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[通过棘突捆绑诱导大鼠脊柱实验性脊柱侧弯]

[Experimental scoliosis in the rat spine induced by binding the spinous processes].

作者信息

Kasuga K

机构信息

Department of Orthopaedic Surgery, Shinshu University School of Medicine, Nagano, Japan.

出版信息

Nihon Seikeigeka Gakkai Zasshi. 1994 Sep;68(9):798-807.

PMID:7963933
Abstract

The effects of limitation of spinal mobility in forward flexion on the development of scoliosis was studied in experimental animals. The spinous processes of three lumbar vertebrae of young female rats were sutured together to make persistent limitation in the forward flexion of the spine. The lumbar vertebrae of rats, which normally are kyphotic in their profile, frequently became flattened or lordotic after the operation. Scoliosis with a primary curve at the sutured site was produced, although the curve magnitude was mild in 38% of 73 operated rats, and appeared more frequently in those which had more limitation in the spinal mobility at the sutured vertebrae than in those with less limitation. In histological examinations, the coronal sections of vertebral specimens of scoliotic animals demonstrated wedge-shaped intervertebral discs, deviation in the vertebral nucleus pulposus toward the convex side of scoliosis, and a degeneration in the annulus fibrosus. Thickening of the cartilaginous endplates on the convex side and a rupture in them on the concave side were observed in some of the animals. These findings indicated that the experimentally produced scoliosis was structural. This experimental study suggested that a limitation in the spinal mobility in forward flexion has a causative effect on the development and progress of idiopathic scoliosis.

摘要

在实验动物中研究了脊柱前屈活动受限对脊柱侧弯发展的影响。将年轻雌性大鼠的三个腰椎棘突缝合在一起,以使脊柱前屈持续受限。大鼠的腰椎通常呈脊柱后凸形态,术后常变得扁平或脊柱前凸。在缝合部位产生了以原发性曲线为主的脊柱侧弯,尽管在73只接受手术的大鼠中,38%的大鼠侧弯程度较轻,并且在缝合椎体处脊柱活动受限较多的大鼠中比受限较少的大鼠更频繁出现。组织学检查中,脊柱侧弯动物的椎体标本冠状切片显示椎间盘呈楔形,髓核向脊柱侧弯凸侧偏移,纤维环退变。在一些动物中观察到凸侧软骨终板增厚,凹侧软骨终板破裂。这些发现表明实验性产生的脊柱侧弯是结构性的。这项实验研究表明,脊柱前屈活动受限对特发性脊柱侧弯的发生和发展有致病作用。

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