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  4. Rigid Fixation of the Spinal Column Improves Scaffold Alignment and Prevents Scoliosis in the Transected Rat Spinal Cord

Rigid Fixation of the Spinal Column Improves Scaffold Alignment and Prevents Scoliosis in the Transected Rat Spinal Cord

Spine (Phila Pa 1976), 2008 · DOI: 10.1097/BRS.0b013e318186b2b1 · Published: November 15, 2008

Spinal Cord InjuryRegenerative MedicineSurgery

Simple Explanation

This study investigates a method to improve the stability of tissue-engineered scaffolds implanted into damaged spinal cords in rats. The researchers used spinal fixation, a technique involving a metal rod to stabilize the spine, and assessed its impact on scaffold alignment and spinal deformities. The scientists implanted scaffolds into spinal transection injuries in rats, with one group receiving spinal fixation and the other serving as a control. They used radiographic imaging and magnetic resonance imaging to evaluate the alignment of the implanted scaffolds and the development of spinal deformities. The research found that spinal fixation significantly reduced scoliosis and scaffold malalignment in the rats with spinal cord injuries. This suggests that spinal stabilization can improve the delivery and assessment of regenerative therapies in the injured spinal cord.

Study Duration
4 Weeks
Participants
18 adult female Sprague Dawley rats
Evidence Level
Controlled Study

Key Findings

  • 1
    Spinal fixation significantly reduced scoliosis in the fixed group (1.89 ± 0.75°) compared to the unfixed group (8.13 ± 2.03°).
  • 2
    A trend for less kyphosis was evident in the fixed group (7.33 ± 1.68°) compared with the unfixed group (10.13 ± 1.46°).
  • 3
    Scaffold malalignment was significantly less in the fixed group (5 ± 1.23°) compared with the unfixed group (11 ± 2.82°).

Research Summary

This study evaluates the stability of implanted scaffolds and the extent of kyphoscoliotic deformities after spinal fixation in a rat model of spinal cord injury. The researchers implanted radio-opaque barium sulfate-impregnated scaffolds into spinal transection injuries in adult rats and performed spinal fixation in one group using a metal rod. The study concluded that spinal fixation prevents scoliosis, reduces kyphosis, and reduces scaffold malalignment within the transected rat spinal cord.

Practical Implications

Improved Scaffold Delivery

Spinal fixation can improve the delivery and alignment of tissue-engineered scaffolds in spinal cord injuries.

Enhanced Assessment of Regeneration

Stabilizing the spine allows for more accurate assessment of axonal regeneration promoted by therapeutic interventions.

Optimized SCI Model

Incorporating spinal fixation into SCI models enhances the potential for developing effective therapies for restoring function to the injured cord.

Study Limitations

  • 1
    The study was performed on rats, and results may not directly translate to humans.
  • 2
    The study only examined the effects of spinal fixation over a 4-week period.
  • 3
    The single animal where the rod slipped was excluded from analysis.

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