Calcium phosphate cements for bone augmentation through vertebroplasty

用于椎体成形术增骨的磷酸钙骨水泥

• 批准号: EP/E022332/1
• 负责人: Ruth Wilcox
• 金额: $ 28.04万
• 依托单位: University of Leeds
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2007
• 资助国家: 英国
• 起止时间: 2007 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=EP%2FE022332%2F1
• 关键词: Calcium; phosphate; cements; bone; augmentation

Traditional procedures to stabilise the spine following fracture involve highly invasive surgery to attach instrumentation, in many cases via two separate approaches, to the posterior and/or anterior of the spine. High risks are associated with this procedure because the patient has often suffered multiple injuries and the surgery is in close proximity to the spinal cord and major blood vessels. Recently, a new technique called 'vertebroplasty' has been investigated as an alternative treatment for spinal burst fractures, which are caused by high energy impacts. Using this procedure, bone cement is injected into the fractured vertebra to stabilise the segment without the need for major invasive surgery. Although this technique shows potential, the cements used have yet to be optimised for the treatment of burst fractures. Since this type of injury most commonly occurs in younger patients, there is potential for bony regrowth following the fracture. Therefore, it is proposed that materials that support bone growth, such as calcium phosphate (CaP), will provide a better means of fixation. The aim of this study is to investigate and optimise the use of CaP cements for the primary fixation of burst fractures. The study will combine the expertise in cement development and biological evaluation at Queen's University Belfast with that in spinal modelling at the University of Leeds.The project will involve determining the optimum properties for the cements across a range of patients using computational techniques. These properties will be realised through novel material formulation and processing. The long term success of the cements will then be assessed using in vivo and in vitro testing.

骨折后稳定脊柱的传统手术涉及高侵入性手术，在许多情况下通过两种单独的方法将器械固定到脊柱的后部和/或前部。该手术具有高风险，因为患者经常遭受多处损伤，而且手术距离脊髓和主要血管很近。最近，一种称为“椎体成形术”的新技术被研究作为高能量冲击引起的脊柱爆裂性骨折的替代治疗方法。使用此手术，将骨水泥注入骨折的椎骨中以稳定该节段，而无需进行大型侵入性手术。尽管该技术显示出潜力，但所使用的水泥尚未针对爆裂骨折的治疗进行优化。由于这种类型的损伤最常发生在年轻患者中，因此骨折后骨有可能再生。因此，有人建议支持骨骼生长的材料，例如磷酸钙（CaP），将提供更好的固定方式。本研究的目的是研究和优化 CaP 骨水泥在爆裂骨折初步固定中的使用。该研究将结合贝尔法斯特女王大学在骨水泥开发和生物评估方面的专业知识以及利兹大学脊柱建模方面的专业知识。该项目将涉及使用计算技术确定一系列患者的骨水泥的最佳性能。这些特性将通过新颖的材料配方和加工来实现。然后将使用体内和体外测试来评估水泥的长期成功。

项目成果

Computational modelling of spinal burst fractures for the development of calcium phosphate cement

用于开发磷酸钙骨水泥的脊柱爆裂骨折的计算模型

• 发表时间: 2011
• 作者: Tarsuslugil Sami

A Method for the Assessment of Calcium Phosphate Cements Used to Augment Burst Fracture of the Vertebral Body

磷酸钙骨水泥加固椎体爆裂性骨折的评估方法

• 发表时间: 2010
• 作者: Nicholas Dunne

Development of calcium phosphate cement for the augmentation of traumatically fractured porcine specimens using vertebroplasty.

开发用于使用椎体成形术增强创伤性骨折猪标本的磷酸钙水泥。

• DOI: 10.1016/j.jbiomech.2012.11.036
• 发表时间: 2013
• 期刊: Journal of biomechanics
• 影响因子: 2.4
• 作者: Tarsuslugil SM

Experimental and computational approach investigating burst fracture augmentation using PMMA and calcium phosphate cements.

• DOI: 10.1007/s10439-013-0959-3
• 发表时间: 2014-04
• 期刊: ANNALS OF BIOMEDICAL ENGINEERING
• 影响因子: 3.8
• 作者: Tarsuslugil, Sami M.;O'Hara, Rochelle M.;Dunne, Nicholas J.;Buchanan, Fraser J.;Orr, John F.;Barton, David C.;Wilcox, Ruth K.
• 通讯作者: Wilcox, Ruth K.

Experimental validation of finite element models of thoracolumbar vertebrae

胸腰椎有限元模型的实验验证

• 发表时间: 2011
• 作者: Nicholas Dunne