• Qihang Su, Yongchao Li, Xiaofei Feng, Jun Tan, Hengan Ge, Biao Cheng, and Yan Zhang.
• Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine. No.301 Yanchang Middle Road, Shanghai 200072, China; Department of Orthopedics, Shanghai East Hospital, Tongji University School of Medicine, China. No. 150 Jimo Road, Shanghai 200120, China.
• Injury. 2021 Aug 1; 52 (8): 2084-2094.

IntroductionThe purpose of this study was to construct a rat caudal vertebral body fracture model and to analyze the association and histological characteristics of vertebral body fracture with endplate injury and adjacent intervertebral disc degeneration.Materials And MethodsThis study included 144 clean-grade male Sprague-Dawley rats, which were randomly divided into a control, middle vertebral body injury (MI), and endplate injury (EI) groups. A vertebral body fracture with or without endplate injury was developed by either drilling a hole in the middle of a rat caudal vertebral body to create a fracture with an intact endplate or drilling a hole in the vertebral body near the intervertebral disc to create a vertebral body fracture with endplate injury. The histological differences in the adjacent intervertebral discs of vertebral body fractures with or without endplate injury were detected using imaging, non-specific histological staining, immunohistochemistry and TUNEL assay.ResultsImaging results revealed that the EI group showed a significant decrease in intervertebral space height and intervertebral disc T2 signal over time. Non-specific histological staining revealed that in the EI group, the intervertebral disc was degenerative. Immunohistochemistry indicated that Aggrecan and Collagen-II were decreased and inflammatory factors were increased in the EI group. The TUNEL detection found that apoptosis was significantly increased in the EI group as compared with the MI and control groups.ConclusionIn rat caudal vertebral body fractures, a fracture with endplate injury is more likely to induce or accelerate degeneration of adjacent intervertebral discs.Copyright © 2021. Published by Elsevier Ltd.

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