tissue Engineering, Spine

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