RADIOGRAPHIC AND HISTOLOGIC EFFECTS OF CHONDROITINASE ABC ON NORMAL CANINE LUMBAR INTERVERTEBRAL-DISK

被引:33
作者
FRY, TR
EURELL, JC
JOHNSON, AL
BROWN, MD
LOSONSKY, JM
SCHAEFFER, DJ
机构
[1] Department of Veterinary Clinical Medicine, University of Illinois College of Veterinary Medicine, Urbana, IL
[2] Department of Veterinary Biosciences, University of Illinois College of Veterinary Medicine, Urbana, IL
[3] Department of Orthopaedics and Rehabilitation, University of Miami College of Medicine, Miami, FL
关键词
Chemonucleolysis; Chondroitinase abc; Histology; Intervertebral disc; Radiology;
D O I
10.1097/00007632-199107000-00022
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Twelve dogs were divided into two equal groups and given lumbar intradiscal injections of 10, 50, or 100 U/ml of chondroitinase ABC reconstituted in sodium acetate buffer. Radiographs of the lumbar spine were made before and after surgery in both groups. Additional films were made at 5 days after surgery in Group I and at 7, 14, and 21 days after surgery in Group II. All spaces injected with 50 or 100 U/ml chondroitinase ABC demonstrated significant radiographic narrowing in both groups compared with uninjected control and buffer injected discs (P < 0.001). Discs injected with 10 U/ml of chondroitinase ABC showed increased narrowing over time from 7 to 21 days (P < 0.05). A zone of safranin O depletion was present in the ventral anulus fibrosus adjacent to the nucleus pulposus in all treated discs, indicating proteoglycan loss. All histologic effects of chondroitinase ABC were confined to intervertebral disc tissues. Chondroitinase ABC appears to be effective for chemonucleolysis in dogs.
引用
收藏
页码:816 / 819
页数:4
相关论文
共 24 条
[1]  
Agre K., Wilson R.R., Brim M., McDermott D.J., Chymodiactinpostmarketing surveillance, Spine, 9, pp. 479-485, (1984)
[2]  
Artigas J., Brock M., Mayer H.M., Complications following chemonucleolysis with collagenase, J Neurosurg, 61, pp. 679-685, (1984)
[3]  
Branemark P.I., Ekholm R., Lundskog J., Hirsch C., Tissue response to chymopapain in different concentrations, Clin Orthop, 67, pp. 52-67, (1969)
[4]  
Brown M.D., Tompkins J.S., Pain response post-chemonucleolysis or disc excision, Spine, 14, pp. 321-326, (1989)
[5]  
Brown M.D., Intradiscal Therapy Chymopapain Or Collagenase, (1983)
[6]  
Cole T.C., Burkhardt D., Frost L., Ghosh P., The proteoglycans of the canine intervertebral disc, Biochim Biophys Acta, 839, pp. 127-138, (1985)
[7]  
Dando P.M., Morton D.B., Buttle D.J., Barrett A.J., Quantitative assessment of human proteinases as agents for chemonucleolysis, Spine, 13, pp. 188-192, (1988)
[8]  
Dyck P., Paraplegia following chemonucleolysis: A case report and discussion of neurotoxicity, Spine, 10, pp. 359-362, (1985)
[9]  
Eurell J., Brown M.D., Ramos M., The effects of chondroitinase ABC on the rabbit intervertebral disc: A radiographic and histologic study, Clin Orthop, 256, pp. 238-243, (1990)
[10]  
Garvin P.J., Jennings R.B., Smith L., GeslerRM: Chymopapain: A pharmacologic and toxicologic evaluation in experimental animals, Clin Orthop, 41, pp. 204-223, (1965)