Mechanical properties of nerve roots and rami radiculares isolated from fresh pig spinal cords

No reports have described experiments designed to determine the strength characteristics of spinal nerve roots and rami radiculares for the purpose of explaining the complexity of symptoms of medullary cone lesions and cauda equina syndrome. In this study, to explain the pathogenesis of cauda equina syndrome, monoaxial tensile tests were performed to determine the strength characteristics of spinal nerve roots and rami radiculares, and analysis was conducted to evaluate the stress-strain relationship and strength characteristics. Using the same tensile test device, the nerve root and ramus radiculares isolated from the spinal cords of pigs were subjected to the tensile test and stress relaxation test at load strain rates of 0.1, 1, 10, and 100 s -1 under identical settings. The tensile strength of the nerve root was not rate dependent, while the ramus radiculares tensile strength tended to decrease as the strain rate increased. These findings provide important insights into cauda equina symptoms, radiculopathy, and clinical symptoms of the medullary cone.

[1]  P. Decuzzi,et al.  Role of differential adhesion in cell cluster evolution: from vasculogenesis to cancer metastasis , 2015, Computer methods in biomechanics and biomedical engineering.

[2]  Y. Kato,et al.  Biomechanical analysis of cervical myelopathy due to ossification of the posterior longitudinal ligament: Effects of posterior decompression and kyphosis following decompression , 2014, Experimental and therapeutic medicine.

[3]  Y. Kato,et al.  Biomechanical analysis of the spinal cord in Brown-Séquard syndrome , 2013 .

[4]  Y. Kato,et al.  Biomechanical analysis of cervical spondylotic myelopathy: The influence of dynamic factors and morphometry of the spinal cord , 2012, The journal of spinal cord medicine.

[5]  Y. Kato,et al.  Biomechanical study of the spinal cord in thoracic ossification of the posterior longitudinal ligament , 2011, The journal of spinal cord medicine.

[6]  Y. Kato,et al.  Biomechanical study of the effect of degree of static compression of the spinal cord in ossification of the posterior longitudinal ligament. , 2010, Journal of neurosurgery. Spine.

[7]  C. Elsberg Diagnosis and treatment of surgical diseases of the spinal cord and its membranes , 2010 .

[8]  M. Sekiguchi,et al.  Comparison of neuropathic pain and neuronal apoptosis following nerve root or spinal nerve compression , 2009, European Spine Journal.

[9]  Y. Kato,et al.  Flexion Model Simulating Spinal Cord Injury Without Radiographic Abnormality in Patients With Ossification of the Longitudinal Ligament: The Influence of Flexion Speed on the Cervical Spine , 2009, The journal of spinal cord medicine.

[10]  Y. Kato,et al.  Biomechanical study of cervical flexion myelopathy using a three-dimensional finite element method. , 2008, Journal of neurosurgery. Spine.

[11]  R. Jancalek,et al.  An experimental animal model of spinal root compression syndrome: an analysis of morphological changes of myelinated axons during compression radiculopathy and after decompression , 2007, Experimental Brain Research.

[12]  Y. Atsuta,et al.  Ectopic Firing due to Artificial Venous Stasis in Rat Lumbar Spinal Canal Stenosis Model: A Possible Pathogenesis of Neurogenic Intermittent Claudication , 2005, Spine.

[13]  Yi Dai,et al.  Role of Mitogen-Activated Protein Kinase Activation in Injured and Intact Primary Afferent Neurons for Mechanical and Heat Hypersensitivity after Spinal Nerve Ligation , 2004, The Journal of Neuroscience.

[14]  Shigeru Kobayashi,et al.  Pathology of lumbar nerve root compression Part 2: Morphological and immunohistochemical changes of dorsal root ganglion , 2004, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[15]  Shigeru Kobayashi,et al.  Pathology of lumbar nerve root compression Part 1: Intraradicular inflammatory changes induced by mechanical compression , 2004, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[16]  T. Taguchi,et al.  Gray matter of the bovine cervical spinal cord is mechanically more rigid and fragile than the white matter. , 2001, Journal of neurotrauma.

[17]  K. Kagechika,et al.  Changes in Epidural Pressure During Walking in Patients With Lumbar Spinal Stenosis , 1995, Spine.

[18]  K. Tomita,et al.  Epidural Pressure Measurements: Relationship Between Epidural Pressure and Posture in Patients with Lumbar Spinal Stenosis , 1995, Spine.

[19]  Shigeru Kobayashi,et al.  Vasogenic edema induced by compression injury to the spinal nerve root. Distribution of intravenously injected protein tracers and gadolinium-enhanced magnetic resonance imaging. , 1993, Spine.

[20]  K. Olmarker,et al.  Double‐level cauda equina compression: An experimental study with continuous monitoring of intraneural blood flow in the porcine cauda equina , 1993, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[21]  K. Olmarker,et al.  Spinal nerve root compression. Nutrition and function of the porcine cauda equina compressed in vivo. , 1991, Acta orthopaedica Scandinavica. Supplementum.

[22]  S. Garfin,et al.  Organization of intrathecal nerve roots at the level of the conus medullaris. , 1990, The Journal of bone and joint surgery. American volume.

[23]  S R Garfin,et al.  Cauda equina anatomy. I: Intrathecal nerve root organization. , 1990, Spine.

[24]  Y. Ooi,et al.  Myeloscopic study on lumbar spinal canal stenosis with special reference to intermittent claudication. , 1990, Spine.

[25]  R. Delamarter,et al.  Experimental lumbar spinal stenosis. Analysis of the cortical evoked potentials, microvasculature, and histopathology. , 1990, The Journal of bone and joint surgery. American volume.

[26]  K. Tsuge,et al.  Repair of flexor tendons by intratendinous tendon suture. , 1977, The Journal of hand surgery.

[27]  M. Urist,et al.  Lumbar Spinal Stenosis and Nerve Root Entrapment Syndromes , 1976 .

[28]  M. Urist,et al.  Lumbar spinal stenosis and nerve root entrapment syndromes. Definition and classification. , 1976, Clinical orthopaedics and related research.