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Acta cir. bras ; 30(8): 574-579, Aug. 2015. tab, ilus
Article Dans Anglais | LILACS | ID: lil-757988

Résumé

PURPOSE:Small size needles have been regularly used for intradiscal injection of innocuous/potential therapeutic compounds in experimental conditions, but also in clinic procedures, such as discography. Our aim was to investigate if a 30-gauge needle could trigger observable changes on intact intervertebral discs. We compared these effects to those induced by a large size needle (21-gauge), a well-known intervertebral disc degenerative model based on needle puncture.METHODS:Coccygeal intervertebral discs (Co8-9) of adult male Wistar rats were punctured with a 21-gauge needle, while the coccygeal levels Co7-8 and Co9-10 remained intact. The 30-gauge needle was used to inject a safe volume of saline (2 µl) on both intact (Co9-10) and punctured (Co8-9) discs. MRI and histological score were performed at 2, 15 and 42 days after procedure.RESULTS: MRI analyses revealed significant reduction on signal intensity of 21-gauge punctured discs. Intact discs which received a saline injection through a 30-gauge needle also revealed significant alterations in the MRI signal when compared with control discs. No histological changes were observed in the intact saline injected discs at any time analyzed.CONCLUSION: Since significant intervertebral image changes were observed with a 30-gauge needle, cautious interpretation of the pharmacological inoculation findings is required.


Sujets)
Animaux , Mâle , Dégénérescence de disque intervertébral/anatomopathologie , Disque intervertébral/anatomopathologie , Aiguilles/effets indésirables , Ponctions/effets indésirables , Ponctions/instrumentation , Modèles animaux de maladie humaine , Conception d'appareillage , Dégénérescence de disque intervertébral/étiologie , Disque intervertébral/traumatismes , Imagerie par résonance magnétique , Rat Wistar , Région sacrococcygienne , Facteurs temps
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