Abstract
The aim of this experimental study was to evaluate the effectivity of epidural microballoon
inflation into the unroofed spinal column for the creation of a new experimental spinal
cord injury model in rabbits. 10 New Zealand white rabbits were used for this study.
Before operation and after anasthesia with 50 mg/kg ketamine and 8 mg/kg xylazine,
spinal evoked potentials (SEP) were recorded in all rabbits. A midline skin incision
was done on the lomber skin at the level of L1-L4. Paravertebral muscles were dissected
bilaterally. A microhemilaminotomy was done in the right L3 lamina close to the midline
by using Midas-rex micro-diamond drill instruments. The ligamentum flavum was opened
and removed with microscissors. A microballoon was inserted into the spinal column
between the bone and dura mater to the level of T12. The microballoon was inflated
by using a pressure- and volume-controlled microballoon inflation device. Pre-injury
and post-injury SEPs were recorded. The microballoon was deflated 15 minutes later
and removed completely from the epidural space. 24 hours later the SEP study was repeated.
Following microballoon inflation the SEP waves dropped to the basal level. All rabbits
were paraplegic after the operation. In conclusion, this experimental study demonstrated
that the microballoon inflation technique is a very successful method for the evaluation
of spinal cord injury in rabbits. Unroofing of the spinal column is extremely important
because decompression may be an effective treatment in spinal cord injury. Also the
traumatic effect of aneurysm clips represents a different type of injury to the spinal
cord. This new model may be used in experimental studies of spinal cord injury in
rabbits.
Key words
spinal cord injury - experimental models - microballoon inflation
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Correspondence
Prof. C. CoklukMD
Department of Neurosurgery
Ondokuzmayis University
Medical Faculty
55139 Samsun
Turkey
Phone: +90/362/312 19 19/31 11
Email: cengizcokluk@yahoo.com