Evidence map›Paper›PMID 25370985›Full record

ArticleJournal of spinal disorders & techniques2015

Needle puncture in rabbit functional spinal units alters rotational biomechanics.

Robert A Hartman, Kevin M Bell, Bichun Quan, Yao Nuzhao, Gwendolyn A Sowa, James D Kang

Abstract read
In one paragraph

Article in Journal of spinal disorders & techniques, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Immuno-stimulatory capacity of decorin in the rat tail intervertebral disc and the mechanical consequence of resultant inflammation.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
    Article
  3. Biomechanical test protocols to detect minor injury effects in intervertebral discs.Journal of the mechanical behavior of biomedical materials · 2019
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Robert A HartmanDepartments of *Physical Medicine and Rehabilitation †Bioengineering ‡Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA §Finance and Trade Hospital of Hunan Province, Tianxin, Changsha ∥The First Affiliated Hospital of University of South China, Xiangtan, Hunan, China.
Kevin M Bell
Bichun Quan
Yao Nuzhao
Gwendolyn A Sowa
James D Kang

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Mechanobiology in CAM: Differential Effects of AmplitudeF31AT007114 · NCCIH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HARTMAN, ROBERT ALLEN · 2011 to 2013
$127k
NCCIH NIH HHS F31 AT007114NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

STUDY

designAn in vitro biomechanical study for rabbit lumbar functional spinal units (FSUs) using a robot-based spine testing system.

objectiveTo elucidate the effect of annular puncture with a 16 G needle on mechanical properties in flexion/extension, axial rotation, and lateral bending. SUMMARY OF BACKGROUND DATA: Needle puncture of the intervertebral disk has been shown to alter mechanical properties of the disk in compression, torsion, and bending. The effect of needle puncture in FSUs, where intact spinal ligaments and facet joints may mitigate or amplify these changes in the disk, on spinal motion segment stability subject to physiological rotations remains unknown.

methodsRabbit FSUs were tested using a robot testing system whose force/moment and position precision were assessed to demonstrate system capability. Flexibility testing methods were developed by load-to-failure testing in flexion/extension, axial rotation, and lateral bending. Subsequent testing methods were used to examine a 16 G needle disk puncture and No. 11 blade disk stab (positive control for mechanical disruption). Flexibility testing was used to assess segmental range-of-motion (degrees), neutral zone stiffness (N m/degrees) and width (degrees and N m), and elastic zone stiffness before and after annular injury.

resultsThe robot-based system was capable of performing flexibility testing on FSUs-mean precision of force/moment measurements and robot system movements were <3% and 1%, respectively, of moment-rotation target values. Flexibility moment targets were 0.3 N m for flexion and axial rotation and 0.15 N m for extension and lateral bending. Needle puncture caused significant (P<0.05) changes only in flexion/extension range-of-motion and neutral zone stiffness and width (N m) compared with preintervention. No. 11 blade-stab significantly increased range-of-motion in all motions, decreased neutral zone stiffness and width (N m) in flexion/extension, and increased elastic zone stiffness in flexion and lateral bending.

conclusionsThese findings suggest that disk puncture and stab can destabilize FSUs in primary rotations.

Indexed as

NeedlesPuncturesAnimalsBiomechanical PhenomenaFemaleIntervertebral DiscIn Vitro TechniquesLumbar VertebraeRabbitsRange of Motion, ArticularRotationZygapophyseal Joint

Identifiers

PMID25370985
PMCPMC4382369

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.