A porcine model of intervertebral disc degeneration induced by annular injury characterized with magnetic resonance imaging and histopathological findings: Laboratory investigation

Department of Neurosurgery, Inha University Hospital, Incheon, Korea.
Journal of Neurosurgery Spine (Impact Factor: 2.36). 06/2008; 8(5):450-7. DOI: 10.3171/SPI/2008/8/5/450
Source: PubMed

ABSTRACT Appropriate animal models of disc degeneration are critical for the study of proposed interventions as well as to further delineate the degenerative process. The purpose of this study was to characterize a porcine model for disc degeneration confirmed on magnetic resonance (MR) imaging studies and histological analysis.
Twelve miniature pigs were used (weight 48-65 kg) to study degeneration in the lumbar spine. Under fluoroscopic guidance, the disc was percutaneously punctured with a 3.2-mm-diameter trephine to a 5-mm depth into the annulus fibrosus. Control and experimental levels were randomized among 6 levels in the lumbar spine. The unlesioned spinal levels were used as controls and were compared with lesioned levels. Magnetic resonance imaging grading and disc height were serially recorded preoperatively, and at 5, 8, 19, 32, and 39 weeks postoperatively. The animals were killed in groups of 3 at 7, 18, 32, and 41 weeks postinjury, and the discs were examined histopathologically.
Consistent, sequential, and progressive degeneration of the annular injury was observed on MR imaging and histopathological studies from the time of injury to the final time point. The disc height and the disc height index also sequentially decreased from the time of the injury in a consistent manner. The uninjured control levels did not show any progressive degeneration and maintained their normal state.
Based on MR imaging and histopathological findings, the authors demonstrated and characterized a reliable model of sequential disc degeneration in miniature pigs with percutaneous injury to the annulus fibrosus. In the early stages, as soon as 5 weeks after injury, significant disc degeneration was seen on MR imaging grading with decreases in disc height. This degeneration did not improve by the final time point of 39 weeks.

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    • "BMP13 treatment resulted in prevention of cell loss (or cell mobilisation), prevention of neo-vascularisation, deposition of collagen fibres in the AF, production of proteoglycans in the NP, and retention of the original disc height. A model of annular injury was also described in miniature pigs, where consistent sequential and progressive degeneration was observed that did not improve by the final time point of 39 weeks (Yoon et al., 2008). Furthermore, a porcine annular puncture model was utilised to test the efficacy of non-cell-based materials to prevent the recurrence of disc herniation (Wang et al., 2007). "
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