Evidence map›Paper›PMID 35783908›Full record

ArticleJOR spine2022

Comparison and optimization of sheep in vivo intervertebral disc injury model.

Caroline Constant, Warren W Hom, Dirk Nehrbass, Eric-Norman Carmel, Christoph E Albers, Moritz C Deml, Dominic Gehweiler, Yunsoo Lee, Andrew Hecht, Sibylle Grad and 2 more

Open access · goldAbstract read
In one paragraph

Article in JOR spine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
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

13 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Ovine models of intervertebral disc degeneration.Annals of translational medicine · 2025
    Review
  4. Review
  5. Review
  6. Lateral fenestration of lumbar intervertebral discs in rabbits: development and characterisation of an in vivo preclinical model with multi-modal endpoint analysis.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 · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
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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

12 authors at 4 institutions in 3 countries.

Caroline ConstantAO Research Institute Davos Davos Switzerland.ORCID https://orcid.org/0000-0002-7846-5612
Warren W HomDepartment of Orthopaedics Icahn School of Medicine, Mount Sinai Health System New York New York USA.
Dirk NehrbassAO Research Institute Davos Davos Switzerland.ORCID https://orcid.org/0000-0002-4871-5473
Eric-Norman CarmelDépartement de sciences cliniques, Faculté de médecine vétérinaire Université de Montréal Saint-Hyacinthe Canada.
Christoph E AlbersDepartment of Orthopaedic Surgery & Traumatology Inselspital, University Hospital Bern Bern Switzerland.
Moritz C DemlDepartment of Orthopaedic Surgery & Traumatology Inselspital, University Hospital Bern Bern Switzerland.
Dominic GehweilerAO Research Institute Davos Davos Switzerland.
Yunsoo LeeDepartment of Orthopaedics Icahn School of Medicine, Mount Sinai Health System New York New York USA.
Andrew HechtDepartment of Orthopaedics Icahn School of Medicine, Mount Sinai Health System New York New York USA.
Sibylle GradAO Research Institute Davos Davos Switzerland.ORCID https://orcid.org/0000-0001-9552-3653
James C IatridisDepartment of Orthopaedics Icahn School of Medicine, Mount Sinai Health System New York New York USA.ORCID https://orcid.org/0000-0002-2186-0590
Stephan ZeiterAO Research Institute Davos Davos Switzerland.
AO Foundation · CHMount Sinai Health System · USUniversity Hospital of Bern · CHUniversité de Montréal · CA

Funding

Model of Human Disc Regeneration in the spectrum of Degenerative Disc DiseaseR01AR057397 · NIAMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI IATRIDIS, JAMES C. · 2011 to 2021
$5.1M
Mechanisms for Regenerative Healing in Intervertebral DiscsR01AR080096 · NIAMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI James C. Iatridis · 2022 to 2026
$3.8M
NIAMS NIH HHS R01 AR057397NIAMS NIH HHS R01 AR080096
6 · The paper itself

Abstract

Background: The current standard of care for intervertebral disc (IVD) herniation, surgical discectomy, does not repair annulus fibrosus (AF) defects, which is partly due to the lack of effective methods to do so and is why new repair strategies are widely investigated and tested preclinically. There is a need to develop a standardized IVD injury model in large animals to enable comparison and interpretation across preclinical study results. The purpose of this study was to compare Methods: Six skeletally mature sheep were randomly assigned to one of the two observation periods (1 and 3 months) and underwent creation of 3 different AF defect types (slit, cruciate, and box-cut AF defects) in conjunction with 0.1 g NP removal in three lumbar levels using a lateral retroperitoneal surgical approach. The spine was monitored by clinical CT scans pre- and postoperatively, at 2 weeks and euthanasia, and by magnetic resonance imaging (MRI) and histology after euthanasia to determine the severity of degeneration (disc height loss, Pfirrmann grading, semiquantitative histopathology grading). Results: All AF defects led to significant degenerative changes detectable on CT and MR images, produced bulging of disc tissue without disc herniation and led to degenerative and inflammatory histopathological changes. However, AF defects were not equal in terms of disc height loss at 3 months postoperatively; the cruciate and box-cut AF defects showed significantly decreased disc height compared to their preoperative height, with the box-cut defect creating the greatest disc height loss, while the slit AF defect showed restoration of normal preoperative disc height. Conclusions: The tested IVD injury models do not all generate comparable disc degeneration but can be considered suitable IVD injury models to investigate new treatments. Results of the current study clearly indicate that slit AF defect should be avoided if disc height is used as one of the main outcomes; additional confirmatory studies may be warranted to generalize this finding.

Indexed as

annulus fibrosus defectdiscectomyintervertebral disc degenerationintervertebral disc injurypreclinical modelsheep

Identifiers

PMID35783908
PMCPMC9238284
OpenAlexW4224273229

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.