Biomechanical implications of lumbar intervertebral disc fenestration in rabbits: Comparison of ex vivo and in vivo conditions as an experimental model for chrondrodystrophic dogs with type 1 intervertebral disc disease.
James D Crowley, Rema A Oliver, Tian Wang, Matthew H Pelletier, William R Walsh
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引用次数: 0
Abstract
Objective: To compare the effect of intervertebral disc (IVD) fenestration on L3/4 range of motion (ROM) under ex vivo and in vivo conditions in a rabbit model.
Study design: Randomized experimental study.
Animals: New Zealand White rabbits (ex vivo: n = 18; in vivo: n = 12).
Methods: L3/4 motion segments were tested in lateral bending (LB), flexion-extension (FE), and axial rotation (AR) across five groups (n = 6 per group): control (C), ex vivo fenestration (EVF), in vivo fenestration with a 6 (IVF6) and 12 week (IVF12) timepoint, and intact/annulotomy/fenestration on the same specimen (IAF). Data are reported as ROM and neutral zone (NZ) and were compared between groups using ANOVA and t-tests.
Results: In IAF, fenestration increased ROM in LB, FE, and AR (p = .030) and NZ in FE (p = .010) compared to intact. EVF had greater ROM and NZ than C in all planes (LB, FE: p = .0010; AR: p = .030). IVF6 and IVF12 showed reduced ROM and NZ in LB and FE compared to C (p = .020-.0010) and EVF (p = .0010), with no difference in AR (p = .35). IVF6 and IVF12 did not differ significantly in any plane. Right lateral bending was significantly greater than left in EVF (p = .020), but not in IVF6 (p = .15) or IVF12 (p = .31).
Conclusion: Fenestration increased spinal motion ex vivo, while in vivo specimens showed reduced ROM over time, consistent with a stabilizing biological response.
Clinical significance: These findings provide a foundation for investigating the biological and biomechanical effects of IVD fenestration in dogs.
期刊介绍:
Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations.
It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.