Review Article

Role of Platelet-Rich Plasma in Spinal Fusion Surgery: Systematic Review and Meta-Analysis

Table 2

Characteristics of included studies.

StudiesStudy designFusion typeConc of PLT in PRPPreparation of PRPMaterial usedSex (m/f)Follow-up time (months)Evaluation

1. Kubota et al. [15]Retrospective case seriesLumbar PLF8.7400 mL of peripheral blood centrifuged. Buffy coat isolated. The second centrifugation done. 22 mL mixed with calcium chloride.Local bone, CA, PRP (n = 11)
Local bone CA (n = 9)
10/1024CT

2. Kubota et al. [9]ProspectiveLumbar PLF7.7400 mL of peripheral blood centrifuged. Buffy-coat isolated. The second centrifugation done. 22 mL mixed with calcium chloride.ABG lamina, PRP (n = 25)
ABG lamina (n = 25)
29/2124Radiograph, CT

3.Tarantino et al. [10]Prospective cohortLumbar PLFNot measuredVenous blood centrifuged at 3100 rpm for 8 minutes. Buff coat removed. Platelets were suspended in plasma while shaking the tubes and were ready for use.Heterologous bone, PRP (n = 20)
Heterologous bone (n = 20)
8/126CT

4. Sys et al. [16]ProspectiveLumbar IFNot measured54 mL of peripheral blood put in SymphonyTM Platelet Concentration System (DePuy, Johnson & Johnson).CA, ABG iliac, PRP (n = 19)
CA, ABG iliac (n = 19)
24/1412Radiograph, CT

5. Land et al. [17]RetrospectiveThoracic or lumbar IF516 mL of peripheral blood in REGEN-THT_ (thrombocyte harvesting tube) followed by the addition of Ca gluconate and ethanol.ABG local bone, PRP (n = 14)
ABG local bone (n = 14)
9/56Radiograph CT

6. Tsai et al. [18]ProspectiveLumbar PLFNot measured10 mL of FFP mixed with calcium chloride. Mixture shaken for 30 minutes and ready for use.ABG lamina PRP (n = 33)
ABG lamina (n = 34)
17/5024Radiograph, CT

7. Hartmann et al. [11]ProspectiveLumbar or thoracic PLFNot measured110 mL PVB in Gravitational Platelet Separation (GPS™) System mixed with thrombin.CA, ABG fracture, PRP (n = 15)
CA, ABG fracture (n = 20)
23/128CT

8. Feiz-Erfan et al. [12]ProspectiveCervical IFNot measuredAnticoagulated blood put in Symphony (DePuy, Johnson & Johnson).Cortical allograft bone, PRP (n = 42)
Cortical allograft bone alone (n = 39)
21/2924Radiograph

9. Jenis et al. [14]ProspectiveLumbar PLFNot measured450 mL PVB in centrifuge. Buffy coat mixed with thrombin.Allograft bone, PRP(n = 15)
ABG iliac bone (n = 22)
24/1324Radiographic CT

10. Carreon et al. [13]Retrospective cohort studyLumbar PLFNot measured500 mL PVB, in a centrifuge. A buffy coat mixed with calcium chloride.ABG iliac, PRP (n = 76)
ABG iliac alone (n = 76)
40/3624Radiographic CT

11. Castro et al. [19]RetrospectiveTLIF3.51 unit of PVB in centrifuge. A buffy coat mixed thrombinAGF, iliac bone (n = 22) iliac bone (n = 62)27/5741Radiograph

12. Hee et al. [20]ProspectiveLumbar PLF4.89450 cc of WB in centrifuge buffy coat mixed with thrombinCA, ABG iliac (n = 23)
ABG iliac (n = 111)
50/8424Radiograph

13. Weiner and Walker [21]RetrospectiveLumbar PLFNot measuredFrom 1 unit of arterial blood, buffy coat collected and put in ultraconcentrator. Thrombin was added and the PRP was ready for use.ABG iliac PRP(n = 32)
ABG iliac (n = 27)
24/3512Radiograph

14. Imagama et al. [2]ProspectiveLumbar PLF7.74400 mL of WB put in centrifuge for 15 minutes, buffy coat collected. Buffy coat put in centrifuge again for 15 minutes followed by the addition of thrombin.ABG local bone and PRP(n = 29)
ABG local bone (n = 29)
11/18120CT

CA = cage; PRP = platelet-rich plasma; ABG = autogenous bone graft; CT = computed tomography; IF = interbody fusion; PLF = posterolateral fusion; TLIF = transforaminal lumbar interbody fusion; PVB = peripheral venous blood; WB = whole blood; PLT = platelet; Conc = concentration.