Publications by authors named "Dawang Zhao"

Article Synopsis
  • This study examined the effectiveness of using a 3D-printed guide plate in minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) surgery compared to traditional methods.
  • A review of 162 patients showed that the 3D printing technique resulted in fewer needle punctures, shorter operation and fluoroscopy times, and better early recovery metrics like lower back pain and disability scores.
  • The findings suggest that the 3D-printed guide offers advantages in efficiency and patient outcomes, although it did not significantly affect blood loss or overall fusion rates.
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Glioblastoma multiforme (GBM) remains incurable despite multimodal treatments after surgical debulking. Almost all patients with GBM relapse within a narrow margin (2-3 cm) of the initial resected lesion due to the unreachable residual cancerous cells. Here, a completely biodegradable microneedle for surgical cavity delivery glioblastoma-associated macrophages (GAMs)-activating immune nano-stimulator that mitigates glioblastoma relapse is reported.

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A major pathological basis for low back pain is intervertebral disk degeneration, which is primarily caused by the degeneration of nucleus pulposus cells due to imbalances in extracellular matrix (ECM) anabolism and catabolism. The phenotype of macrophages in the local immune microenvironment greatly influences the balance of ECM metabolism. Therefore, the control over the macrophage phenotype of the ECM is promising to repair intervertebral disk degeneration.

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Article Synopsis
  • Zinc alloys offer a promising option for orthopedic implants due to their beneficial degradation properties and physiological effects, but excessive Zn ion release can hinder osseointegration.
  • This study explores two phosphate chemical conversion coatings on Zn implants—Zn-P and Ca-Zn-P—finding that while both decrease cytotoxicity, Ca-Zn-P significantly enhances osteoimmunomodulation and promotes bone healing.
  • The improved outcomes with Ca-Zn-P result from mechanisms like M2 macrophage polarization and the regulation of the bone immune microenvironment, suggesting this coating could improve the performance of orthopedic implants.
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Research on regulation of the immune microenvironment based on bioactive materials is important to osteogenic regeneration. Hydroxyapatite (HAP) is believed to be a promising scaffold material for dental and orthopedic implantation due to its ideal biocompatibility and high osteoconductivity. However, any severe inflammation response can lead to loosening and fall of implantation, which cause implant failures in the clinic.

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Mesenchymal stem cells (MSCs) are widely used in clinical research and therapy. Since the number of MSCs migration is extremely crucial at the lesion site, exploring the mechanisms to enhance the migration of MSCs is necessary. Therefore, this study focused on the epigenetic mechanisms in MSCs migration.

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Polyetheretherketone (PEEK) is widely used in orthopedic and craniomaxillofacial surgeries as it exhibits excellent biocompatibility, mechanical property, and chemical stability. However, its clinical application is limited by the biological inertness of PEEK. Numerous efforts have been made to improve the bioactivity of this polymer over the years.

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Fexofenadine (FFD) is an antihistamine drug with an anti-inflammatory effect. The intervertebral disc (IVD) degeneration process is involved in inflammation in which tumor necrosis factor-α (TNF-α) plays an important role. This study aims to investigate the role of FFD in the pathological process of IVD degeneration.

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Aims: The use of 3D-printed titanium implant (DT) can effectively guide bone regeneration. DT triggers a continuous host immune reaction, including macrophage type 1 polarization, that resists osseointegration. Interleukin 4 (IL4) is a specific cytokine modulating osteogenic capability that switches macrophage polarization type 1 to type 2, and this switch favours bone regeneration.

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Titanium (Ti) and its alloys are believed to be promising scaffold materials for dental and orthopedic implantation due to their ideal mechanical properties and biocompatibility. However, the host immune response always causes implant failures in the clinic. Surface modification of the Ti scaffold is an important factor in this process and has been widely studied to regulate the host immune response and to further promote bone regeneration.

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Objective: To determine whether lumbar anatomy parameters are in dynamic change and related factors.

Methods: This is a retrospective study. Participants who did lumbar computed tomography (CT) scanning in Shandong University Qilu Hospital from October 2017 to March 2019 were selected.

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