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Application of a three-dimensional graft of autologous osteodifferentiated adipose stem cells in patients undergoing minimally invasive transforaminal lumbar interbody fusion: clinical proof of concept.

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Fomekong, Edward [UCL] Dufrane, Denis [UCL] Vande Berg, Bruno [UCL] Andre, Wivine [UCL] Aouassar, Najima [UCL] Veriter, Sophie [UCL] Raftopoulos, Christian [UCL]

(eng) BACKGROUND: The authors applied a scaffold-free osteogenic three-dimensional (3D) graft made of adipose-derived mesenchymal stem cells (AMSCs) in patients undergoing minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). METHODS: Three patients (two patients and one patient with 1 and 2 levels, respectively) with degenerative spondylolisthesis underwent MI-TLIF with 3D graft made of AMSCs. To obtain the AMSCs, fatty tissue was collected from the abdomen by lipoaspiration and differentiated afterwards in our Cell/Tissue bank. Clinical outcomes, including the Oswestry Disability Index (ODI) and visual analog scale (VAS) as well as fusion status were assessed preoperatively and up to 12 months postoperatively. RESULTS: At 12 months, all four operated AMSC levels could be assessed (n = 4). Grade 3 fusion could be confirmed at two levels out of four. Mean VAS score improved from 8.3 to 2 and ODI also improved from 47 to 31%. No donor site complication was observed. The final AMSC osteogenic product was stable, did not rupture with forceps manipulation, and was easily implanted directly into the cage with no marked modification of operating time. CONCLUSIONS: A scaffold-free 3D graft made of AMSCs can be manufactured and used as a promising alternative for spinal fusion procedures. Nevertheless, further studies of a larger series of patients are needed to confirm its effectiveness.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès libre
Publication date 2017
Language Anglais
Journal information "Acta Neurochirurgica : the European journal of neurosurgery" - Vol. 159, no. 3, p. 527-536 (2017)
Peer reviewed yes
Publisher Springer Wien ((Austria) Vienna)
issn 0001-6268
e-issn 0942-0940
Publication status Publié
Affiliations UCL - SSS/IONS/NEUR - Clinical Neuroscience
UCL - SSS/IREC/IMAG - Pôle d'imagerie médicale
UCL - (SLuc) Service de radiologie
UCL - (SLuc) Service de neurochirurgie
UCL - (SLuc) Centre de thérapie tissulaire et cellulaire
Keywords Adipose-derived mesenchymal stem cells ; Bone graft ; Fusion rate ; Spondylolisthesis ; Transforaminal lumbar interbody fusion
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Bibliographic reference Fomekong, Edward ; Dufrane, Denis ; Vande Berg, Bruno ; Andre, Wivine ; Aouassar, Najima ; et. al. Application of a three-dimensional graft of autologous osteodifferentiated adipose stem cells in patients undergoing minimally invasive transforaminal lumbar interbody fusion: clinical proof of concept.. In: Acta Neurochirurgica : the European journal of neurosurgery, Vol. 159, no. 3, p. 527-536 (2017)
Permanent URL http://hdl.handle.net/2078.1/185597