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小型猪作为椎弓根螺钉固定的潜在模型:形态测量学和力学。

The minipig as a potential model for pedicle screw fixation: morphometry and mechanics.

机构信息

Department of Orthopedic Surgery, University of California-Davis, 4860 Y Street, Sacramento, CA, 95817, USA.

Department of Biological Engineering, University of Missouri, 247 Ag Engineering Building, Columbia, MO, 65211, USA.

出版信息

J Orthop Surg Res. 2019 Aug 5;14(1):246. doi: 10.1186/s13018-019-1292-9.

Abstract

BACKGROUND

While there are several different animal models for use in the characterization of spinal fixation, none have emerged as a definitive model for comparative studies in spinal fixation methods. The purpose of this study is to establish morphometric data of porcine vertebrae and to characterize the feasibility of pedicle screw fixation in porcine spines for potential comparative human study.

METHODS

Four spines from 45 to 50 kg Hanford minipigs were cleaned of soft tissue and analyzed by computed tomography and dual-energy x-ray absorptiometry. Two 5 × 30-mm pedicle screws were placed in each vertebra and tested to failure using a combined moment-load protocol.

RESULTS

Pedicle widths were measured from L6-T5. Widths ranged from 7.15 mm (T6) to 9.24 mm (T14). Posterior cortex to anterior cortex depth ranged from 25.9 to 32.6 mm. Mean bone mineral density was 1.0665 g/cm (range 1.139-1.016). Force-to-failure demonstrated mean 1171.40 N (+ 115.34).

CONCLUSION

Our baseline morphometric and compositional data demonstrate that porcine vertebrae can serve as a useful model for comparative studies due to their similar pedicle widths and bone mineral density to the human vertebra. This biomechanical data could provide a baseline comparison for future studies. This study also suggests that the minipig could be a suitable model for comparative studies due to similarities in pedicle width and bone mineral density to the human vertebrae.

摘要

背景

虽然有几种不同的动物模型可用于脊柱固定的特征描述,但没有一种模型能成为脊柱固定方法比较研究的明确模型。本研究的目的是建立猪脊椎的形态计量学数据,并描述猪脊柱中椎弓根螺钉固定的可行性,以便为潜在的人类比较研究提供参考。

方法

从 45 至 50 公斤的汉福德小型猪的 4 个脊柱中清除软组织,通过计算机断层扫描和双能 X 射线吸收仪进行分析。在每个椎骨中放置两个 5×30 毫米的椎弓根螺钉,并使用组合力矩载荷方案进行失效测试。

结果

从 L6 到 T5 测量椎弓根的宽度。宽度范围从 7.15 毫米(T6)到 9.24 毫米(T14)。后皮质到前皮质的深度范围从 25.9 毫米到 32.6 毫米。平均骨矿物质密度为 1.0665 克/立方厘米(范围为 1.139 克/立方厘米至 1.016 克/立方厘米)。失效时的平均力为 1171.40 牛顿(+115.34 牛顿)。

结论

我们的基础形态计量学和组成数据表明,猪的脊椎可以作为一种有用的比较研究模型,因为它们的椎弓根宽度和骨矿物质密度与人类的脊椎相似。这些生物力学数据可以为未来的研究提供一个基线比较。本研究还表明,由于猪的椎弓根宽度和骨矿物质密度与人类的脊椎相似,小型猪可以作为比较研究的合适模型。

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