Abstract
Chronic musculoskeletal (MSK) pain is one of the most common medical complaints worldwide and musculoskeletal injuries have an enormous social and economical impact. Current pharmacological and surgical treatments aimed at relieving pain and restoring function are marginal. In addition, unsatisfactory outcomes and adverse effects are commonly reported. In order to find an accurate treatment to such pathologies, over the last years, there has been a significantly increasing interest in
cellular therapies, such as Platelet Rich Plasma, Bone Marrow Mesenchymal Stem Cells and adipose-derived mesenchymal stem cells (AMSCs). These cells represent a relatively new strategy in regenerative medicine, with many potential applications, especially regarding MSK disorders, and have become one of the leading disease modifying options for musculoskeletal diseases. There are preclinical and clinical
studies that demonstrate their safety efficacy in muscle, tendon, bone Spine and Joint regeneration.
This presentation aims to review the current state of autologous biologics therapies in the treatment of several MSK diseases and their clinical applications. Regenerative medicine interventions are applied to assist in the repair, and to potentially replace or restore damaged tissue through the use of autologous/allogeneic biologics and it continues to expand. The anti-inflammatory, immunomodulatory, and regenerative properties of bone marrow aspirate concentrates (Bone Marrow Mesenchymal Stem
Cells), Micro Fragmented Adipose tissue (Adipose MSC), and Platelet Rich Plasma have shown their therapeutic efficacy and safety in patients with severe chronic spine degeneration and joint disorders. Now, there are deeper investigations into the pathogenesis of the MSK diseases at the cellular level and the mechanisms of the biologics that could treat them.
There are several precision driven procedural techniques for delivery of the autologous biologics into the intervertebral disc of the spine or Subchondral bone of the joints or image guided intra-articular injection for better efficacy of biologics giving the patients’ better outcomes. Randomized control trials and metaanalysis studies have very good outcomes making biologics a viable option for nonsurgical treatments of spine and joint diseases.