Neural cell responses to wear debris from spinal instrumentation and devices

Publication Type:
Thesis
Issue Date:
2024
Full metadata record
Back pain is now the leading cause of disability worldwide and affects approximately 619 million people globally. The prevalence of spinal surgery involving the implantation of spinal implants and/or instrumentation continues to increase due to advancements in medical technologies and increased incidence of spine-related degenerative conditions. Despite the successes and increased use of spinal surgery for patients with back pain, the longevity of spinal implants may be compromised by issues including mechanical challenges and biological factors. One of the mechanical problems causing spinal implant failures is the generation of wear debris resulting in adverse biological responses including inflammation and osteolysis. In addition, the proximity of neural tissues and cells of the central nervous system poses a challenge as the tissues and cells may be damaged if exposed to wear debris. By understanding how neural cells respond to wear debris from spinal devices, researchers and clinicians can improve outcomes of spinal surgeries and support the development of more spinal implants that improve patient quality of life. In the current study, a novel 3D bioprinted model was developed to investigate the neural cell responses to different wear particles from different biomaterials.
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