Page 183 - IJB-10-4
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International Journal of Bioprinting                                Effects of structure on the interbody cage






































            Figure 2. Schematic of porous interbody cage 3D printing. (A) Melt differential 3D printing system. (B) Schemes of porous cage with distinct structural
            features: 60% and 40% filling rate in columns A and B, respectively, and 1, 2, and 4 crossing layers in rows I, II, and III, respectively.

               Five groups were  set according to the expected   2.3.2. Calculation of weight loss rate
            immersion time, that is, blank control group (no   The test samples used to calculate the weight loss rate were
            degradation), 7 days, 14 days, 21 days, and 28 days. Six   first placed in a drying oven at 35°C for 24 h to constant
            samples  of  every  structural  feature  (AI, AII,  AIII,  BI,   weight. The weight of samples, as W , was measured before
                                                                                           0
            BII, BIII) were prepared for each group, three of which   immersion degradation (starting moment), and labeled. Three
            were used for mechanical property tests and three for   samples were taken out at 7, 14, 21, and 28 days, respectively,
            physicochemical tests.                             after immersion. The samples were cleaned with deionized
                                                               water for 20 min ultrasonically, and then placed in a drying
            2.3.1. Immersion in simulated body fluid           oven at 35°C for 24 h until constant weight was achieved.
            All test samples were ultraviolet-sterilized and placed in   The weight of degraded samples, as W, was measured with a
                                                                                            t
            separate centrifuge tubes. The samples were soaked in 10 mL   balance, and the weight loss rate, as W , was calculated.
            of SBF, and the containers were firmly closed to ensure that the                loss
            samples were thoroughly submerged in the soaking solution.   W  = (W  – W) / W  × 100%         (I)
                                                                                0
                                                                          loss
                                                                                     t
                                                                                         0
            The soaking container was put in a thermostat to maintain
            the physiological temperature at 37°C. The pH alterations of   2.3.3. Analysis of appearance and morphology
            SBF were monitored during the test period, and the SBF was   The dried samples, used for calculating weight loss rate,
            adjusted every week to regulate the pH at 7.4 ± 0.3.  were observed for different structural features of the
                                                               interbody fusion cages,  such as beam arrangement and
            Table  1.  Scheme  of  meso-structural  characterization  of    pore morphology, as well as the surface morphology
            the cages                                          before and after degradation, using a scanning electron
                    Fill percentage   60%         40%          microscope (MAIA 3 XMU, TESCAN, Czech Republic).
                                                               The actual hole diameters and beam diameters of the
             Crossing layers                                   fusion were measured with the help of Image-J software.
             1 layer                  AI           BI          2.3.4. Mechanical performance test
             2 layers                 AII          BII         The cage generally serves a supportive function in spinal
             4 layers                AIII         BIII         fusion surgery; thus, its compression performance is key

            Volume 10 Issue 4 (2024)                       175                                doi: 10.36922/ijb.1996
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