Vertebral forward slippage in immature lumbar spine occurs following epiphyseal separation and its occurrence is unrelated to disc degeneration: Is the pediatric spondylolisthesis a physis stress fracture of vertebral body?

Radiographic and histologic evaluation of a rat model of lumbar spine slippage. To clarify the pathomechanism of slippage in the immature spine. There are controversial hypotheses regarding the pathogenesis of slippage of the pediatric spine with pars defects. Some studies supported that disc degene...

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Veröffentlicht in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2004-03, Vol.29 (5), p.524-527
Hauptverfasser: KOICHI SAIRYO, SHINSUKE KATOH, SAKAMAKI, Tadanori, MEGUMI INOUE, KOMATSUBARA, Shinji, OGAWA, Takayuki, SANO, Toshiaki, GOEL, Vijay K, YASUI, Natsuo
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container_end_page 527
container_issue 5
container_start_page 524
container_title Spine (Philadelphia, Pa. 1976)
container_volume 29
creator KOICHI SAIRYO
SHINSUKE KATOH
SAKAMAKI, Tadanori
MEGUMI INOUE
KOMATSUBARA, Shinji
OGAWA, Takayuki
SANO, Toshiaki
GOEL, Vijay K
YASUI, Natsuo
description Radiographic and histologic evaluation of a rat model of lumbar spine slippage. To clarify the pathomechanism of slippage in the immature spine. There are controversial hypotheses regarding the pathogenesis of slippage of the pediatric spine with pars defects. Some studies supported that disc degeneration was its cause, while others indicated the growth plate injury was the cause. An immature lumbar spine slippage model in 4-week-old rats was used. Following posterior destabilizing surgery, the lumbar spine was radiographically and histologically examined at 1, 3, 5, and 7 days after surgery. Radiographically, slippage occurred about 7% in the % slip on day 7, and no slippage was observed before day 5. Histologically, epiphyseal separation also appeared on day 7; before day 5, the growth plate showed no abnormalities. Within 7 days after the operation, the anulus fibrosus did not show any sign indicating degeneration. The nucleus pulposus was also normal up to day 7. The findings of this study support the hypothesis that vertebral forward slippage of the immature spine occurs following epiphyseal separation and its occurrence is unrelated to disc degeneration.
doi_str_mv 10.1097/01.BRS.0000106492.51581.9B
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To clarify the pathomechanism of slippage in the immature spine. There are controversial hypotheses regarding the pathogenesis of slippage of the pediatric spine with pars defects. Some studies supported that disc degeneration was its cause, while others indicated the growth plate injury was the cause. An immature lumbar spine slippage model in 4-week-old rats was used. Following posterior destabilizing surgery, the lumbar spine was radiographically and histologically examined at 1, 3, 5, and 7 days after surgery. Radiographically, slippage occurred about 7% in the % slip on day 7, and no slippage was observed before day 5. Histologically, epiphyseal separation also appeared on day 7; before day 5, the growth plate showed no abnormalities. Within 7 days after the operation, the anulus fibrosus did not show any sign indicating degeneration. The nucleus pulposus was also normal up to day 7. The findings of this study support the hypothesis that vertebral forward slippage of the immature spine occurs following epiphyseal separation and its occurrence is unrelated to disc degeneration.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>15129065</pmid><doi>10.1097/01.BRS.0000106492.51581.9B</doi><tpages>4</tpages></addata></record>
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subjects Animals
Biological and medical sciences
Biomechanical Phenomena
Cerebrospinal fluid. Meninges. Spinal cord
Child
Disease Models, Animal
Epiphyses - diagnostic imaging
Epiphyses - injuries
Epiphyses - pathology
Female
Fractures, Stress - complications
Fractures, Stress - diagnostic imaging
Fractures, Stress - pathology
Growth Plate - diagnostic imaging
Growth Plate - pathology
Humans
Intervertebral Disc - diagnostic imaging
Intervertebral Disc - pathology
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - growth & development
Lumbar Vertebrae - injuries
Lumbar Vertebrae - pathology
Magnetic Resonance Imaging
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Radiography
Rats
Rats, Wistar
Salter-Harris Fractures
Spinal Diseases - diagnostic imaging
Spinal Diseases - etiology
Spinal Diseases - pathology
Spinal Fractures - complications
Spinal Fractures - diagnostic imaging
Spinal Fractures - pathology
Spondylolisthesis - diagnostic imaging
Spondylolisthesis - etiology
Spondylolisthesis - pathology
title Vertebral forward slippage in immature lumbar spine occurs following epiphyseal separation and its occurrence is unrelated to disc degeneration: Is the pediatric spondylolisthesis a physis stress fracture of vertebral body?
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