Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Konoe-Cho, Yoshida, Sakyo-Ku, Kyoto, 606-8501, Japan.
Department of Regeneration Science and Engineering Institute for Frontier Life and Medical Sciences, Kyoto University, 53 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
Eur Spine J. 2021 Oct;30(10):3107-3114. doi: 10.1007/s00586-021-06931-z. Epub 2021 Jul 20.
This study aimed to investigate the histopathological changes that occur within 2 weeks following spinal cord injury (SCI) in dogs.
Eight adult female Beagle dogs were included in this study, and SCI was induced using an epidural balloon catheter. Two dogs were killed at each of the following four time points: immediately after the procedure and 1 day, 1 week, and 2 weeks after the procedure. Neurological status was evaluated with five categories. Histopathological changes were visually observed for stained sections of formalin-fixed spinal cord to evaluate hemorrhage, spongiosis, necrosis, and gliosis morphologically.
Along the 2 weeks post-injury, severe hemorrhage was observed at the primary injury site, the average diameter of which expanded quickly from 8 to 10 mm in 1 day and then decreased to 5 mm in 1 week. This indicates that the bleeding cavity expanded at the initial injury site to produce ascending and descending hemorrhage. The hemorrhage at the injury site resolved in 2 weeks. In contrast, spongiosis, parenchymal necrosis, and gliosis were first inconspicuous or mild and then became severe in 1 week or 2 weeks. Hemorrhage, hematoma, and other similar changes occurred at the regions approximately 20-mm rostral and caudal to the primary injury site. These changes were observed in both gray matter and white matter.
This study is the first to assess the sequential histopathological changes in the acute and intermediate phases following SCI in dogs. Our findings enhance the usefulness of the canine intervertebral disk disease model in the assessment of secondary spinal cord histopathology in human SCI.
本研究旨在探讨犬脊髓损伤(SCI)后 2 周内发生的组织病理学变化。
本研究纳入 8 只成年雌性比格犬,采用硬膜外球囊导管诱导 SCI。在以下四个时间点的每一个时间点处死 2 只狗:手术后立即以及手术后 1 天、1 周和 2 周。使用五个类别评估神经功能状态。通过观察福尔马林固定脊髓染色切片的组织病理学变化,评估出血、海绵样变性、坏死和神经胶质增生的形态学变化。
在损伤后 2 周内,原发损伤部位观察到严重出血,其平均直径在 1 天内迅速从 8 毫米扩大到 10 毫米,然后在 1 周内降至 5 毫米。这表明出血腔在初始损伤部位扩张,产生上行和下行性出血。损伤部位的出血在 2 周内得到解决。相比之下,在 1 周或 2 周时,海绵样变性、实质坏死和神经胶质增生最初不明显或轻微,然后变得严重。在原发损伤部位近端和远端约 20 毫米处的区域出现出血、血肿和其他类似变化。这些变化在灰质和白质中均可见。
本研究首次评估了犬 SCI 后急性和中期阶段的连续组织病理学变化。我们的研究结果增强了犬椎间盘疾病模型在评估人类 SCI 继发性脊髓组织病理学中的作用。