位置:成果数据库 > 期刊 > 期刊详情页
幼猪脊柱侧凸模型中椎体与椎间盘楔形变的进展规律及其意义
  • ISSN号:1004-406X
  • 期刊名称:中国脊柱脊髓杂志
  • 时间:2013.2.10
  • 页码:151-155
  • 分类:R682.3[医药卫生—骨科学;医药卫生—临床医学;医药卫生—外科学]
  • 作者机构:[1]南京大学医学院附属鼓楼医院脊柱外科,江苏省南京市210008
  • 相关基金:国家自然科学基金(81171767)和南京市医学科技发展重点项目(201108016)共同资助
  • 相关项目:先天性脊柱侧凸突变基因的识别与筛查
中文摘要:

目的:探讨幼猪脊柱侧凸模型中椎体和椎间盘楔形变随拴系固定时间变化的规律及其意义。方法:对7只后路不对称性拴系造模成功的侧凸幼猪在术后即刻、4周、8周分别进行全脊柱后前位X线片检查,应用Cobb法测量侧凸范围内每个椎体和椎间盘的楔变角,分析顶椎及其上、下各两个椎体和相应的4个椎间盘的楔变角在拴系时期内变化的规律,并计算不同时期内所有椎体楔变角之和与所有椎间盘楔变角之和分别占整个侧凸Cobb角的百分率。结果:顶椎区椎体楔变角随拴系固定时间发展逐渐增大,从拴系术后即刻时的1.1°,增大到术后8周时的43.3°.顶椎区椎体和椎间盘楔变角均呈现从顶椎向两侧端椎区逐渐减小趋势。在拴系术后即刻,侧凸几乎完全为椎间盘楔形变造成(96.8%),随时间发展,椎体楔变角占Cobb角的比值逐渐上升,至拴系固定8周时.Cobb角的构成变化为以椎体楔变角为主(71.5%)。结论:不对称性拴系的力学因素作用下椎体和椎间盘楔形变的构成比在不断演变。为建立稳定的侧凸动物模型,必须达到一定的拴系固定时间以期制造足够的椎体楔形变。

英文摘要:

Objectives: To investigate the evolution of the disc and vertebral wedging under unilateral tether- ing in porcine scoliosis model and its significance. Methods: Seven female pigs underwent posterior asymetric tethering surgery. All pigs underwent serial postero-anterior X-ray films at 4-week intervals to document pro- gression of the deformity. The disc and vertebral wedging in the curve was measured by Cobb's method. The wedging angle of 5 vertebrae and 4 discs which included apex and 2 ending vertebrae as well as discs be- tween these vertebrae were analyzed. The wedging angle of every disc and vertebra in whole major curve was measured, and the proportion to the Cobb angle was calculated(wedging percentage) respectively. Results: The wedging angle of the vertebra in the apical area increased over time. The wedging angle of the apical vertebra and disc was found larger than that of the adjacent vertebrae. Immediately after operation, the wedg- ing of intervertebral discs contributed to the scoliosis completely. However, the contribution of the vertebral wedging to the scoliosis increased over time. The wedging of the vertebra contributed largely (71.5%) to the scoliosis at 8 weeks postoperatively. Conclusions: The relative contributions of vertebral and disc wedging to the Cobb angle vary over time under asymmetric tethering. To obtain a reliable scoliosis animal model, ade- quate tethering period is required to get prominent vertebral wedging.

同期刊论文项目
同项目期刊论文
期刊信息
  • 《中国脊柱脊髓杂志》
  • 北大核心期刊(2011版)
  • 主管单位:卫生部
  • 主办单位:中国康复医学会 中日友好医院
  • 主编:吕国华 李中实
  • 地址:北京市朝阳区樱花园东街中日友好医院内
  • 邮编:100029
  • 邮箱:cspine@263.net.cn
  • 电话:010-64284923 84205233
  • 国际标准刊号:ISSN:1004-406X
  • 国内统一刊号:ISSN:11-3027/R
  • 邮发代号:82-457
  • 获奖情况:
  • 国内外数据库收录:
  • 美国化学文摘(网络版),中国中国科技核心期刊,中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:27622