Development of an Animal Model of Thoracolumbar Burst Fracture-Induced Acute Spinal Cord Injury

Abstract

Background: Spinal cord injury (SCI) leads to permanent disability and has been increasingly observed in warfighters after introduction of more survivable vehicles (MRAP). Rodent research has led to many advances in SCI treatment, but successful clinical translation remains limited. Here we describe a large animal model of blunt acute traumatic SCI using a custom designed computer controlled spinal cord impactor. Methods: Thirteen female Yucatan miniature swine were subjected to spinal cord impact with a custom-made controlled spinal cord impactor and balloon compression. Neurological function was assessed for seven days after injury. Magnetic resonance imaging (MRI) and histology were performed on postoperative day one and seven respectively. Results: The custom spinal cord impactor delivered consistent, predictable, impacts to the spinal cord. MRI and histology showed a positive correlation between volume and severity of spinal cord injury and the impact force. Both the PTIBS and PNM scales also correlated with the target impact force. Conclusions: This novel and custom spinal cord impactor can reliably produce a gradient of ventral blunt SCI. This could prove to be a valuable tool to investigate SCI seen in burst fracture and other traumatic injuries, and may represent a useful intermediate step in evaluation of SCI treatments.

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Document Details

Document Type
Technical Report
Publication Date
Jul 01, 2016
Accession Number
AD1020632

Entities

People

  • Brett A. Freedman
  • Daniel M Sciubba
  • Rory J. Petteys

Organizations

  • Johns Hopkins University

Tags

DTIC Thesaurus Topics

  • Compression
  • Computers
  • Electronic Mail
  • Histology
  • Magnetic Resonance
  • Magnetic Resonance Imaging
  • Medical Personnel
  • Resonance
  • Spinal Cord
  • Spinal Injuries
  • Spine
  • Tissues
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Explosive Engineering.
  • Neurotrauma and Rehabilitation Medicine.