Agadir M, Sevastik B, Reinholt F P, Perbeck L, Sevastik J
Department of Orthopaedic Surgery, Huddinge University Hospital, Karolinska Institute, Stockholm, Sweden.
J Orthop Res. 1990 Mar;8(2):283-90. doi: 10.1002/jor.1100080218.
In young, growing white New Zealand rabbits the third, fourth, and fifth intercostal nerves were resected anteriorly on the right side. Six months later the animals developed structural left convex scoliosis, with a Cobb angle ranging from 15 to 31 degrees. The vascular structure changes of the anterior chest wall were evaluated by measuring surface temperature and fluorescein intensity of the pectoral muscles, and the capillary density of the pectoral and intercostal muscle and periosteal parts of the ribs after angiography. In five normal control rabbits there was neither scoliotic deformity nor significant differences in the examined vascular variables between the right and left sides. In the animals undergoing resection, the temperature of the pectoral muscle on the side of the denervation--the right side--was significantly increased (p less than 0.05), but the difference was not correlated to the degree of scoliosis. The fluorescence index was significantly greater (p less than 0.05) on the right than on the left side, this difference being fairly strongly correlated to the degree of scoliosis. The capillary densities of the costal periosteum and the intercostal and the pectoral muscle were significantly greater (p less than 0.05) on the right than on the left side, and the difference was positively correlated to the degree of scoliosis. The volume density of the periosteum of the ribs was likewise significantly greater on the right. These results demonstrate that unilateral resection of the intercostal nerves significantly increases the vascularity of the structures on the denervated side of the thorax.(ABSTRACT TRUNCATED AT 250 WORDS)
在年轻、生长中的新西兰白兔中,右侧第三、第四和第五肋间神经在前方被切除。六个月后,这些动物出现了结构性的左侧凸脊柱侧弯,Cobb角在15度至31度之间。通过测量胸肌的表面温度和荧光素强度,以及血管造影后胸肌、肋间肌和肋骨骨膜部分的毛细血管密度,评估前胸壁的血管结构变化。在五只正常对照兔中,既没有脊柱侧弯畸形,所检查的血管变量在左右两侧之间也没有显著差异。在接受神经切除的动物中,去神经支配侧(右侧)胸肌的温度显著升高(p<0.05),但这种差异与脊柱侧弯的程度无关。右侧的荧光指数显著高于左侧(p<0.05),这种差异与脊柱侧弯的程度有相当强的相关性。肋骨骨膜、肋间肌和胸肌的毛细血管密度在右侧显著高于左侧(p<0.05),且这种差异与脊柱侧弯的程度呈正相关。肋骨骨膜的体积密度在右侧同样显著更高。这些结果表明,单侧肋间神经切除显著增加了胸部去神经支配侧结构的血管形成。(摘要截短至250字)