Edmondston S J, Singer K P, Day R E, Breidahl P D, Price R I
The School of Physiotherapy, Curtin University, Perth, Western Australia, Australia.
Clin Biomech (Bristol). 1994 May;9(3):175-9. doi: 10.1016/0268-0033(94)90018-3.
Vertebral bone density of two human vertebral specimens was evaluated using dual-anergy X-ray absorptiometry and single-energy quantitative computed tomography immediately before and after 4 weeks of fixation. The repeated QCT assessment of these segments produced a mean rate of change of 1.17 HU/month, while for DXA the mean rate of change was -0.002 g/month for BMC and -0.0004 g/cm(2)/month for BMD. Ten fresh and 10 fixed sheep lumbar spines underwent absorptiometry before being sectioned into units comprising a central vertebra and adjacent intervertebral discs, plus 1 cm of the flanking vertebral end-plate for embedding into bone cement. The fixed sheep spines underwent a repeat scan after 4 weeks in 10% formalin. Mechanical testing produced a significantly lower average failure load for unfixed specimens (9.3 kN) than for the fixed material (10.8 kN). Failure strain was not significantly different between groups. Linear regression showed a high correlation of BMC values before and after 4 weeks of formalin fixation, while the slopes of the regression for BMD and failure load of both fresh and fixed groups were not significantly different. While formalin fixation may result in a slight increase in compressive strength this does not appear to be associated with a systematic change in mineral density.
在固定4周前后,立即使用双能X线吸收法和单能定量计算机断层扫描对两个人类椎体标本的椎骨骨密度进行评估。对这些节段进行重复QCT评估得出的平均变化率为每月1.17 HU,而对于DXA,骨矿物质含量(BMC)的平均变化率为每月-0.002 g,骨密度(BMD)的平均变化率为每月-0.0004 g/cm²。将10个新鲜的和10个固定的绵羊腰椎在进行吸收测定后,切成包含一个中央椎体和相邻椎间盘以及两侧椎体终板1 cm用于嵌入骨水泥的单元。在10%福尔马林中固定4周后,对固定的绵羊脊柱进行重复扫描。力学测试显示,未固定标本的平均破坏载荷(9.3 kN)显著低于固定材料(10.8 kN)。两组之间的破坏应变无显著差异。线性回归显示,福尔马林固定4周前后的BMC值具有高度相关性,而新鲜组和固定组的BMD及破坏载荷回归斜率无显著差异。虽然福尔马林固定可能会导致抗压强度略有增加,但这似乎与矿物质密度的系统性变化无关。