马驹颈椎神经中央软骨结合及其他生长板的闭合
Closure of the neuro-central synchondrosis and other physes in foal cervical spines.
作者信息
Olstad Kristin, Bugge Mari Dahl, Ytrehus Bjørnar, Kallerud Anne Selvén
机构信息
Department of Companion Animal Clinical Sciences, Equine Section, Faculty of Veterinary Medicine, Norwegian University of Life Sciences, Ås, Norway.
Department of Biomedical Science and Veterinary Public Health, Pathology Unit, Swedish University of Agricultural Sciences, Uppsala, Sweden.
出版信息
Equine Vet J. 2025 Jan;57(1):217-231. doi: 10.1111/evj.14093. Epub 2024 Apr 9.
BACKGROUND
The neuro-central synchondrosis (NCS) is a physis responsible for the growth of the dorsal third of the vertebral body and neural arches. When the NCS of pigs is tethered to model scoliosis, stenosis also ensues. It is necessary to describe the NCS for future evaluation of its potential role in equine spinal cord compression and ataxia (wobbler syndrome).
OBJECTIVES
To describe the NCS, including when it and other physes closed in computed tomographic (CT) scans of the cervical spine of foals, due to its potential role in vertebral stenosis.
STUDY DESIGN
Post-mortem cohort study.
METHODS
The cervical spine of 35 cases, comprising both sexes and miscellaneous breeds from 153 gestational days to 438 days old, was examined with CT and physes scored from 6: fully open to 0: fully closed. The dorsal physis, physis of the dens and mid-NCS were scored separately, whereas the cranial and caudal NCS portions were scored together with the respective cranial and caudal vertebral body physes.
RESULTS
The NCS was a pair of thin physes located in a predominantly dorsal plane between the vertebral body and neural arches. The mid-NCS was closed in C1 from 115 days of age, and in C2-C7 from 38 days of age. The dorsal physis closed later than the NCS in C1, and earlier than the NCS in C2-C7. The dens physis was closed from 227 days of age. The cranial and caudal physes were closing, but not closed from different ages in the different vertebrae of the oldest cases.
MAIN LIMITATIONS
Hospital population.
CONCLUSIONS
The NCS was a thin physis that contributed mainly to height-wise growth, but also width- and length-wise growth of the vertebral body and neural arches. The mid-NCS was closed in all cervical vertebrae from 115 days of age. The NCS warrants further investigation in the pathogenesis of vertebral stenosis.
背景
神经中央软骨结合(NCS)是一个负责椎体和神经弓背侧三分之一生长的生长板。当猪的NCS被束缚以模拟脊柱侧凸时,也会出现狭窄。有必要描述NCS,以便未来评估其在马脊髓压迫和共济失调(摇摆综合征)中的潜在作用。
目的
描述NCS,包括在驹颈椎计算机断层扫描(CT)中其闭合时间以及其他生长板的闭合时间,因为其在椎体狭窄中可能发挥作用。
研究设计
尸检队列研究。
方法
对35例病例的颈椎进行检查,这些病例涵盖了从妊娠153天到438天龄的不同性别和品种的驹,通过CT检查并将生长板从6分(完全开放)到0分(完全闭合)进行评分。分别对背侧生长板、齿突生长板和NCS中部进行评分,而NCS的头侧和尾侧部分则与相应的头侧和尾侧椎体生长板一起评分。
结果
NCS是一对位于椎体和神经弓之间主要为背侧平面的薄生长板。NCS中部在C1中从115日龄开始闭合,在C2 - C7中从38日龄开始闭合。背侧生长板在C1中比NCS闭合得晚,在C2 - C7中比NCS闭合得早。齿突生长板从227日龄开始闭合。在最老病例的不同椎体中,头侧和尾侧生长板正在闭合,但在不同年龄时未完全闭合。
主要局限性
医院病例群体。
结论
NCS是一个薄生长板,可以对椎体和神经弓的高度生长起主要作用,也对其宽度和长度生长有作用。NCS中部在所有颈椎中从115日龄开始闭合。NCS在椎体狭窄的发病机制中值得进一步研究。
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