Document Type

Article

Language

Eng

Publication Date

12-2017

Publisher

Elsevier

Source Publication

The Spine Journal

Source ISSN

1529-9430

Abstract

Background Context

Adipokines are secreted by white adipose tissue and have been associated with fracture healing. Our goal was to report the temporal expression of adipokines during spinal fusion in an established rabbit model.

Purpose

Our goal was to report the temporal expression of adipokines during spinal fusion in an established rabbit model.

Study Design

The study design included a laboratory animal model.

Methods

New Zealand white rabbits were assigned to either sham surgery (n=2), unilateral posterior spinal fusion (n=14), or bilateral posterior spinal fusion (n=14). Rabbits were euthanized 1–6 and 10 weeks out from surgery. Fusion was evaluated by radiographs, manual palpation, and histology. Reverse transcription-polymerase chain reaction on the bone fusion mass catalogued the gene expression of leptin, adiponectin, resistin, and vascular endothelial growth factor (VEGF) at each time point. Results were normalized to the internal control gene, glyceraldehyde-3-phosphate dehydrogenase (GAPDH) (2^ΔCt), and control bone sites (2^ΔΔCt). Quantitative data were analyzed by two-factor analysis of variance (p<.05).

Results

Manual palpation scores, radiograph scores, and histologic findings showed progression of boney fusion over time (p

Conclusions

Leptin expression is likely associated with the maturation phase of bone fusion. Adiponectin and resistin may play a role early on during the fusion process. Our results suggest that leptin expression may be upstream of VEGF expression during spinal fusion, and both appear to play an important role in bone spinal fusion.

Comments

Accepted version. The Spine Journal, Vol. 17, No. 12 (December 2017): 1897-1906. DOI. © 2017 Elsevier B.V. Used with permission.

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