Subscribe to RSS
DOI: 10.1055/s-0038-1632730
Quantitative morphology of the human and porcine mid-lumbar interspinous ligament
This work was funded by the Natural Sciences and Engineering Research Council of Canada. The authors would like to acknowledge the assistance of Dr. Michael Pierrynowski, the Human Movement Laboratory and the Anatomy Programme at McMaster University, and Mrs Helga Hunter for preparing the histology sections.Publication History
Received
20 December 2002
Accepted
12 March 2002
Publication Date:
08 February 2018 (online)
Summary
Animal models are essential in spine research for evaluating implants and for studying spinal mechanics. Several studies have compared the geometrical characteristics of animal and human vertebrae, but few studies have compared the structure of the spinal ligaments. The purpose of this study was to systematically quantify the collagen fibre orientation of the porcine and human interspinous ligament and thereby allow clearer interpretation of function. Human and porcine lumbar spine segments were loaded with a 10 Nm pure-flexion moment and chemically fixed. The sagittal plane collagen fibre orientation in the mid-lumbar interspinous ligaments was quantified by examining histological sections using a plane-polarized light macroscope and custom analysis software. The specimens showed collagen fibres in a posterior-cranial orientation originating from the superior aspect of the spinous process of the inferior vertebra and merging into the supraspinous ligament. There were not any statistically significant differences in interspinous ligament collagen fibre orientation between the human and porcine specimens. The middle and ventral spaces between the spinous processes of the human specimens contained loose disorganized collagen, skeletal muscle, and voids. The main load-bearing component of porcine and human interspinous ligament at the midlumbar level appears to be the dorsal portion, which is oriented at approximately 77-79 degrees with respect to the mid-disc plane. This dorsal aspect has a long moment arm and therefore is well suited to prevent excessive flexion. The similarity of the interspinous ligament morphology suggests that the porcine lumbar spine is a good model of the human lumbar spine.
Keywords
Interspinous ligament - porcine model - comparative anatomy - collagen fibre orientation - biomechanicsSources of Support: Natural Sciences and Engineering Research Council of Canada
-
References
- 1 Adams MA. Mechanical Testing of the Spine – An Appraisal of Methodology, Results, and Conclusions. Spine 1995; 20: 2151-6.
- 2 Adams MA, Hutton WC, Stott JRR. The Resistance to Flexion of the Lumbar Intervertebral Joint. Spine 1980; 05: 245-53.
- 3 Aspden RM, Bornstein NH, Hukins DWL. Collagen Organization in the Interspinous Ligament and its Relationship to Tissue Function. J Anat 1987; 155: 141-51.
- 4 Behrsin JF, Briggs CA. Ligaments of the Lumbar Spine: A Review. Surg Radiol Anat 1988; 10: 211-9.
- 5 Dickey JP, Bednar DA, Dumas GA. New Insight Into the Mechanics of the Lumbar Interspinous Ligament. Spine 1996; 21: 2720-7.
- 6 Dickey JP, Hewlett BR, Dumas GA, Bednar DA. Measuring Collagen Fibre Orientation: A Two-Dimensional Quantitative Macroscopic Technique. J Biomech Eng 1998; 120: 537-40.
- 7 Drury RAB, Wallington EA, Cameron R. Carleton’s Histological Technique. 4th Edition. New York: Oxford University Press; 1967
- 8 Dumas GA, Beaudoin L, Drouin G. In Situ Mechanical Behavior of Posterior Spinal Ligaments in the Lumbar Region. An In Vitro Study. J Biomech 1987; 20: 301-10.
- 9 Farfan HF. Biomechanics of the Lumbar Spine. In: Kirkaldy-Willis WH. editor. Managing Low Back Pain. New York: Churchill Livingstone; 1988: 15-27.
- 10 Fujiwara A, Tamai K, An HS, Shimizu K, Yoshida H, Saotome K. The interspinous ligament of the lumbar spine. Magnetic resonance images and their clinical significance. Spine 2000; 25: 358-63.
- 11 Goel VK, Goyal S, Clark C, Nishiyama K, Nye T. Kinematics of the Whole Lumbar Spine – Effect of Discectomy. Spine 1985; 10: 543-54.
- 12 Goel VK, Voo LM, Weinstein JN, Liu YK, Okuma T, Njus GO. Response of the Ligamentous Lumbar Spine to Cyclic Bending Loads. Spine 1988; 13: 294-300.
- 13 Gracovetsky S, Farfan HF, Lamy C. The Mechanism of the Lumbar Spine. Spine 1981; 06: 249-62.
- 14 Grauer JN, Erulkar JS, Patel TC, Panjabi MM. Biomechanical evaluation of the New Zealand white rabbit lumbar spine: a physiologic characterization. Eur Spine J 2000; 09: 250-5.
- 15 Hasberry S, Pearcy MJ. Temperature Dependence of the Tensile Properties of Interspinous Ligaments of Sheep. J Biomed Eng 1986; 08: 62-6.
- 16 Heylings DJA. Supraspinous and Interspinous Ligaments of the Human Lumbar Spine. J Anat 1978; 125: 127-31.
- 17 Heylings DJA. Supraspinous and Interspinous Ligaments in Dog, Cat and Baboon. J Anat 1980; 130: 223-8.
- 18 Hukins DWL. Collagen Orientation. In: Hukins DWL. editor. Connective Tissue Matrix. London: Macmillan Press; 1984: 211-40.
- 19 Hukins DWL, Kirby MC, Sikoryn TA, Aspden RM, Cox AJ. Comparison of Structure, Mechanical Properties, and Functions of Lumbar Spinal Ligaments. Spine 1990; 15: 787-95.
- 20 Hukins DWL, Meakin JR. Relationship Between Structure and Mechanical Function of the Tissues of the Intervertebral Joint. Am Zool 2000; 40: 42-52.
- 21 Jiang H, Moreau M, Raso VJ, Russell G, Bagnall K. A Comparison of Spinal Ligaments – Differences Between Bipeds and Quadrupeds. J Anat 1995; 187: 85-91.
- 22 Johnson GM, Zhang M. Regional Differences within the human supraspinous and interspinous ligaments: a sheet plastination study. Eur Spine J. 2002 online first publication. DOI 10.1007/s00586-001-0378-2
- 23 Jorgensen MJ, Marras WS, Granata KP, Wiand JW. MRI-derived moment-arms of the female and male spine loading muscles. Clin Biomech 2001; 16: 182-93.
- 24 Lysack JT, Dickey JP, Dumas GA, Yen D. A Continuous Pure Moment Loading Apparatus for Biomechanical Testing of Multi-Segment Spine Specimens. J Biomech 2000; 33: 765-70.
- 25 McGill SM. Estimation of Force and Extensor Moment Contributions of the Disc and Ligaments at L4-L5. Spine 1988; 13: 1395-1402.
- 26 McGill SM, Norman RW. Effects of an Anatomically Detailed Erector Spinae Model on L4/L5 Disc Compression and Shear. J Biomech 1987; 20: 591-600.
- 27 Minaki Y, Yamashita T, Ishii S. An Electrophy- siological Study on the Mechanoreceptors in the Lumbar Spine and Adjacent Tissues. Neuro-Orthopedics 1996; 20: 23-35.
- 28 Oxland TR, Panjabi MM, Southern EP, Duranceau JS. An Anatomic Basis for Spinal Instability: A Porcine Trauma Model. J Orthopaed Res 1991; 09: 452-62.
- 29 Panjabi MM, Greenstein G, Duranceau J, Nolte LP. Three-Dimensional Quantitative Morphology of Lumbar Spinal Ligaments. J Spinal Disord 1991; 04: 54-62.
- 30 Panjabi MM, Krag M, Summers D, Videman T. Biomechanical Time-Tolerance of Fresh Cadaveric Human Spine Specimens. J Orthopaed Res 1985; 03: 292-300.
- 31 Prestar FJ, Frick H, Putz R. Bandverbindungen der Dornfortsätze der Wirbelsäule [Ligamentous Connections of the Spinous Processes]. Anat Anz 1985; 159: 259-68.
- 32 Putz R. The Detailed Functional Anatomy of the Ligaments of the Vertebral Column. Ann Anat 1992; 174: 40-7.
- 33 Rissanen PM. The Surgical Anatomy and Pathology of the Supraspinous and Interspinous Ligaments of the Lumbar Spine with Special Reference to Ligament Ruptures. Acta Orthop Scand 1960; Suppl 46: 1-100.
- 34 Russ JC. Image Processing to Correct Defects in Microscope Images. J Comput-Assist Microsc 1992; 04: 141-9.
- 35 Sartoris DJ, Resnick D, Tyson R, Haghighi P. Age-Related Alterations in the Vertebral Spinous Processes and Intervening Soft Tissues: Radiologic-Pathologic Correlation. Am J Roentgenol 1985; 145: 1025-30.
- 36 Shirazi-Adl A, Ahmed AM, Shrivastava SC. Mechanical Response of a Lumbar Motion Segment in Axial Torque Alone and Combined with Compression. Spine 1986; 11: 914-27.
- 37 Smit TH. The use of a quadruped as an in vivo model for the study of the spine – biomechanical considerations. Eur Spine J 2001; 11: 137-44.
- 38 Sweat F, Puchtler H, Rosenthal SI. Sirius Red F3BA as a Stain for Connective Tissue. Arch Pathol 1964; 78: 69-72.
- 39 Terk MR, Hume-Neal M, Fraipont M, Ahmadi J, Colletti PM. Injury of the posterior ligament complex in patients with acute spinal trauma: evaluation by MR imaging. Am J Roentgenol 1997; 168: 1481-6.
- 40 Usson Y, Parazza F, Jouk PS, Michalowicz G. Method for the Study of the Three-Dimensional Orientation of the Nuclei of Myocardial Cells in Fetal Human Heart by Means of Con- focal Scanning Laser Microscopy. J Microsc 1994; 174: 101-10.
- 41 Whittaker P, Boughner DR, Kloner RA. Role of Collagen in Acute Myocardial Infarct Expansion. Circulation 1991; 84: 2123-34.
- 42 Yahia H, Drouin G, Maurais G, Garzon S, Rivard C. Degeneration of the Human Lumbar Spine Ligaments. An Ultrastructural Study. Pathol, Res Pract 1989; 184: 369-75.
- 43 Yahia LH, Garzon S, Strykowski H, Rivard CH. Ultrastructure of the Human Interspinous Ligament and Ligamentum Flavum – A Preliminary Study. Spine 1990; 15: 262-8.
- 44 Yahia LH, Newman N, Rivard CH. Neurohistology of Lumbar Spine Ligaments. Acta Orthop Scand 1988; 59: 508-12.