Journal List > J Korean Orthop Assoc > v.38(6) > 1012180

Park, Cho, and Kostuik: Experimental Annulotomy-induced Degeneration in Rabbit Intervertebral Discs: Comparative Study Between Incomplete and Complete Annulotomy

Abstract

Purpose

To develop an animal disc degeneration model.

Materials and Methods

12 female 8-month-old white New Zealand rabbits, weighing about 4-4.5 kg, were used. A retroperitoneal approach using a paravertebral incision was adopted. Using a number-11 blade, a transverse stab incision was made into the L3-4 and L5-6 disc through the antero-lateral annulus. At L3-4 level, complete annulotomy was performed and incomplete annulotomy at the L5-6 level. In the complete annulotomy group, extrusion of the nucleus after annulotomy was confirmed. Gross and histological findings, and lumbarx-rays and MRIs were analyzed. From simple x-rays, changes in disc heights were measured using NIH image software; degeneration grade was classified using MRI.

Results

The gross and histological findings showed progressive degenerative change in both groups, which were more severe in the complete annulotomy group. Simple radiographs showed a progressive decrease in the disc height and osteophyte formation in several samples, which were more severe in the complete annulotomy group. From the MRI findings, early degenerative findings were identified 2 and 3 months after complete and incomplete annulotomy, respectively.

Conclusion

In conclusion, the disc degenerative process, following incomplete annulotomy, more resembled the natural course of disc degeneration than complete annulotomy.

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