Spinal kyphosis causes demyelination and neuronal loss in the spinal cord: A new model of kyphotic deformity using juvenile Japanese small game fowls

Kentaro Shimizu, Masaya Nakamura, Yuji Nishikawa, Sadahisa Hijikata, Kazuhiro Chiba, Yoshiaki Toyama

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Study Design. Histologic changes in the spinal cord caused by progressive spinal kyphosis were assessed using a new animal model. Objectives. To evaluate the effects of chronic compression associated with kyphotic deformity of the cervical spine on the spinal cord. Summary of Background Data. The spinal cord has remarkable ability to resist chronic compression, however, delayed paralysis is sometimes seen following the development of spinal kyphosis. In the past, no animal model to clarify the mechanism of spinal cord damage due to spinal kyphotic deformity has been available. Methods. Laminectomy and bilateral facetectomy at the C4-C5 level was performed in 52 Japanese small game fowls. Histologic changes in the spinal cord associated with progressive kyphotic deformity were examined at different time points after surgery in each animal. The degree of spinal cord flattening and the severity of demyelination in histologic sections were quantitatively evaluated using an image analyzer, and their association with the kyphotic angle was analyzed. Changes in the microvascular distribution in the spinal cord were also examined by microangiography. Results. In all operated animals, progressive kyphosis developed reproducibly. The kyphotic angle increased gradually until 3 weeks after surgery and stabilized thereafter. There was a significant correlation between the kyphotic angle and the degree of spinal cord flattening. The spinal cord was compressed most intensely at the apex of the kyphosis, where demyelination of the anterior funiculus as well as neuronal loss and atrophy of the anterior horn were observed. Demyelination progressed as the kyphotic deformity became more severe, initially affecting the anterior funiculus and later extending to the lateral and then the posterior funiculus. Angiography revealed a decrease of the vascular distribution at the ventral side of the compressed spinal cord. Conclusions. Progressive kyphosis of the cervical spine resulted in demyelination of nerve fibers in the funiculi and neuronal loss in the anterior horn due to chronic compression of the spinal cord. These histologic changes seem to be associated with both continuous mechanical compression and vascular changes in the spinal cord.

Original languageEnglish
Pages (from-to)2388-2392
Number of pages5
JournalSpine
Volume30
Issue number21
DOIs
Publication statusPublished - 2005 Nov 1

Fingerprint

Kyphosis
Demyelinating Diseases
Spinal Cord
Horns
Blood Vessels
Spine
Animal Models
Spinal Cord Compression
Laminectomy
Nerve Fibers
Paralysis
Atrophy
Angiography

Keywords

  • Chronic compression
  • Microangiography
  • Spinal cord

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Spinal kyphosis causes demyelination and neuronal loss in the spinal cord : A new model of kyphotic deformity using juvenile Japanese small game fowls. / Shimizu, Kentaro; Nakamura, Masaya; Nishikawa, Yuji; Hijikata, Sadahisa; Chiba, Kazuhiro; Toyama, Yoshiaki.

In: Spine, Vol. 30, No. 21, 01.11.2005, p. 2388-2392.

Research output: Contribution to journalArticle

Shimizu, Kentaro ; Nakamura, Masaya ; Nishikawa, Yuji ; Hijikata, Sadahisa ; Chiba, Kazuhiro ; Toyama, Yoshiaki. / Spinal kyphosis causes demyelination and neuronal loss in the spinal cord : A new model of kyphotic deformity using juvenile Japanese small game fowls. In: Spine. 2005 ; Vol. 30, No. 21. pp. 2388-2392.
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