Artificial cervical vertebra and intervertebral complex replacement through the anterior approach in animal model: a biomechanical and in vivo evaluation of a successful goat model

PLoS One. 2012;7(12):e52910. doi: 10.1371/journal.pone.0052910. Epub 2012 Dec 27.

Abstract

This was an in vitro and in vivo study to develop a novel artificial cervical vertebra and intervertebral complex (ACVC) joint in a goat model to provide a new method for treating degenerative disc disease in the cervical spine. The objectives of this study were to test the safety, validity, and effectiveness of ACVC by goat model and to provide preclinical data for a clinical trial in humans in future. We designed the ACVC based on the radiological and anatomical data on goat and human cervical spines, established an animal model by implanting the ACVC into goat cervical spines in vitro prior to in vivo implantation through the anterior approach, and evaluated clinical, radiological, biomechanical parameters after implantation. The X-ray radiological data revealed similarities between goat and human intervertebral angles at the levels of C2-3, C3-4, and C4-5, and between goat and human lordosis angles at the levels of C3-4 and C4-5. In the in vivo implantation, the goats successfully endured the entire experimental procedure and recovered well after the surgery. The radiological results showed that there was no dislocation of the ACVC and that the ACVC successfully restored the intervertebral disc height after the surgery. The biomechanical data showed that there was no significant difference in range of motion (ROM) or neural zone (NZ) between the control group and the ACVC group in flexion-extension and lateral bending before or after the fatigue test. The ROM and NZ of the ACVC group were greater than those of the control group for rotation. In conclusion, the goat provides an excellent animal model for the biomechanical study of the cervical spine. The ACVC is able to provide instant stability after surgery and to preserve normal motion in the cervical spine.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Animals
  • Biomechanical Phenomena / physiology
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / physiology
  • Cervical Vertebrae / surgery*
  • Female
  • Goats
  • Humans
  • Intervertebral Disc / diagnostic imaging
  • Intervertebral Disc / physiology
  • Intervertebral Disc / surgery*
  • Male
  • Middle Aged
  • Models, Animal
  • Prosthesis Implantation / methods*
  • Radiography
  • Range of Motion, Articular / physiology
  • Spinal Fusion / methods

Grants and funding

This study was sponsored by “13115” Key Projects of Scientific and Technical Innovation of Shaanxi Province (Program title: Study of design and application of artificial cervical vertebra and intervertebral complex (ACVC). Program number: 2011KTCL03-17. http://www.sninfo.gov.cn/). No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript. Jie Qin was supported in part by a fellowship from the China Scholarship Council (http://www.csc.edu.cn/) and a fellowship of academic talent of doctorial candidates from Ministry of Education of China (http://www.moe.edu.cn/). No additional funding was received for this study. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.