磁共振成像测定的人和羊的腰椎肌肉形态学:绵羊模型向人类脊柱转化的潜在生物力学意义
MRI-determined lumbar muscle morphometry in man and sheep: potential biomechanical implications for ovine model to human spine translation.
作者信息
Valentin Stephanie, Licka Theresia F, Elliott James
机构信息
Equine Clinic, University of Veterinary Medicine Vienna, Vienna, Austria.
Royal (Dick) School of Veterinary Studies, Large Animal Hospital, University of Edinburgh, Roslin, UK.
出版信息
J Anat. 2015 Oct;227(4):506-13. doi: 10.1111/joa.12354. Epub 2015 Jul 21.
The sheep is a commonly used animal model for human lumbar spine surgery, but only in vitro investigations comparing the human and ovine spine exist. Spinal musculature has previously not been compared between man and sheep. This additional knowledge could further indicate to what extent these species are biomechanically similar. Therefore, the purpose of the study was to investigate spinal muscle morphometric properties using magnetic resonance imaging (MRI) in different age groups of healthy human participants and sheep in vivo. Healthy human participants (n = 24) and sheep (n = 17) of different age groups underwent T1-weighted MRI of the lumbar spine. Regions of interest of the muscles erector spinae (ES), multifidus (M) and psoas (PS) were identified. The ratio of flexor to extensor volume, ratio of M to ES volume, and muscle fat relative to an area of intermuscular fat were calculated. Sheep M to ES ratio was significantly smaller than in the human participants (sheep 0.16 ± 0.02; human 0.37 ± 0.05; P < 0.001), although flexor to extensor ratio was not significantly different between species (human 0.39 ± 0.08; sheep 0.43 ± 0.05; P = 0.06). Age did not influence any muscle ratio outcome. Sheep had significantly greater extensor muscle fat compared with the human participants (M left human 40.64%, sheep 53.81%; M right human 39.17%, sheep 51.33%; ES left human 40.86%, sheep 51.29%; ES right human 35.93%, sheep 44.38%; all median values; all P < 0.001), although PS did not show any significant between-species differences (PS left human 36.89%, sheep 33.67%; PS right human 32.78%, sheep 30.09%; P < 0.05). The apparent differences in the size and shape of sheep and human lumbar spine muscles may indicate dissimilar biomechanical and functional demands, which is an important consideration when translating to human surgical models.
绵羊是人类腰椎手术常用的动物模型,但目前仅有关于人类和绵羊脊柱的体外研究。此前尚未对人类和绵羊的脊柱肌肉组织进行比较。这些额外的知识可能会进一步表明这两个物种在生物力学上的相似程度。因此,本研究的目的是在健康人类参与者和绵羊的不同年龄组中,使用磁共振成像(MRI)对脊柱肌肉的形态计量学特性进行体内研究。不同年龄组的健康人类参与者(n = 24)和绵羊(n = 17)接受了腰椎的T1加权MRI检查。确定了竖脊肌(ES)、多裂肌(M)和腰大肌(PS)的感兴趣区域。计算了屈肌与伸肌体积比、M与ES体积比以及肌肉脂肪与肌间脂肪面积的比值。绵羊的M与ES比值显著低于人类参与者(绵羊0.16±0.02;人类0.37±0.05;P < 0.001),尽管物种间的屈肌与伸肌比值无显著差异(人类0.39±0.08;绵羊0.43±0.05;P = 0.06)。年龄对任何肌肉比值结果均无影响。与人类参与者相比,绵羊的伸肌脂肪含量显著更高(左侧M人类为40.64%,绵羊为53.81%;右侧M人类为39.17%,绵羊为51.33%;左侧ES人类为40.86%,绵羊为51.29%;右侧ES人类为35.93%,绵羊为44.38%;均为中位数;所有P < 0.001),尽管PS在物种间未显示出任何显著差异(左侧PS人类为36.89%,绵羊为33.67%;右侧PS人类为32.78%,绵羊为30.09%;P < 0.05)。绵羊和人类腰椎肌肉在大小和形状上的明显差异可能表明生物力学和功能需求不同,这在转化为人类手术模型时是一个重要的考虑因素。