The biological and biomechanical effects of irradiation on anterior spinal bone grafts in a canine model.
We evaluated the effects of irradiation on the healing of anterior vertebral strut grafts with use of a canine model. Through a left thoracotomy, a partial corpectomy of the seventh thoracic vertebra and autogenous iliac strut-grafting from the sixth to the eighth thoracic levels were performed in twenty-two adult beagles. Four groups were established: Group I (control) received no irradiation, Group II received preoperative irradiation, Group III received postoperative irradiation that began on the third postoperative day, and Group IV received postoperative irradiation that began on the twenty-first postoperative day. The irradiation protocol was five treatments of 500 centigray three times a week for a total of 2500 centigray. Fluorochromes were administered at regular intervals postoperatively. The beagles were killed three months postoperatively, and non-destructive biomechanical testing was done to evaluate the stiffness of the construct. The quality of healing at the junctions of the graft with the sixth and eighth thoracic vertebrae, the degree of revascularization of the graft, and the amount of new-bone formation were evaluated histologically. Statistical evaluation of the biomechanical data revealed no significant difference in the stiffness of the construct between Groups I, II, and IV. The specimens from Group III were significantly less stiff than those from Group I (the control group) in torsion (p = 0.03) and left lateral bending (p = 0.04) and than those from Group II in flexion (p = 0.02) and left lateral bending (p = 0.005).(ABSTRACT TRUNCATED AT 250 WORDS)
Emery
S E
SE
Department of Orthopaedics, Case Western Reserve University, Cleveland, Ohio 44106.
Brazinski
M S
MS
Koka
A
A
Bensusan
J S
JS
Stevenson
S
S
D000818:Animals; D001696:Biomechanical Phenomena; D001846:Bone Development / Q000528:radiation effects; D016025:Bone Transplantation; D004285:Dogs; D005260:Female; D007085:Ilium / Q000528:radiation effects* / Q000637:transplantation; D011182:Postoperative Care / Q000379:methods; D011300:Preoperative Care; D011829:Radiation Dosage; D013123:Spinal Fusion / Q000379:methods*; D013904:Thoracic Vertebrae / Q000528:radiation effects* / Q000601:surgery; D014182:Transplantation, Autologous; D014945:Wound Healing / Q000528:radiation effects