Porous tantalum in spinal surgery: an overview

被引:23
作者
Hanc M. [1 ]
Fokter S.K. [1 ]
Vogrin M. [1 ]
Molicnik A. [1 ]
Recnik G. [1 ]
机构
[1] Department of Orthopedic Surgery, University Clinical Centre Maribor, Ljubljanska 5, Maribor
关键词
Cervical; Fusion rate; Interbody device; Interbody fusion; Lumbar; Trabecular metal;
D O I
10.1007/s00590-015-1654-x
中图分类号
学科分类号
摘要
Porous tantalum is an open-cell metal structure that approximates the appearance of human cancellous bone. It has a low modulus of elasticity, close to that of subchondral and cancellous bones, leading to better load transfer and minimizing the stress-shielding phenomenon. Its coefficient of friction is one of the highest among biomaterials, allowing for sufficient primary stabilization of implants, possibly even without screw fixation. Different fusion rates have been achieved in anterior cervical fusion, which lead to contradictory views among spine surgeons. However, in the lumbar spine, trabecular metal has been demonstrated to be effective in obtaining fusion and improving patient outcomes after anterior as well as posterior lumbar interbody fusion. © 2015, Springer-Verlag France.
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页码:1 / 7
页数:6
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共 21 条
[1]  
Bobyn J.D., Stackpool G.J., Hacking S.A., Tanzer M., Krygier J.J., Characteristics of bone ingrowth and interface mechanics of a new porous tantalum biomaterial, J Bone Joint Surg [Br], 81B, pp. 907-914, (1999)
[2]  
Paganias C.G., Tsakotos G.A., Koutsostathis S.D., Macheras G.A., Osseous integration in porous tantalum implants, Indian J Orthop, 46, 5, pp. 505-513, (2012)
[3]  
Levine B.R., Sporer S., Poggie R.A., Della Valle C.J., Jacobs J.J., Experimental and clinical performance of porous tantalum in orthopedic surgery, Biomaterials, 27, pp. 4671-4681, (2006)
[4]  
Karageorgious V., Kaplan D., Porosity of 3D biomaterial scaffolds and osteogenesis, Biomaterials, 26, pp. 5474-5491, (2005)
[5]  
Sagomonyants K.B., Hakim-Zargar M., Jhaveri A., Aronow M.S., Gronowicz G., Porous tantalum stimulates the proliferation and osteogenesis of osteoblasts from elderly female patients, J Orthop Res, 28, pp. 609-616, (2011)
[6]  
Hanzlik J.A., Day J.S., Bone ingrowth in well-fixed retrieved porous tantalum implants, J Arthroplasty, 28, pp. 922-927, (2013)
[7]  
Zou X., Li H., Bunger M., Egund N., Lind M., Bunger C., Bone ingrowth characteristics of porous tantalum and carbon fiber interbody devices: an experimental study in pigs, Spine J, 4, pp. 99-105, (2004)
[8]  
D'Angelo F., Murena L., Campagnolo M., Zatti G., Cherubino P., Analysis of bone ingrowth on a tantalum cup, Indian J Orthop, 42, 3, pp. 275-278, (2008)
[9]  
Wigfield C., Robertson J., Gill S., Nelson R., Clinical experience with porous tantalum cervical interbody implants in a prospective randomized controlled trial, Br J Neurosurg, 17, 5, pp. 418-425, (2003)
[10]  
Kasliwal M.K., Baskin D.S., Traynelis V.C., Failure of porous tantalum cervical interbody fusion devices, J Spinal Disord Tech, 26, pp. 239-245, (2013)