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A good format I can use to preview the content of the record is the KWIC or Keyword in Context format (Format K). This format allows me to see a window of 30 words around my search terms. It gives me more information about the topic so I can tell whether the record is pertinent to my research needs.

To display more of the records, I enter the TYPE command, identifying the records I want to view in a more detailed format. Looking at records 2 and 5 should give us an idea of what the scientific literature is saying about the use of coral for treating bone.

t s4/8,k/1-5

Tip 4-2

We can see by looking at the excerpts from these records that this treatment is really being tested. I think I'll keep these in case Brian wants more records to choose from.

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?4/8,K/1

DIALOG(R)File 155:(c) format only 1999 Dialog Corporation. 
All rts. reserv.

09922651   99164908
  The  use  of   coralline  hydroxyapatite with  
bone marrow, autogenous bone graft, or osteoinductive  
bone protein extract for posterolateral lumbar
spine fusion.

Feb 15 1999
  Tags: Animal; Comparative Study; Female; Support, 
  Non-U.S. Gov't
  Descriptors:  Biocompatible  Materials;  * Bone   
Marrow Transplantation--  Methods--MT; *Bone  
Transplantation--Methods--MT; *Ceramics; *Durapatite;   
*Lumbar   Vertebrae--  Surgery   --SU;   
*Spinal  Fusion--Methods--MT; Biomechanics;  Bone   
Substitutes ; Bone  Transplantation--Pathology--PA
; Calcium   Hydroxide;  Disease  Models,  Animal;  
Follow-Up  Studies;  Ilium--Transplantation--TR;  
Lumbar  Vertebrae--Pathology--PA;  Lumbar
 Vertebrae--Radiography--RA; Postoperative 
Complications; Rabbits; Treatment Outcome; Zinc
  CAS  Registry  No.:  0    (coralline  sulfate);  
0    (osteoinductal);  0 (Biocompatible   Materials);  
 0    (Bone  Substitutes);  0    
(Ceramics); 1305-62-0     (Calcium   Hydroxide);  
1306-06-5  (Durapatite);  7440-66-6 (Zinc)


  The  use  of   coralline  hydroxyapatite with  
bone marrow, autogenous bone   graft, or osteoinductive  
bone protein extract for posterolateral lumbar 
spine fusion.
  STUDY  DESIGN:  A  posterolateral  lumbar  
arthrodesis animal model using coralline   
hydroxyapatite as a bone   graft   substitute . 
OBJECTIVE: To determine  the  effectiveness  of  
coralline   hydroxyapatite  as a bone graft  substitute  
for lumbar spine fusion when used with bone marrow, 
autogenous  bone     graft  , or an osteoinductive bone  
protein extract.
SUMMARY  OF BACKGROUND DATA: Coralline  hydroxyapatite 
is commonly used as a  bone   graft   substitute  in 
metaphysial defects but its use in a more challenging  
healing  environment  such as the posterolateral 
spine remains controversial.  There  are  no published 
animal studies in which the use of coralline    
hydroxyapatite  has been evaluated in a posterolateral 
lumbar arthrodesis model. 
METHODS: Single-level posterolateral lumbar...

... New Zealand White rabbits. Rabbits were assigned 
 to one of three groups based   on   the   graft    
 material  they  received:  3.0  mL  coralline
 hydroxyapatite   1.5   mL   plus   bone    marrow;   
 1.5   mL  coralline hydroxyapatite  plus  1.5  mL 
 autogenous  iliac crest bone ; and, 3.0 mL coralline      
 hydroxyapatite   plus   500   micrograms   
 bovine-derived osteoinductive  bone   protein  extract 
 on each side. Rabbits were killed after 2, 5, or 
 10 weeks, and...


... were  assessed by manual palpation at 5 weeks for 
 comparisons among the three groups of graft  materials. 
 The coralline  hydroxyapatite used with bone  marrow 
 produced no solid fusions (0/14). When combined with an
 equal amount  of  autogenous  iliac  crest  bone  ,  
 coralline   hydroxyapatite resulted  in  solid  fusion 
 in  50% (7/14) of the rabbits (P < 0.05). 
 When combined  with  the  osteoinductive  growth  
 factor extract,  the coralline hydroxyapatite resulted
 in solid fusion in 100% (11/11) of the rabbits 
 (P < 0.05...


... testing  to  failure  when  normalized  to  the 
adjacent unfused level.


CONCLUSION:  These data indicate that coralline  
hydroxyapatite with bone marrow  was   not   an   
acceptable  bone     graft     substitute   for
posterolateral  spine  fusion.  When  combined  
with autogenous iliac crest bone     graft  - 
coralline   hydroxyapatite served as a graft  
extender yielding  results  comparable  to  those  
obtained  with  autograft  alone.
Coralline    hydroxyapatite  served as an excellent
carrier for the bovine osteoinductive  bone 
protein  extract yielding superior results to those
obtained with autograft or bone  marrow.   
Descriptors:  Biocompatible  Materials;  * Bone   
Marrow Transplantation-- Methods--MT; *Bone  
Transplantation--Methods--MT; *Ceramics; *Durapatite;   
*Lumbar   Vertebrae--  Surgery   --SU;   
*Spinal  Fusion--Methods--MT; Biomechanics;  Bone   
Substitutes ; Bone  Transplantation--Pathology--PA;
 Calcium   Hydroxide;  Disease  Models,  Animal;  
Follow-Up  Studies;  Ilium--Transplantation--TR; 
Lumbar...
  Chemical   Name:   coralline    
sulfate; (osteoinductal;  (Biocompatible Materials; 
(   Bone       Substitutes   ; (Ceramics; 
(Calcium   Hydroxide;(Durapatite; (Zinc



 4/8,K/2

DIALOG(R)File 155:(c) format only 1999 Dialog Corporation. 
All rts. reserv.

09919454   99229015
  Evaluation  of combinations of titanium, zirconia, 
and alumina  implants with 2  bone fillers in the dog.
Mar-Apr 1999
  Tags: Animal; Comparative Study
  Descriptors:  Bone     Substitutes  ; *Dental 
Implantation , Endosseous--Methods--MT;  *Dental  
Implants  ;  *Osseointegration;  Aluminum  Oxide; 
Calcium   Phosphates;   Cnidaria;  Dogs;  Durapatite;  
Surface  Properties; Titanium; Tooth Socket; Zirconium
  CAS  Registry  No.:  0    (Bone Substitutes); 
0   (Calcium Phosphates); 0 (Dental Implants); 
1306-06-5   (Durapatite); 1314-23-4   
(zirconium oxide); 1344-28-1     (Aluminum   Oxide);   
7440-32-6    (Titanium);  7440-67-7(Zirconium)


  Evaluation  of combinations of titanium, zirconia,
and alumina  implants with 2  bone fillers in the dog. 
The  quality  of the tissue-implant  interface was 
evaluated using light and scanning electron microscopy 
with morphometric analysis. Nine dogs were implanted   
with  3  types  of  dental  implants  (titanium, 
zirconia, or alumina).  A  total  of 24 
dental implants  was placed in mandibular bone 
previously   filled   with   coral    carbonate   
calcium   (corail)   or hydroxyapatite.   The   study   
results   in   breaking   the   concept  of 
osseointegration  into 2 phases: "osseocoaptation," 
which concerns only the interface  (physical  contact 
between the implants  and the bone  without
interpenetration  process),  and  "osseocoalescence,"  
which  relies  on an interpenetration   of   the   
bioactive  material,  which  almost  entirely disappears,  
being  substituted   by  newly  formed  bone  . There 
was no significant  statistical difference between 
the 3 types of implants . Both fillings  showed  good  
ossecoalescence properties. However, hydroxyapatite 
led  to  fibrous  encystment,  preventing 
osseocoaptation of implants . In contrast with 
calcium carbonate filling.


  Descriptors:  Bone Substitutes  ; *Dental Implantation , 
Endosseous--Methods--MT; 
*Dental Implants ; *Osseointegration
  Chemical   Name:   Bone    Substitutes  ; (Calcium  
Phosphates; (Dental Implants    ; (Durapatite; 
(zirconium  oxide; (Aluminum  Oxide; (Titanium; (Zirconium




 4/8,K/3

DIALOG(R)File 155:(c) format only 1999 Dialog Corporation.
 All rts. reserv.


09867256   99135153
 [Biomaterials   in   an   osteo-articular  environment.  
Report  of  129 anatomoclinical cases]
  Biomateriaux  en  milieu  osteo-articulaire. A propos 
de 129 observations anatomocliniques.
Sep 1998
  Tags: Human
  Descriptors:  *Biocompatible  Materials;  *Ceramics;
  *Joint  Prosthesis; *Polymers; Bone  Conduction; 
Ploidies
  CAS  Registry  No.:  0    (Biocompatible  Materials); 
 0    (Ceramics); 0 (Polymers)


  ... synthetic  or metallic (or the both). They are 
employed as prosthesis (biostability  property)  or 
as bone   graft  (bioresorbability property).
To understand the interactions between cells and such 
materials, we studied with  human  bone  cellular 
cultures the cytologycal, immunohistochemical,
cytogenetical and  ultrastructural  aspects of 
biomaterials in cell cultures.  This  paper  concerns 
bioceramics like Pyrost, coral , biosorb, oxbone and
polymers like polyethylene and silicones. The aim 
of this work is to...


... the  efficiency  of  some  biomaterials.  We  
found  that  porosity  is primordial  to promote 
biodegradation of bone   substitutes . In fact, the
biomaterials   is   integrated   and   lead   to   
an  osteoconduction,  an osteoformation  and  finally  
an  osteoinduction. Our observations show the implant    
resorption  and  ossification  occurring  in  the  
matrix which penetrate it.
; Bone  Conduction; Ploidies




 4/8,K/4

DIALOG(R)File 155:(c) format only 1999 Dialog Corporation. 
All rts. reserv.



09842778   99084700
  A  5-year  follow-up  of  16  patients  treated with  
coralline calcium carbonate (BIOCORAL)  bone  replacement  
grafts in infrabony defects.
Dec 1998
  Tags: Animal; Female; Human; Male; Support, 
Non-U.S. Gov't
  Descriptors: Absorbable Implants ; *Alveolar Bone  
Loss--Surgery --SU;  * Bone  Substitutes  --Therapeutic 
Use--TU;  * Bone   Transplantation--
Methods--MT;   *Calcium   Carbonate--Therapeutic  
Use--TU;  Adult;  Aged; Analysis  of  Variance;  
Bone   Regeneration; Cnidaria; Follow-Up Studies;
Middle  Age;  Periodontal Pocket--Surgery --SU; 
Statistics, Nonparametric; Treatment Outcome
  CAS Registry No.: 0   (Bone Substitutes); 471-34-1   
(Calcium Carbonate)


  A  5-year  follow-up  of  16  patients  treated with  
coralline calcium carbonate (BIOCORAL)  bone  replacement 
grafts in infrabony defects.  A  resorbable  coralline   
calcium carbonate graft  material (BIOCORAL)(CalCarb)  
was  evaluated  as  a  bone     replacement     graft  
in human periodontal    osseous   defects.   Following   
initial preparation   and re-evaluation, flap surgery  
was carried out. Bone defects were curetted and root 
surfaces subjected to mechanical debridement and 
conditioning with tetracycline paste. The bone  defects 
were grafted  with CalCarb, and the host  flaps  replaced   
or  slightly  coronally  positioned.  Weekly, then 
monthly deplaquing was performed until surgical 
reentry at 6...


...  changes  included  improvement  in  mean  vertical 
clinical  probing attachment  level  from 5.7 mm at 
surgery  to 4.2 mm at re-entry to 4.0 mm at  5  years, 
decrease in mean probing pocket depth from 6.1 mm at 
surgery to  3.0  mm  at  re-entry to 3.3 mm at 5 years, 
and mean gingival recession from  +0.4  mm at surgery  
to 1.0 mm at re-entry to 0.7 mm at 5 years (all at  
least  p<0.05 from surgery  to re-entry and surgery  
to 5 years, N.S. from reentry to 5 years via ANOVA). 

These favorable long...
  Descriptors: Absorbable Implants ; *Alveolar Bone  
Loss--Surgery --SU; * Bone     Substitutes  --Therapeutic  
Use--TU;  * Bone   Transplantation--Methods--MT;  
 *Calcium   Carbonate--Therapeutic  Use--TU;  Adult;  
Aged; Analysis  of  Variance;  Bone   Regeneration; 
Cnidaria; Follow-Up Studies; Middle  Age;  Periodontal
Pocket--Surgery --SU; Statistics, Nonparametric;
Treatment Outcome
  Chemical Name: Bone   Substitutes ; (Calcium Carbonate




 4/8,K/5

DIALOG(R)File 155:(c) format only 1999 Dialog Corporation. 
All rts. reserv.



09824317   99116171
 Current understanding of osteoconduction in  bone 
regeneration.
Oct 1998
  Tags: Human
  Descriptors:  Bone   and  Bones  --Physiology--PH; 
*Bone  Regeneration--  Physiology--PH;
  Biocompatible  Materials--Chemistry--CH; Biodegradation; 
Bone    and   Bones  --Anatomy  and  Histology--AH;   
Bone   and  Bones--Chemistry--CH;  Bone     Substitutes --
Chemistry--CH; Calcium--  Chemistry--CH;     
Ceramics--Chemistry--CH;    Collagen--Chemistry--CH;
Collagen--Physiology--PH; Hydroxyapatites--Chemistry--CH;  
Lactic  Acid--Chemistry  --CH;  Metals--Chemistry--CH;  
Minerals;  Polyglycolic Acid--Chemistry--CH;
Polymers--Chemistry--  CH; Porosity
  CAS  Registry  No.:  0   (polylactic acid-polyglycolic 
acid copolymer); 
0 (Biocompatible  Materials);  
0    (Bone  Substitutes);  0    (Ceramics); 
0 (Hydroxyapatites);   0     (Metals);   
0     (Minerals);  0    (Polymers); 26009-03-0     
(Polyglycolic  Acid);  50-21-5   
(Lactic  Acid);  7440-70-2 
(Calcium); 9007-34-5   (Collagen)


 Current understanding of osteoconduction in  bone 
regeneration.

 Bone  tissue is osteoconductive. In particular, 
cancellous   bone  with its  porous  and  highly 
interconnected trabecular architecture allows 
easy ingrowth of surrounding tissues. When...


... living  tissue for the host bed migrates into 
the cancellous structure, which  results in new bone  
formation and incorporation of that structure. 
This  is  the  process  of  osteoconduction.  The  
mineral  and collagenous components  of bone  are
osteoconductive. Osteoconduction also is observed
in  fabricated materials  that  have  porosity  
similar  to  that of bone structure.  Corallin  
ceramics, hydroxyapatite beads, and combinations
of hydroxyapatite and collagen all have 
osteoconductive properties, and porous metals  
and biodegradable polymers. Osteoconduction appears 
to be optimized  in devices that mimic not only bone  
structure, but also bone  chemistry.
The incorporation of calcium salts and collagen by 
osteoconductive matrices leads to more complete
ingrowth with new bone  formation.


  Descriptors:  Bone   and  Bones  --Physiology--PH; 
*Bone  Regeneration--  Physiology--PH; 
 Biocompatible  Materials--Chemistry--CH; Biodegradation; 
Bone    and   Bones  --Anatomy  and
  Histology--AH;   Bone   and  Bones--Chemistry--CH; 
Bone     Substitutes --Chemistry--CH; Calcium--
Chemistry--CH;     Ceramics--Chemistry--CH;    
Collagen--Chemistry--CH; Collagen--Physiology--PH;
 Hydroxyapatites...
  Chemical    Name:    polylactic    acid-polyglycolic    
acid   copolymer; (Biocompatible    Materials;
(Bone   Substitutes;(Ceramics; (Hydroxyapatites; 
(Metals; (Minerals; (Polymers; (Polyglycolic Acid; 
(Lactic Acid; (Calcium; (Collagen

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