Abstract
Vertebroplasty (VP) and balloon kyphoplasty (BKP) are now widely used for treating patients in whom the pain due to vertebral compression fractures is severe and has proved to be refractory to conservative treatment. These procedures involve percutaneous delivery of a bolus of an injectable bone cement either directly to the fractured vertebral body, VB (VP) or to a void created in it by an inflatable bone tamp (BKP). Thus, the cement is a vital component of both procedures. In the vast majority of VPs and BKPs, a poly(methyl methacrylate) (PMMA) bone cement is used. This material has many shortcomings, notably lack of bioactivity and very limited resorbability. Thus, there is room for alternative cements. We report here on two variants of a novel, bioactive, Al-free, Zn-based glass polyalkenoate cement (Zn-GPC), and how their properties compare to those of an injectable PMMA bone cement (SIMPL) that is widely used in VP and BKP. The properties determined were injectability, radiopacity, uniaxial compressive strength, and biaxial flexural modulus. In addition, we compared the compression fatigue lives of a validated synthetic osteoporotic VB model (a polyurethane foam cube with an 8 mm-diameter through-thickness cylindrical hole), at 0-2300 N and 3 Hz, when the hole was filled with each of the three cements. A critical review of the results suggests that the performance of each of the Zn-GPCs is comparable to that of SIMPL; thus, the former cements merit further study with a view to being alternatives to an injectable PMMA cement for use in VP and BKP. © 2009 Springer Science+Business Media, LLC.
Recommended Citation
G. Lewis et al., "Evaluation of Two Novel Aluminum-Free, Zinc-Based Glass Polyalkenoate Cements as Alternatives to PMMA Bone Cement for Use in Vertebroplasty and Balloon Kyphoplasty," Journal of Materials Science: Materials in Medicine, vol. 21, no. 1, pp. 59 - 66, Springer, Jan 2010.
The definitive version is available at https://doi.org/10.1007/s10856-009-3845-7
Department(s)
Chemical and Biochemical Engineering
International Standard Serial Number (ISSN)
0957-4530
Document Type
Article - Journal
Document Version
Final Version
File Type
text
Language(s)
English
Rights
© 2023 The Authors, All rights reserved.
Creative Commons Licensing
This work is licensed under a Creative Commons Attribution 4.0 License.
Publication Date
01 Jan 2010
PubMed ID
19655232
Included in
Biochemical and Biomolecular Engineering Commons, Biomedical Devices and Instrumentation Commons
