Human and bovine spinal disc mechanics subsequent to trypsin injection

Objective: To investigate the biomechanical effects of injections of a protease on the characteristics of bovine coccygeal and human lumbar disc motion segments. Methods: Mechanics of treated tissues were measured immediately after injection and 3 h after injection. Motion segments underwent axial r...

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Main Authors: Jeremy Alsup, Timothy Bishop, Dennis Eggett, Anton E. Bowden
Format: Article
Language:English
Published: Elsevier 2017-10-01
Series:Journal of Orthopaedic Translation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214031X17300013
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author Jeremy Alsup
Timothy Bishop
Dennis Eggett
Anton E. Bowden
author_facet Jeremy Alsup
Timothy Bishop
Dennis Eggett
Anton E. Bowden
author_sort Jeremy Alsup
collection DOAJ
description Objective: To investigate the biomechanical effects of injections of a protease on the characteristics of bovine coccygeal and human lumbar disc motion segments. Methods: Mechanics of treated tissues were measured immediately after injection and 3 h after injection. Motion segments underwent axial rotation and flexion-extension loading. Results: Stiffness and neutral zone parameters experienced significant changes over time, with bovine tissues more strongly affected than human cadaver tissues. This was true in both axial rotation and flexion-extension. The treatment type significantly affected the neutral zone measurements in axial rotation. Hysteresis parameters were impacted by control injections. Conclusion: The extrapolation of bovine coccygeal motion testing results to human lumbar disc mechanics is not yet practical. The injected treatment may have a smaller impact on disc mechanics than time in testing. Viscoelasticity of human lumbar discs may be impacted by any damage to the annulus fibrosis induced by needlestick. The Translational Potential of this Article: Preclinical testing of novel spinal devices is essential to the design validation and regulatory processes, but current testing techniques rely on cadaveric testing of primarily older spines with essentially random amounts of disc degeneration. The present work investigates the viability of using trypsin injections to create a more uniform preclinical model of disc degeneration from a mechanics perspective, for the purpose of testing spinal devices. Such a model would facilitate translation of new spinal technologies to clinical practice.
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spelling doaj.art-0f1208b437b14b4da2d002b2819153c52022-12-22T03:18:59ZengElsevierJournal of Orthopaedic Translation2214-031X2017-10-0111C536110.1016/j.jot.2017.06.003Human and bovine spinal disc mechanics subsequent to trypsin injectionJeremy Alsup0Timothy Bishop1Dennis Eggett2Anton E. Bowden3Department of Mechanical Engineering, Brigham Young University, Provo, UT, USADepartment of Mechanical Engineering, Brigham Young University, Provo, UT, USADepartment of Statistics, Brigham Young University, Provo, UT 84602, USADepartment of Mechanical Engineering, Brigham Young University, Provo, UT, USAObjective: To investigate the biomechanical effects of injections of a protease on the characteristics of bovine coccygeal and human lumbar disc motion segments. Methods: Mechanics of treated tissues were measured immediately after injection and 3 h after injection. Motion segments underwent axial rotation and flexion-extension loading. Results: Stiffness and neutral zone parameters experienced significant changes over time, with bovine tissues more strongly affected than human cadaver tissues. This was true in both axial rotation and flexion-extension. The treatment type significantly affected the neutral zone measurements in axial rotation. Hysteresis parameters were impacted by control injections. Conclusion: The extrapolation of bovine coccygeal motion testing results to human lumbar disc mechanics is not yet practical. The injected treatment may have a smaller impact on disc mechanics than time in testing. Viscoelasticity of human lumbar discs may be impacted by any damage to the annulus fibrosis induced by needlestick. The Translational Potential of this Article: Preclinical testing of novel spinal devices is essential to the design validation and regulatory processes, but current testing techniques rely on cadaveric testing of primarily older spines with essentially random amounts of disc degeneration. The present work investigates the viability of using trypsin injections to create a more uniform preclinical model of disc degeneration from a mechanics perspective, for the purpose of testing spinal devices. Such a model would facilitate translation of new spinal technologies to clinical practice.http://www.sciencedirect.com/science/article/pii/S2214031X17300013mechanicsproteasespinal disctrypsin
spellingShingle Jeremy Alsup
Timothy Bishop
Dennis Eggett
Anton E. Bowden
Human and bovine spinal disc mechanics subsequent to trypsin injection
Journal of Orthopaedic Translation
mechanics
protease
spinal disc
trypsin
title Human and bovine spinal disc mechanics subsequent to trypsin injection
title_full Human and bovine spinal disc mechanics subsequent to trypsin injection
title_fullStr Human and bovine spinal disc mechanics subsequent to trypsin injection
title_full_unstemmed Human and bovine spinal disc mechanics subsequent to trypsin injection
title_short Human and bovine spinal disc mechanics subsequent to trypsin injection
title_sort human and bovine spinal disc mechanics subsequent to trypsin injection
topic mechanics
protease
spinal disc
trypsin
url http://www.sciencedirect.com/science/article/pii/S2214031X17300013
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AT denniseggett humanandbovinespinaldiscmechanicssubsequenttotrypsininjection
AT antonebowden humanandbovinespinaldiscmechanicssubsequenttotrypsininjection