Department of Biological and Macromolecular Materials, Fraunhofer Institute for Microstructure of Materials and Systems IMWS, Walter-Huelse-Str. 1, Halle (Saale), 06120, Germany.
Translational Centre for Regenerative Medicine, University of Leipzig, Leipzig, Germany.
J Orthop Res. 2019 Nov;37(11):2376-2388. doi: 10.1002/jor.24402. Epub 2019 Jul 16.
The focus of this work is to assess the long-term progression of degeneration in the ovine lumbar spine following a minimally invasive model injury comparable to the damage of an intervertebral disc (IVD) herniation. A partial nucleotomy was performed on 18 sheep via the percutaneous dorsolateral approach. The animals were culled at 6 and 12 months to evaluate the damaged and neighboring functional spine units (FSUs) for degenerative characteristics via μ-CT and histology. Both quantitative μ-CT and histology investigations demonstrated statistically significant differences between the native and damaged FSUs investigated. Qualitative analysis of μ-CT revealed numerous pathological markers consistent with intervertebral disc degeneration (IDD), with differences in frequency and severity between the native and damaged FSUs. The annulus fibrosus reforms a pressure seal within 6 weeks, but the extent of the trauma is significant enough to initiate IVD degeneration, which is already clearly visible at 6 months and especially so 12 months post-op. IDD pathology consistent with signs of a herniation was seen in both the 6- and 12-month groups. This technique provides a useful model injury for the preclinical evaluation of IDD in large animal models, especially in regards to simulating disc herniation as well as for testing the efficacy of associated therapies in the future. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 37:2376-2388, 2019.
这项工作的重点是评估绵羊腰椎在微创模型损伤后的长期退行性进展,这种损伤类似于椎间盘(IVD)突出的损伤。通过经皮背外侧入路对 18 只绵羊进行了部分核切除术。将动物在 6 个月和 12 个月时处死,通过 μ-CT 和组织学评估受损和相邻的功能脊柱单元(FSU)的退行性特征。定量 μ-CT 和组织学研究均表明,天然和受损的 FSU 之间存在统计学上的显著差异。μ-CT 的定性分析显示了许多与椎间盘退行性变(IDD)一致的病理标志物,天然和受损的 FSU 之间在频率和严重程度上存在差异。纤维环在 6 周内重新形成压力密封,但损伤的程度足以引发 IVD 退化,术后 6 个月和 12 个月时已经明显可见。6 个月和 12 个月组均可见与突出迹象一致的 IDD 病理学。该技术为大型动物模型中 IDD 的临床前评估提供了一种有用的模型损伤,特别是在模拟椎间盘突出以及未来测试相关治疗的疗效方面。