骨移植治疗外伤性椎体缺损的实验证实

Q3 Medicine Hirurgia Pozvonochnika Pub Date : 2018-12-04 DOI:10.14531/2018.4.41-51
V. Rerikh, Yu. A. Predein, A. Zaidman, A. Lastevsky, V.A. Bataev V.A. Bataev V.A. Bataev, A. Nikulina
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引用次数: 1

摘要

客观的在体外实验中分析同种异体骨移植在椎体缺损或骨折成形过程中骨组织形成的特点。材料和方法。在20只同龄的小型猪身上进行的实验中,建立了椎体缺损(穿透髓核的颅腹侧骨折)的模型。外伤性骨缺损的整形采用同种异体骨移植或自体骨。在第14、30、90和180天对显微镜标本进行CT、组织学和光谱研究。对修复性成骨、X射线密度、钙磷含量及显微硬度进行了研究。后果同种异体骨移植后,第90天形成与受体骨形态结构、X射线密度、矿物成分和显微硬度相似的器官特异性骨(P=0.01),Ca、P含量及显微硬度(P=0.01)。А用同种异体骨移植修复椎体创伤缺损后,器官特异性骨组织形成得更早,可靠地表现出更大的矿化度和强度。
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Experimental substantiation of osteotransplant application in traumatic vertebral defects
Objective. To analyze the features of bone tissue formation during plasty of vertebral body defect or fracture with an allogeneic bone graft in an experiment in vitro. Material and Methods. Models of the vertebral body defect (fracture of the cranioventral part with penetration into the nucleus pulposus) were created in an experiment on 20 mini-pigs of the same age. Plasty of traumatic defects was performed with allogeneic bone graft or autologous bone. CT, histological, and spectrometric studies of microscopic specimens were carried out at 14, 30, 90, and 180 day. Reparative osteogenesis, X-ray density, Ca and P content, and microhardness were studied. Results. After implantation of allogeneic bone graft, an organ-specific bone similar to the recipient’s bone in morphological structure, X-ray density, mineral composition and microhardness, was formed on the 90th day (P = 0.01). After transplantation of autobone, the regenerate formed by this day in the central part was in a phase of resorption and restructuring with lower indices of X-ray density, content of Ca and P, and microhardness (P = 0.01). Conclusion. Аfter plasty of vertebral body traumatic defects with allogeneic bone graft, the organ-specific bone tissue is formed at an earlier time and reliably exhibits greater mineralization and strength.
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来源期刊
Hirurgia Pozvonochnika
Hirurgia Pozvonochnika Medicine-Anesthesiology and Pain Medicine
CiteScore
0.60
自引率
0.00%
发文量
24
审稿时长
7 weeks
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