The Journal of Bone and Joint Surgery, Vol 70, Issue 1 51-59, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
Induction and characterization of an interface tissue by implantation of methylmethacrylate cement into the posterior part of the cervical spine of the dog
R Whitehill, S Drucker, JA McCoig, WE Hooper, JE Gatesy, RE Fechner and G Balian
Department of Orthopaedics and Rehabilitation, University of Virginia Medical Center, Charlottesville 22908.
After the implantation of methylmethacrylate cement into the posterior part
of the cervical spine of the dog, a thick layer of connective tissue forms
at the bone-cement interface. The tissue is six to eight millimeters thick
and in all animals it surrounds the dorsal and lateral aspects of the
masses of implanted cement, grows between the undersurface of the cement
and the bone of the posterior elements, and completely covers that bone.
This tissue was examined by light and electron microscopy and its
collagenous components were extracted and analyzed biochemically by gel
electrophoresis. Specific extracellular matrix proteins in the tissue at
the bone-cement interface were also localized by immunohistochemistry. The
tissue at the host-cement interface contained zones of fibrocytes and plump
and teardrop-shaped cells within a collagenous matrix. Type-I, Type-III,
and Type-V collagen were extracted and were identified by gel
electrophoresis. Type-V collagen and fibronectin were localized
predominantly around the plump and teardrop-shaped cells. Type-IV collagen
and laminin were localized predominantly in an area just beneath the
teardrop-shaped cells at the surface of the tissue overlying the cement,
suggesting that a basement-membrane-like tissue had formed in this area.