Stokes I A, Aronsson D D, Spence H, Iatridis J C
Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington 05405-0084, USA.
J Spinal Disord. 1998 Jun;11(3):261-5.
Progression of scoliosis deformity during growth is thought to be caused by asymmetrical loading, resulting in asymmetrical growth with vertebral and disc wedging in a "vicious cycle." The purpose of this study was to quantify the changes in disc thickness during growth in rat tails subjected to compression or distraction loading for 6 or 9 weeks, to investigate the hypothesis that disc growth is mechanically modulated. Six-week-old Sprague-Dawley rats were studied with compression loading (13 animals) or distraction loading (15 animals) applied to their tails, and there were 8 sham animals. Loading was applied to tail segments by means of an external ring fixator. Radiographic measurements of disc thickness were made at biweekly intervals. From the initial to final radiograph, compressed discs had reduced thickness averaging (+/-SD) 0.50 +/- 0.28 mm, distraction discs had average increased thickness of 0.20 +/- 0.42 mm, and sham discs lost an average of 0.21 +/- 0.18 mm of thickness (analysis of variance p < 0.001). There was an "initial change" in disc thickness averaging 0.18 +/- 0.32 mm in nonloaded discs, which was similar in magnitude to the elastic deformation and was attributed to disc swelling under anesthesia. These results indicate that growth in disc thickness is mechanically modulated by axial loading in growing rats.
脊柱侧弯畸形在生长过程中的进展被认为是由不对称负荷引起的,导致不对称生长,并伴有椎体和椎间盘楔形变,形成一个“恶性循环”。本研究的目的是量化在6周或9周内承受压缩或牵张负荷的大鼠尾巴椎间盘厚度在生长过程中的变化,以研究椎间盘生长受机械调节这一假说。对6周龄的Sprague-Dawley大鼠进行研究,其中13只大鼠尾巴施加压缩负荷,15只大鼠尾巴施加牵张负荷,另有8只大鼠作为假手术对照。通过外部环形固定器对尾巴节段施加负荷。每隔两周对椎间盘厚度进行X线测量。从最初的X线片到最后的X线片,压缩组椎间盘厚度平均减少(±标准差)0.50±0.28mm,牵张组椎间盘平均增厚0.20±0.42mm,假手术组椎间盘平均厚度减少0.21±0.18mm(方差分析p<0.001)。未加载的椎间盘厚度平均有一个0.18±0.32mm的“初始变化”,其大小与弹性变形相似,这归因于麻醉下椎间盘肿胀。这些结果表明,生长中大鼠的椎间盘厚度生长受轴向负荷的机械调节。