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The interface between ionomer cement and bone in the porcine cervical spine

Summary

The interface between bone and ionomer cement has been studied in twelve young adult pigs 1–6 months after anterior cervical discectomy, removal of adjacent end plates and grafting of the bone defect with ionomer cement. Methods used to study the interface were fluorescence microscopy, scanning electron microscopy, electron microprobe analysis and radiological investigation. The interface in all animals consisted of collagenous tissue. The amount of collagenous fibres was related to the amount of residual movement within the motion segment: animals undergoing anterior plating after reconstruction of the bone defect presented with more or less compactly organized collagenous tissue. Sequential fluorochromic marking of osteoid formation revealed a vital bone bed around the interface but no signs of direct bone apposition to the ionomer cement plug. No signs of toxicity or graft rejection were noted.

Ionomer bone cement contrary to experimental and clinical experience induces the formation of a connective tissue layer of different density in the porcine cervical spine.

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References

  1. Albrektsson T, Albrektsson B (1987) Osseointegration of bone implants. A review of an alternative mode of fixation. Acta Orthop Scand 58: 567–577

    PubMed  Google Scholar 

  2. Arem A (1978) Dynamics of wound healing. Biomed Mater Res Symp Trans 2: 28–29

    Google Scholar 

  3. Autian J (1977) Toxicological evaluation of biomaterial: primary acute toxicity screening program. Artif Organs 1: 53–60

    PubMed  Google Scholar 

  4. Babighian G (1992) Use of glass ionomer cement in otological surgery. A preliminary report. J Laryngol Otol 106: 954–959

    PubMed  Google Scholar 

  5. Bischoff F (1972) Organic polymer biocompatibility and toxicology. Clin Chem (Winston Salem, NC) 18: 869–894

    Google Scholar 

  6. Bönier J, Gaudernack T (1980) Anterior plate stabilization for fractured dislocation of the lower cervical spine. J Traum (Balt) 20: 203–205

    Google Scholar 

  7. Bowers KD (1974) The use of methylmethacrylate for extensive internal bracing of the cervical spine in metastatic disease. W Va Med J 70: 106–108

    Google Scholar 

  8. Brook IM, Craig GT, Lamb DJ (1991) In vitro interaction between primary bone organ cultures, glass ionomer cements and hydroxylapatite/tricalcium phosphate ceramics. Biomaterial 12: 176–186

    Google Scholar 

  9. Brunski JB (1988) The influence of force, motion and related quantities on the response of bone to implants. In: Fitzgerald (ed) Non-cemented total hip arthroplasty. Raven, New York, pp 7–21

    Google Scholar 

  10. Buchholz RB, Carlton A, Holmes R (1987) Hydroxylapatite and tricalcium phosphate bone graft substitutes. Orthop Clin North Am 18: 323–334

    PubMed  Google Scholar 

  11. Clark C, Keggi K, Panjabi M (1984) Methylmethacrylate stabilization of the cervical spine. J Bone Joint Surg 66 A: 40–46

    Google Scholar 

  12. Dawson EG, Dutton RO, Dickstem HC (1982) The fate of bone substitute with porous hydroxylapatite implants in the dog spine. Orthop Transaction 6 (1): 25–26

    Google Scholar 

  13. DeGroot K (1983) Bioceramics of calcium phosphate. CRC, Boca Raton

    Google Scholar 

  14. Dunn EJ (1976) The role of methylmethacrylate in the stabilization and replacement of tumors of the cervical spine. A project of the Cervical Spine Research Society. Spine 2: 15–24

    Google Scholar 

  15. Fielding J, Pyle RN, Foettio VG (1979) Anterior cervical vertebral body resection and bone-grafting for benign and malignant tumors. J Bone Joint Surg 61 B: 251–257

    Google Scholar 

  16. Flateley TJ, Lynch KL, Benson M (1983) Tissue response to implants of calcium phosphate ceramic in the rabbit spine. Clin Orthop 179: 246–252

    PubMed  Google Scholar 

  17. Geyer G (1993) Ionomerzement als Knochenersatzmaterial in der Ohrchirurgie. Eine tierexperimentelle und klinische Untersuchung. Medizinische Welt 44: 716–724

    Google Scholar 

  18. Gourly SJ, Rice RM, Megyeli AF (1978) Biocompatibility testing of polymers: in vivo implantation studies. J Biomed Res 12: 219–232

    Google Scholar 

  19. Griss P, Werner E, Heimke G, Buchinger R (1977) Vergleichende experimentelle Untersuchungen an Bioglas (L. L. Hench), Al2O3-Keramik und mit Bioglas beschichteter Al2O3-Keramik. Arch Orthop Unfallchir 90: 15–27

    PubMed  Google Scholar 

  20. Hamby WB, Glaser HT (1959) Replacement of spinal intervertebral discs with locally polymerizing methylmethacrylate. Experimental study upon tissues and report of a small clinical series. J Neurosurg 16: 311–313

    PubMed  Google Scholar 

  21. Hatton PV, Craig GT, Brook IM (1991) Characterization of the interface between bone and glass ionomer (polyalkenoate) cement using transmission electron microscopy and X-Ray microanalysis. Paper presented at the European Conference on Biomaterials. Cheste.

  22. Helms J, Geyer G (1993) Alloplastic materials in skull base reconstruction. In: Sekhar L, Janecka I (eds) Surgery of cranial base tumors. Raven, New-York, pp 461–469

    Google Scholar 

  23. Hench LL, Ethrigdge EC (1982) Biomaterials. An interfacial approach. Biophys Bioengen Ser 4: 155–164

    Google Scholar 

  24. Holmes R, Buchholz RW, Mooney V (1987) Porous hydroxylapatite as bone graft substitute in diaphyseal defects. A histometric study. J Orthop Res 5: 114–121

    PubMed  Google Scholar 

  25. Howes RM, Hoopes JE (1977) Current concepts of wound healing. Clin Plast Surg 4: 173–179

    PubMed  Google Scholar 

  26. Jarcho M (1982) Calcium phosphate ceramics as hard tissue prosthesis. Clin Orth Rel Res 157: 259–278

    Google Scholar 

  27. Jarcho M, Kay JF, Gumaer KI (1977) Tissue, cellular and subcellular events at bone ceramic hydroxylapatite interface. J Bioengineering 1: 70–92

    Google Scholar 

  28. Jonck LM, Grobbelaar CJ, Strating H (1989) Biological evaluation of glass-ionomer cement (Ketac. O) as an interface material in total joint replacement. A screening test. Clin Mat 4: 201–224

    Google Scholar 

  29. Jonck LM, Grobbelaar CJ, Strating H (1989) The biocompatibility of glass-ionomer in joint replacement: bulk testing. Clin Mat 4: 85–107

    Google Scholar 

  30. Jonk LN, Grobbelaar CJ (1990) Ionos bone cement (Glass-ionomer): an experimental and clinical evaluation in joint replacement. Clin Mat 6: 323–359

    Google Scholar 

  31. Kasemo B, Lausmaa J (1988) Biomaterial from surface science perspective. In: Ratner BD (ed) Surface characterization of biomaterial. Elsevier, New York, pp 1–12

    Google Scholar 

  32. Kaufmann HH, Jones E (1989) The principles of bony spinal fusion. Neurosurgery 24: 264–270

    PubMed  Google Scholar 

  33. Kent BE, Lewis BG, Wilson AD (1979) Glass ionomer cement formulations. I. The preparation of novel fluoroaluminosilicate glasses high in fluorine. J Dent Res 58: 1607–1619

    PubMed  Google Scholar 

  34. Koyama T, Handa J (1986) Poreous hydroxylapatite ceramics for use in neurosurgical practice. Surg Neurol 25: 71–73

    PubMed  Google Scholar 

  35. Nasca R, Lemons J, Deinlein D (1989) Synthetic biomaterials for spinal fusion. Orthopedics 12: 543–548

    PubMed  Google Scholar 

  36. Ono K, Tada K (1975) Metal prosthesis of the cervical vertebra. J Neurosurg 2: 270–280

    Google Scholar 

  37. Rahn H, Parson P (1975) Die mehrfarbige Fluoreszenzmarkierung des Knochenanbaues. Chem Rundschau 28: 12–15

    Google Scholar 

  38. Ramani PS (1975) Cervical spinal interbody fusion with Kiel bone. Br J Surg 62: 147–150

    PubMed  Google Scholar 

  39. Ramsden TR, Herman RCD, Lye RH (1992) Ionomer bone cement in neuro-otological surgery. Laryngol Otol 106: 949–953

    Google Scholar 

  40. Rawlinson JN (1994) Morbidity after anterior cervical decompression and fusion. The influence of donor site on recovery, and the results of a trial of surgibone compared to autologous bone. Acta Neurochir (Wien) 131: 106–118

    Google Scholar 

  41. Rigidon RH (1974) Plastics and inflammation: an in vivo experimental study. J Biomed Mater Res 8: 97–117

    PubMed  Google Scholar 

  42. Shima T, Keller J, Alvira M, Mayfield F, Dunsker B (1979) Anterior cervical discectomy and interbody fusion. An experimental study using synthetic tricalcium phosphate. J Neurosurg 51: 533–538

    PubMed  Google Scholar 

  43. Sloof TJJH (1971) The influence of acrylic cement: an experimental study. Acta Orthop Scand 42: 465–481

    PubMed  Google Scholar 

  44. Turner JE, Lawrence WH, Autian J (1973) Subacute toxity testing of biomaterials using histopathologic evaluation of rabbit muscle tissue. J Biomed Mater Res 7: 39–58

    PubMed  Google Scholar 

  45. Tyas MJ, Brown RM (1977) Biological testing of dental restorative materials. J Oral Rehab 4: 275–290

    Google Scholar 

  46. Williams D (1991) An introduction to medical and dental materials. In: Williams D (ed) Concise encyclopaedia of medical and dental materials. Pergamon, Oxford, pp 134–139

    Google Scholar 

  47. Wilson AD, Kent B (1972) A new translucent cement for dentistry: the glass ionomer cement. Br Dent J 132: 133–135

    PubMed  Google Scholar 

  48. Zöllner W (1992) Scientific background of ionomeric cement in skull base surgery. In: Tos M, Thomsen J (eds) Acoustic neuroma. Proceeding of the First International Conference on Acoustic Neuroma, Copenhagen, Denmark, August 25–29, 1991. Kugler

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Langmayr, J.J., Seykora, P., Jakober, R. et al. The interface between ionomer cement and bone in the porcine cervical spine. Acta neurochir 138, 154–161 (1996). https://doi.org/10.1007/BF01411354

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Keywords

  • Ionomer cement
  • anterior stabilisation
  • interface concept