Micro-CT evaluation of asymmetrical ovine intervertebral disc height loss from surgical approach

Autor: Stefan Schwan, Felix Goehre, Christopher Ludtka, Andrea Friedmann, Ingo Wiesner, Walther Brehm
Přispěvatelé: Department of Neurosciences, Clinicum, University of Helsinki, Neurokirurgian yksikkö, HUS Neurocenter, Publica
Jazyk: angličtina
Rok vydání: 2017
Předmět:
LUMBAR SPINE
0206 medical engineering
02 engineering and technology
Intervertebral Disc Degeneration
Intervertebral disc height
3124 Neurology and psychiatry
03 medical and health sciences
lCT
0302 clinical medicine
Animal model
Imaging
Three-Dimensional

Characterization methods
Medicine
Animals
Orthopedics and Sports Medicine
Micro ct
Intervertebral Disc
Disc herniation
Orthodontics
Micro-computed tomography
Surgical approach
Sheep
business.industry
3112 Neurosciences
Intervertebral disc
Anatomy
X-Ray Microtomography
DEGENERATION
Height loss
3126 Surgery
anesthesiology
intensive care
radiology

020601 biomedical engineering
IVD degeneration
Disc height
MODEL
Disease Models
Animal

medicine.anatomical_structure
Disc degeneration
VOLUME
Surgery
Female
SHAPE
business
STEM-CELLS
030217 neurology & neurosurgery
Popis: Purpose The primary goal of this study is to clearly define and evaluate new intervertebral disc height parameters in analysing the morphological pathology of disc degeneration for application in damage model and regeneration therapy development, as well as applying traditional variables to 3-D characterization methods. Methods A posterolateral surgical approach was used to induce disc degeneration in an ovine model. At 12-months post-operation, sheep vertebral segments were removed and characterized using micro-CT to evaluate disc height parameters in regard to injury localization. Results Statistically significant differences between the disc height loss of the left and right side of the disc, consistent with the lateral surgical approach used were seen using the modified average disc height method by Dabbs et al. However, convexity index and the newly proposed Cross Tilt Index did not conclusively demonstrate a difference. Conclusion Two-dimensional morphological evaluations can be applied in 3-D to provide a more complete picture of disc height loss for injury models. New 3-D parameters that are tailored to the type of surgical approach used should be investigated, with the 9-point system described herein providing a useful basis for derived values. Additionally, the surgical approach chosen when artificially injuring the disc can result in asymmetrical degeneration, as indicated by uneven disc height loss.
Databáze: OpenAIRE