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      Comparative anatomical dimensions of the complete human and porcine spine

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          Abstract

          New spinal implants and surgical procedures are often tested pre-clinically on human cadaver spines. However, the availability of fresh frozen human cadaver material is very limited and alternative animal spines are more easily available in all desired age groups, and have more uniform geometrical and biomechanical properties. The porcine spine is said to be the most representative model for the human spine but a complete anatomical comparison is lacking. The goal of this descriptive study was to compare the anatomical dimensions of the cervical, thoracic, and lumbar vertebrae of the human and porcine spine in order to determine whether the porcine spine can be a representative model for the human spine. CT scans were made of 6 human and 6 porcine spines, and 16 anatomical dimensions were measured per individual vertebrae. Comparisons were made for the absolute values of the dimensions, for the patterns of the dimensions within four spinal regions, and normalised values of the dimensions within each individual vertebra. Similarities were found in vertebral body height, shape of the end-plates, shape of the spinal canal, and pedicle size. Furthermore, regional trends were comparable for all dimensions, except for spinal canal depth and spinous processus angle. The size of the end-plates increased more caudally in the human spine. Relating the dimensions to the size of the vertebral body, similarities were found in the size of the spinal canal, the transverse processus length, and size of the pedicles. Taking scaling differences into account, it is believed that the porcine spine can be a representative anatomical model for the human spine in specific research questions.

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          Most cited references20

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          The use of a quadruped as an in vivo model for the study of the spine - biomechanical considerations.

          Animal models in spine research are often criticized for being irrelevant to the human situation due to the horizontal position of the spine. Whether this is justified from a biomechanical point of view can be questioned. The purpose of the study reported here was to provide arguments that a quadruped can be a valuable in vivo model for the study of the spine in spite of its horizontal position. Relevant literature is reviewed, and biomechanical analyses were made of the standing and walking quadruped. Further, the vertebral trabecular bone architecture was quantitatively analysed by computer and interpreted in the light of Wolff's law. Due to the fact that spinal segments cannot withstand substantial bending moments, additional tensile forces from muscles and ligaments are necessary to control the posture of a quadruped spine. As a consequence, the spine is mainly loaded by axial compression. The trabeculae in a goat's vertebral body were found to course horizontally between its anterior and posterior endplates, implying that the main load within the vertebral body was indeed an axial compression force. The density of the vertebrae of quadrupeds is higher than that of human vertebrae, suggesting that the quadruped has to sustain higher axial compression stresses. The quadruped spine is mainly loaded along its long axis, just like the human spine. The quadruped can thus be a valuable animal model for spine research. An important point of difference is the higher axial compression stress in quadrupeds, which leads to higher bone densities in the vertebrae. This puts some limitations on the transferability of the results of animal experiments to the human situation.
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            Anatomy of the sheep spine and its comparison to the human spine.

            The sheep spine is often used as a model for the human spine, although the degree to which these spines are anatomically comparable has yet to be categorically established. The purpose of this study was to investigate the characteristic anatomical dimensions of the sheep spine and to compare these with existing human data. Five complete spines were measured to determine 21 dimensions from the pedicles, spinal canal, transverse and spinous processes, facets, endplates, and disc. The results showed that sheep and human vertebrae are most similar in the thoracic and lumbar regions, although they show substantial differences in certain dimensions. Morphological variations as a function of spine level typically were well matched in the two species. Sheep spine may be a useful model for experiments related to the gross structure of the thoracic or lumbar spine, with certain limitations for the cervical spine. A thorough database has been provided for deciding the appropriateness of using the sheep spine as a model for the human spine.
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              Are sheep spines a valid biomechanical model for human spines?

              Range of motion, neutral zone, and stiffness parameters of the complete cervical, thoracic, and lumbar sheep spine were determined in flexion and extension, axial left/right rotation, and right/left lateral bending. To determine quantitative biomechanical properties of the sheep spine and compare them with those from the human spine. Sheep spines often serve as a model for experimental in vivo and in vitro studies in spine research, but few quantitative biomechanical data from sheep spines for comparison with human specimens are available. Complete spines were sectioned into single-joint segments and tested in a spine tester under pure moments in the three main anatomic planes. The craniocaudal variation in range of motion in all load directions was qualitatively similar between sheep spines and values reported in the literature for human specimens. Based on the biomechanical similarities of sheep and human spines demonstrated in this study, it appears that the use of the sheep spine, which already includes evaluation of surgical techniques and bone healing processes, might be extended to spinal implants.
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                Author and article information

                Contributors
                +31-50-3612802 , +31-50-3611737 , a.g.veldhuizen@orth.umcg.nl
                Journal
                Eur Spine J
                European Spine Journal
                Springer-Verlag (Berlin/Heidelberg )
                0940-6719
                1432-0932
                26 February 2010
                26 February 2010
                July 2010
                : 19
                : 7
                : 1104-1114
                Affiliations
                [1 ]Department of Orthopaedics, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
                [2 ]Department of Biomedical Engineering, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
                [3 ]Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands
                Article
                1326
                10.1007/s00586-010-1326-9
                2900026
                20186441
                88cf527d-012a-4b09-9171-83915d15df41
                © The Author(s) 2010
                History
                : 25 May 2009
                : 15 December 2009
                : 24 January 2010
                Categories
                Original Article
                Custom metadata
                © Springer-Verlag 2010

                Orthopedics
                human,cervical spine,porcine,thoracolumbar spine,anatomy
                Orthopedics
                human, cervical spine, porcine, thoracolumbar spine, anatomy

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