Barut S, Canbolat A, Bilge T, Aydin Y, Cokneşeli B, Kaya U
Department of Neurosurgery, Taksim Hospital, Istanbul, Turkey.
Neurosurg Rev. 1993;16(1):53-9. doi: 10.1007/BF00308614.
Damage which occurs following spinal traumas is often irreversible. During recent years free oxygen radicals formed due to the pathological changes following neural tissue ischemia have been identified as being responsible for the ethio-pathogenesis of such damage. In our experimental study, model lesions are formed in spinal cords of rats by standard trauma. Malondialdehyde (MDA), a lipid peroxidation product, was measured in the spinal tissues distal to the trauma in order to examine indirectly the time-quantity relationship of free oxygen radicals in the area. For this study 60 rats in six groups, including one control group, were used to determine the formation of MDA. Under a surgical microscope, the spines of all rats were exposed by C5-Th6 laminectomy, and pressure was applied to the spinal cords of animals, except the members of the control group, at the level of C7 by a Yaşargil aneurysm clip. MDA was measured in spinal cord tissues in order to determine free oxygen radicals at the first and fifteenth minutes and at the first, second, and fourth hours. The statistical evaluation of the findings revealed a significant increase in MDA, starting from the 15th minute after the compression, reaching a maximum at 1 hour, and then decreasing. This observation may provide an important guide for studies on prevention of neural destruction.
脊髓创伤后发生的损伤通常是不可逆的。近年来,由于神经组织缺血后的病理变化而形成的游离氧自由基已被确定为这种损伤的发病机制的原因。在我们的实验研究中,通过标准创伤在大鼠脊髓中形成模型损伤。为了间接检测该区域游离氧自由基的时间-数量关系,在创伤远端的脊髓组织中测量脂质过氧化产物丙二醛(MDA)。在本研究中,使用包括一个对照组在内的六组60只大鼠来确定MDA的形成。在手术显微镜下,通过C5-Th6椎板切除术暴露所有大鼠的脊柱,除对照组动物外,在C7水平用显微动脉瘤夹对动物脊髓施加压力。在第1和15分钟以及第1、2和4小时测量脊髓组织中的MDA,以确定游离氧自由基。对结果的统计评估显示,MDA从压迫后第15分钟开始显著增加,在1小时达到最大值,然后下降。这一观察结果可能为神经破坏预防研究提供重要指导。