Posterolateral inter-transverse lumbar fusion in a mouse model

<p>Abstract</p> <p>Background</p> <p>Spinal fusion is a common orthopaedic procedure that has been previously modeled using canine, lapine, and rodent subjects. Despite the increasing availability of genetically modified mouse strains, murine models have only been infre...

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Main Authors: Bobyn Justin, Rasch Anton, Little David G, Schindeler Aaron
Format: Article
Language:English
Published: BMC 2013-01-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:http://www.josr-online.com/content/8/1/2
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author Bobyn Justin
Rasch Anton
Little David G
Schindeler Aaron
author_facet Bobyn Justin
Rasch Anton
Little David G
Schindeler Aaron
author_sort Bobyn Justin
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Spinal fusion is a common orthopaedic procedure that has been previously modeled using canine, lapine, and rodent subjects. Despite the increasing availability of genetically modified mouse strains, murine models have only been infrequently described.</p> <p>Purpose</p> <p>To present an efficient and minimally traumatic procedure for achieving spinal fusion in a mouse model and determine the optimal rhBMP-2 dose to achieve sufficient fusion mass.</p> <p>Method</p> <p>MicroCT reconstructions of the unfused mouse spine and human spine were compared to design a surgical approach. In phase 1, posterolateral lumbar spine fusion in the mouse was evaluated using 18 animals allocated to three experimental groups. Group 1 received decortication only (n = 3), Group 2 received 10 μg rhBMP-2 in a collagen sponge bilaterally (n = 6), and Group 3 received 10 μg rhBMP-2 + decortication (n = 9). The surgical technique was assessed for intra-operative safety, efficacy, access and reproducibility. Spines were harvested for analysis at 3 weeks (Groups 1, 2) and 1, 2, and 3 weeks (Group 3). In phase 2, a dose response study was carried out in an additional 18 animals with C57BL6 mice receiving sponges containing 0, 0.5, 1, 2.5, 5 μg of rhBMP-2 per sponge bilaterally.</p> <p>Results</p> <p>The operative procedure via midline access was rapid and reproducible, and fusion of the murine articular processes was found to be analogous to the human procedure. Unlike reports from other species, decortication alone (Group 1) yielded no new bone formation. Addition of rhBMP-2 (Groups 2 and 3) yielded a significant bone mass that bridged the L4-L6 vertebrae. The subsequent dose response experiment revealed that 0.5 μg rhBMP-2 per sponge was sufficient to create a fusion mass.</p> <p>Conclusion</p> <p>We describe a new approach for mouse lumbar spine fusion that is safe, efficient, and highly reproducible. The technique we employed is analogous to the human midline procedure and may be highly suitable for genetically modified mouse models.</p>
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spelling doaj.art-c7e3335a6d5a4afb94eac44846a8e9eb2022-12-22T04:22:05ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2013-01-0181210.1186/1749-799X-8-2Posterolateral inter-transverse lumbar fusion in a mouse modelBobyn JustinRasch AntonLittle David GSchindeler Aaron<p>Abstract</p> <p>Background</p> <p>Spinal fusion is a common orthopaedic procedure that has been previously modeled using canine, lapine, and rodent subjects. Despite the increasing availability of genetically modified mouse strains, murine models have only been infrequently described.</p> <p>Purpose</p> <p>To present an efficient and minimally traumatic procedure for achieving spinal fusion in a mouse model and determine the optimal rhBMP-2 dose to achieve sufficient fusion mass.</p> <p>Method</p> <p>MicroCT reconstructions of the unfused mouse spine and human spine were compared to design a surgical approach. In phase 1, posterolateral lumbar spine fusion in the mouse was evaluated using 18 animals allocated to three experimental groups. Group 1 received decortication only (n = 3), Group 2 received 10 μg rhBMP-2 in a collagen sponge bilaterally (n = 6), and Group 3 received 10 μg rhBMP-2 + decortication (n = 9). The surgical technique was assessed for intra-operative safety, efficacy, access and reproducibility. Spines were harvested for analysis at 3 weeks (Groups 1, 2) and 1, 2, and 3 weeks (Group 3). In phase 2, a dose response study was carried out in an additional 18 animals with C57BL6 mice receiving sponges containing 0, 0.5, 1, 2.5, 5 μg of rhBMP-2 per sponge bilaterally.</p> <p>Results</p> <p>The operative procedure via midline access was rapid and reproducible, and fusion of the murine articular processes was found to be analogous to the human procedure. Unlike reports from other species, decortication alone (Group 1) yielded no new bone formation. Addition of rhBMP-2 (Groups 2 and 3) yielded a significant bone mass that bridged the L4-L6 vertebrae. The subsequent dose response experiment revealed that 0.5 μg rhBMP-2 per sponge was sufficient to create a fusion mass.</p> <p>Conclusion</p> <p>We describe a new approach for mouse lumbar spine fusion that is safe, efficient, and highly reproducible. The technique we employed is analogous to the human midline procedure and may be highly suitable for genetically modified mouse models.</p>http://www.josr-online.com/content/8/1/2SpineFusionArthrodesisMouseBMP
spellingShingle Bobyn Justin
Rasch Anton
Little David G
Schindeler Aaron
Posterolateral inter-transverse lumbar fusion in a mouse model
Journal of Orthopaedic Surgery and Research
Spine
Fusion
Arthrodesis
Mouse
BMP
title Posterolateral inter-transverse lumbar fusion in a mouse model
title_full Posterolateral inter-transverse lumbar fusion in a mouse model
title_fullStr Posterolateral inter-transverse lumbar fusion in a mouse model
title_full_unstemmed Posterolateral inter-transverse lumbar fusion in a mouse model
title_short Posterolateral inter-transverse lumbar fusion in a mouse model
title_sort posterolateral inter transverse lumbar fusion in a mouse model
topic Spine
Fusion
Arthrodesis
Mouse
BMP
url http://www.josr-online.com/content/8/1/2
work_keys_str_mv AT bobynjustin posterolateralintertransverselumbarfusioninamousemodel
AT raschanton posterolateralintertransverselumbarfusioninamousemodel
AT littledavidg posterolateralintertransverselumbarfusioninamousemodel
AT schindeleraaron posterolateralintertransverselumbarfusioninamousemodel