Scoliosis induced by costotransversectomy in minipigs model
- Javier Cervera-Irimi
(University Hospital La Paz, Madrid, Plastic, Reconstructive and Burns Surgery Department, Spain)
- Álvaro González-Miranda (General Hospital of Villalba, Collado Villalba, Orthopaedic and Trauma Department, Spain)
- Óscar Riquelme-García (Hospital Universitario Gregorio Marañón, Madrid, Orthopaedic and Trauma Department, Spain)
- Jesus Burgos-Flores (Ramón y Cajal University Hospital, Madrid, Orthopaedic and Trauma Department, Spain)
- Carlos Barrios-Pitarque (University Research Institute in Musculoskeletal Diseases, School of Medicine, Catholic University of Valencia, Valencia, Orthopaedic and Trauma Department, Spain)
- Pedro García-Barreno (Complutense University of Madrid, Madrid, Surgery Department, School of Medicine, Spain)
- Azucena García-Martín (Hospital Universitario Gregorio Marañón, Madrid, Orthopaedic and Trauma Department, Spain)
- Eduardo Hevia-Sierra (La Fraternidad Hospital, Madrid, Orthopedic and Trauma Department, Spain)
- Giuseppe Rollo (Vito Fazzi Hospital, Lecce, Department of Orthopedics and Traumatology, Italy)
- Luigi Meccariello (Vito Fazzi Hospital, Lecce, Department of Orthopedics and Traumatology, Italy)
- Luigi Caruso (University of Perugia, S. Maria della Misericordia Hospital, Perugia, Division of Orthopedics and Trauma Surgery, Italy)
- Michele Bisaccia (University of Perugia, S. Maria della Misericordia Hospital, Perugia, Division of Orthopedics and Trauma Surgery, Italy)
Abstract
Aim: To validate surgical costotransversectomy as a technique for creating a scoliosis model in minipigs and to assess whether differences in approach (posterior medial approach, posterior paramedial approach and anterior approach by video-assisted thoracoscopy) lead to differences in the production of spinal deformity. Creation of disease models in experimental animals, specifically in minipigs, is controversial, as no appropriate technique has been reported.
Methods: Surgical costotransversectomy was performed in 11 minipigs using 3 different approaches: posterior medial approach (4 animals, group I), posterior paramedial approach (3 animals, group II) and anterior approach by videothoracoscopy (4 animals, group III). A conventional x-ray study was performed in the immediate postoperative period. Follow-up lasted for 4 months. Specimens were humanely killed according to current protocols, and a second x-ray study was performed. A deformation was measured using the Cobb angle and direct observation of the rotational component.
Results: Data from group I revealed a scoliosis deformation of 27º-41º (mean 34.5º) with a macroscopic rotational component. No deformity (<10º) or rotational component was observed in groups II and III. Only a posterior medial costotransversectomy produced a significant deformity in minipigs and established a valid model for studying scoliosis in these animals.
Conclusion: Only a posterior medial costotransversectomy produces a significant deformity in minipigs and establish a valid model for studying scoliosis in these animals. A tensegrity model would elucidate such results and harmonize disparate conclusions. Further investigation is needed to demonstrate the reliability of tensegrity principles for spinal biomechanics.
Keywords: experimental animal, model, spinal curvatures
How to Cite:
Cervera-Irimi, J., González-Miranda, Á., Riquelme-García, Ó., Burgos-Flores, J., Barrios-Pitarque, C., García-Barreno, P., García-Martín, A., Hevia-Sierra, E., Rollo, G., Meccariello, L., Caruso, L. & Bisaccia, M., (2019) “Scoliosis induced by costotransversectomy in minipigs model”, Medicinski glasnik 16(2), 157-163. doi: https://doi.org/10.17392/1015-19
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