Department of Orthopaedics, Beijing Tiantan Hospital affiliated to Capital Medical University, Beijing, 100050, China.
Department of Neurosurgery, University Hospital, University of Ghent, Belgium.
Asian Pac J Trop Med. 2014 Oct;7(10):796-800. doi: 10.1016/S1995-7645(14)60139-5.
To investigate the effect of osteoporosis and intervertebral disc degeneration on the endplate cartilage injury in rats.
A total of 48 female Sprague Dawley rats (3 months) were randomly divided into Groups A, B, C and D with 12 rats in each group. Osteoporosis and intervertebral disc degeneration composite model, simple degeneration model and simple osteoporosis model were prepared in Groups A, B and C respectively. After modeling, four rats of each group at 12th, 18th and 24th week were sacrificed. Intervertebral height of cervical vertebra C6/C7 was measured. Micro-CT was used to image the endplate of cephalic and caudal cartilage at C6/C7 intervertebral disc. Abraded area rate of C6 caudal and C7 cephalic cartilage endplate was calculated, and then C6/C7 intervertebral disc was routinely embedded and sectioned, stained with safranin O to observe histological changes microscopically.
At 12, 18 and 24 weeks, intervertebral disc height of C6/C7 were (0.58±0.09) mm, (0.53±0.04) mm and (0.04±0.06) mm in Group A rats, (0.55±0.05) mm, (0.52±0.07) mm and (0.07±0.05) mm in Group B rats. At 24th week, intervertebral disc height of Group A rats was significantly lower than that of Group B rats (P<0.05); intervertebral disc height of Groups A and B rats at each time point were significantly lower than that of Groups C and D (P<0.05). There was no significantly statistical difference of intervertebral disc height between Groups C and D (P>0.05). At 12 and 18 weeks, the abraded rate of C6 caudal and C7 cephalic cartilage endplate in Group A rats were significantly higher than that in Groups B, C and D rats (P<0.05); the abraded rate in Group B was significantly higher than that in Groups C and D (P>0.05). Microscopic observation of CT showed that ventral defects in C6 caudal or C7 cephalic cartilage endplate in Groups A and B appeared after 12 weeks of modeling; obvious cracks were found in front of the C6 and C7 vertebral body, and cartilage defect shown the trend of "repairing" at 18 and 24 weeks after modeling.
Intervertebral disc degeneration and osteoporosis can cause damage to the cartilage endplate. Co-existence of these two factors can induce more serious damage to the endplate, which has possitive correlation with intervertebral disc degeneration. Osteoporosis plays a certain role in intervertebral disc degeneration process, and accelerates the degeneration of intervertebral disc in a specific time window.
探讨骨质疏松症和椎间盘退变对大鼠终板软骨损伤的影响。
将 48 只雌性 Sprague Dawley 大鼠(3 月龄)随机分为 A、B、C、D 组,每组 12 只。A、B、C 组分别制备骨质疏松症和椎间盘退变复合模型、单纯退变模型和单纯骨质疏松模型。造模后,每组于第 12、18、24 周各处死 4 只大鼠。测量颈椎 C6/C7 椎间高度。采用 micro-CT 对 C6/C7 椎间盘头侧和尾侧终板进行成像。计算 C6 尾侧和 C7 头侧软骨终板的磨损面积率,并对 C6/C7 椎间盘进行常规包埋和切片,用番红 O 染色观察组织学变化。
在第 12、18 和 24 周时,A 组大鼠 C6/C7 椎间盘高度分别为(0.58±0.09)mm、(0.53±0.04)mm和(0.04±0.06)mm,B 组分别为(0.55±0.05)mm、(0.52±0.07)mm和(0.07±0.05)mm。第 24 周时,A 组大鼠的椎间盘高度明显低于 B 组(P<0.05);A、B 组各时间点的椎间盘高度明显低于 C、D 组(P<0.05)。C、D 组间椎间盘高度无统计学差异(P>0.05)。第 12、18 周时,A 组大鼠 C6 尾侧和 C7 头侧软骨终板磨损率明显高于 B、C、D 组(P<0.05);B 组磨损率明显高于 C、D 组(P>0.05)。CT 显微镜观察显示,A、B 组大鼠在造模 12 周后出现 C6 尾侧或 C7 头侧软骨终板下侧缺损;在 C6 和 C7 椎体前方可见明显裂缝,在造模后 18 和 24 周时,软骨缺损呈现出“修复”的趋势。
椎间盘退变和骨质疏松症均可导致软骨终板损伤。这两种因素的共存可导致终板更严重的损伤,与椎间盘退变呈正相关。骨质疏松症在椎间盘退变过程中起一定作用,并在特定时间窗口加速椎间盘退变。