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International Journal of Bioprinting                                Effects of structure on the interbody cage











































            Figure 10. CCK-8 test results. (A) The results of cytotoxicity testing of PCL raw materials and composites at different sample masses. (B) The results of
            cytotoxicity testing of cages with different structural features after 1, 4, and 7 days of co-culture with cells. **p < 0.01.


            for medical implantation. A comparison between     1 or 2 layers of crossing beams is more suited for spinal
            Figure 10A and B reveals that the cell viability of the   fusion. The fundamental structure is maintained during
            manufactured  cages  is not  lower than that of the  raw   degradation, with the pore size kept between 450 and 490
            materials. This indicates that the 3D printing process   μm, ensuring good support. In this study, we investigated
            used in this study does not increase the cytotoxicity   the degradation characteristics of cages with different
            of the printed products and is a feasible bioprinting   meso-structures and explored the influence of several
            method. Further  studies  on biological activity  should   structural characteristic parameters on the mechanical
            consider using medical-grade implantable materials.   properties and degradation rate of the cages. The aim of
                                                               this study is to provide reference for the structure and 3D
            4. Conclusion                                      printing process of spine interbody fusion cages. The cell
            This study proposed a meso-structural design for the   experiments showed that the cages made of PCL exhibited
            bi-directional scale-changing porous spinal interbody   certain degree of cytotoxicity, which was not caused by
            fusion cage. Degradable PCL was used as a substrate   the manufacturing process. This can be explained by the
            and mixed with 25 wt% HA as a functional filler to   application of research-grade PCL, rather than medical
            prepare a composite material. Various types of cages   implant grade materials, in this study. Further osteogenic
            with microstructures were fabricated using polymer melt   activity studies require the substitution of medical-
            differential 3D printing technology, followed by in vitro   implant-grade materials to verify the reliability of the
            degradation tests. The experiments indicated that the   cage, and to establish a solid foundation for subsequent
            degradation rate of the cages rose with the decrease of   animal experiments and clinical applications.
            their filling rate and the increase of the number of crossing   Acknowledgments
            layers of the beams, i.e., with the growth of the internal
            pore size. The cage with an internal filling rate of 60% and   None.



            Volume 10 Issue 4 (2024)                       183                                doi: 10.36922/ijb.1996
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