Effect of a single dose of pamidronate administered at the time of surgery in a rabbit posterolateral spinal fusion model |
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Authors: | Julio Urrutia Jorge Briceno Maximiliano Carmona Fernando Olavarria Felipe Hodgson |
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Institution: | (1) Department of Orthopaedic Surgery, Pontificia Universidad Catolica de Chile, Marcoleta 352, Santiago, Chile |
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Abstract: | Spinal fusion is usually performed on patients who receive bisphosphonates (BP); however, limited data on their action on
spinal fusion are available. Previous studies in animal models have shown that chronic administrations of BP reduced spinal
fusion rates, and only one study has shown that a single dose administration of zolendronic acid increased fusion rate. The
objective of the present study was to evaluate if pamidronate (PA), which was previously demonstrated to reduce spinal fusion
rate when administered continuously for 8 weeks, would increase the spinal fusion rate if administered in a single dose at
the time of surgery in a rabbit model. Thirty-two New Zealand rabbits underwent an L5–L6 posterolateral intertransverse fusion
with iliac crest autograft. Animals were randomized to receive either PA 3 mg/kg in a single dose immediately after surgery,
or normal saline. Animals were killed 8 weeks after surgery and fusion was determined by manual palpation and radiographic
analysis. Fusion healing was obtained in eight rabbits (50%) in the PA group and in four animals (25%) in the control group,
p = 0.137. In a rabbit model, a single dose of PA did not decrease lumbar spinal arthrodesis consolidation rates, but it obtained
a nonsignificant higher spinal fusion rate. |
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Keywords: | Spinal fusion Bisphosphonates Animal model Nonunion |
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