Efficacy of Poly(D,L-Lactic Acid-co-Glycolic acid)-Poly(Ethylene Glycol)-Poly(D,L-Lactic Acid-co-Glycolic Acid) Thermogel As a Barrier to Prevent Spinal Epidural Fibrosis in a Postlaminectomy Rat Model. 2017

Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
*Department of Orthopaedic Surgery, Zhongshan Hospital †State Key Laboratory of Molecular Engineering of Polymers, Department of Macromolecular Science, Advanced Materials Laboratory, Fudan University, Shanghai, China.

Experimental animal study. The authors conducted a study to determine the efficacy and safety of the poly(D,L-lactic acid-co-glycolic acid)-poly(ethylene glycol)-poly(D,L-lactic acid-co-glycolic acid) (PLGA-PEG-PLGA) thermogel to prevent peridural fibrosis in an adult rat laminectomy model. Peridural fibrosis often occurs after spinal laminectomy. It might cause persistent back and/or leg pain postoperatively and make a reoperation more difficult and dangerous. Various materials have been used to prevent epidural fibrosis, but only limited success has been achieved. The PLGA-PEG-PLGA thermogel was synthesized by us. Total L3 laminectomies were performed on 24 rats. The PLGA-PEG-PLGA thermogel or chitosan (CHS) gel (a positive control group) was applied to the operative sites in a blinded manner. In the control group, the L3 laminectomy was performed and the defect was irrigated with the NS solution 3 times. All the rats were killed 4 weeks after the surgery. The cytotoxicity of this thermogel was evaluated in vitro and the result demonstrated that no evidence of cytotoxicity was observed. The extent of epidural fibrosis, the area of epidural fibrosis, and the density of the fibroblasts and blood vessel were evaluated histologically. There were statistical differences among the PLGA-PEG-PLGA thermogel or CHS gel group compared with the control group. Although there was no difference between the PLGA-PEG-PLGA thermogel and CHS gel, the efficiency of the PLGA-PEG-PLGA thermogel was shown to be slightly improved compared with the CHS gel. The biocompatibility of the PLGA-PEG-PLGA thermogel was proven well. The application of this thermogel effectively reduced epidural scarring and prevented the subsequent adhesion to the dura mater. No side effects were noted in the rats.

UI MeSH Term Description Entries
D007796 Laminectomy A surgical procedure that entails removing all (laminectomy) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots. Laminotomy,Laminectomies,Laminotomies
D008297 Male Males
D011092 Polyethylene Glycols Polymers of ETHYLENE OXIDE and water, and their ethers. They vary in consistency from liquid to solid depending on the molecular weight indicated by a number following the name. They are used as SURFACTANTS, dispersing agents, solvents, ointment and suppository bases, vehicles, and tablet excipients. Some specific groups are NONOXYNOLS, OCTOXYNOLS, and POLOXAMERS. Macrogols,Polyoxyethylenes,Carbowax,Macrogol,Polyethylene Glycol,Polyethylene Oxide,Polyethyleneoxide,Polyglycol,Glycol, Polyethylene,Glycols, Polyethylene,Oxide, Polyethylene,Oxides, Polyethylene,Polyethylene Oxides,Polyethyleneoxides,Polyglycols,Polyoxyethylene
D011098 Polyglactin 910 A polyester used for absorbable sutures & surgical mesh, especially in ophthalmic surgery. 2-Hydroxy-propanoic acid polymer with polymerized hydroxyacetic acid, which forms 3,6-dimethyl-1,4-dioxane-dione polymer with 1,4-dioxane-2,5-dione copolymer of molecular weight about 80,000 daltons. Glycolic-Lactic Acid Polyester,Poly(Lactide-Co-Glycoside),Dimethyldioxanedione Polymer with Dioxanedione Polymer,Dioxanedione Polymer with Dimethyldioxanedione Polymer,Poly(Glycolide Lactide)Copolymer,Poly(Lactide-Co-Glycolide),Polygalactin 910,Polyglactin,Vicryl,Acid Polyester, Glycolic-Lactic,Glycolic Lactic Acid Polyester,Polyester, Glycolic-Lactic Acid
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D004195 Disease Models, Animal Naturally-occurring or experimentally-induced animal diseases with pathological processes analogous to human diseases. Animal Disease Model,Animal Disease Models,Disease Model, Animal
D004824 Epidural Space Space between the dura mater and the walls of the vertebral canal. Epidural Spaces,Space, Epidural,Spaces, Epidural
D005355 Fibrosis Any pathological condition where fibrous connective tissue invades any organ, usually as a consequence of inflammation or other injury. Cirrhosis,Fibroses
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001672 Biocompatible Materials Synthetic or natural materials, other than DRUGS, that are used to replace or repair any body TISSUES or bodily function. Biomaterials,Bioartificial Materials,Hemocompatible Materials,Bioartificial Material,Biocompatible Material,Biomaterial,Hemocompatible Material,Material, Bioartificial,Material, Biocompatible,Material, Hemocompatible

Related Publications

Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
March 2014, Acta biomaterialia,
Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
August 2002, Journal of biomedical materials research,
Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
January 2019, Journal of cancer research and therapeutics,
Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
January 2009, Journal of biomaterials science. Polymer edition,
Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
October 2001, Journal of controlled release : official journal of the Controlled Release Society,
Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
January 2015, Tissue engineering. Part A,
Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
December 2013, Journal of controlled release : official journal of the Controlled Release Society,
Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
June 2022, Journal of materials chemistry. B,
Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
October 2013, Molecular pharmaceutics,
Xiangqian Li, and Lin Chen, and Hong Lin, and Luping Cao, and Ji'an Cheng, and Jian Dong, and Lin Yu, and Jiandong Ding
December 2014, Macromolecular chemistry and physics,
Copied contents to your clipboard!