Purpose Discoblock is effective in relieving discogenic low back pain, but it can also cause intervertebral disk degeneration (IDD). The effect of species, concentration and volume of local anesthetics on IDD with discoblock have not been reported. The purpose was to study the effect of species, concentration and volume of local anesthetics on IDD in rats undergoing discoblock. Methods The effects of local anesthetics on nucleus pulposus cell (NPC) viability in vitro were studied. NPCs were exposed to lidocaine, bupivacaine and ropivacaine at different concentrations. NPC viability was measured. The least cytotoxic local anesthetic was used in vivo. The concentration and volume of local anesthetics on IDD in rat with discoblocks were tested in vivo. Detection indicators included X-ray, MRI, water content of the disk and histological changes. Results The toxicity of local anesthetics to NPCs was dose and time dependent, and the cytotoxicity of different local anesthetics was different. Among the three local anesthetics, ropivacaine was the least toxic to NPCs. The effect of ropivacaine concentration on IDD was not significant, as detected by X-ray, MRI, disk water content and histology (P < 0.05). The volume of ropivacaine has a significant effect on IDD, as supported by X-ray, MRI, disk water content and histology (P < 0.05). Acupuncture itself significantly increased IDD, as detected by MRI, disk water content and histology (P < 0.05). Conclusion Ropivacaine should be selected for its low cytotoxicity. A lower volume and slow injection speed should be used to reduce IDD during discoblock.
基金:
National Key R and D Program of China [2020YFC2008404]; National Natural Science Foundation of China [82102605]; Shanghai Sailing Program [19YF1448400]
第一作者机构:[1]Naval Med Univ, Affiliated Hosp 2, Dept Orthopaed, 415 Fengyang Rd, Shanghai, Peoples R China
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推荐引用方式(GB/T 7714):
Wang Weiheng,Xiao Bing,Yu Lei,et al.Effect of species, concentration and volume of local anesthetics on intervertebral disk degeneration in rats with discoblock[J].EUROPEAN SPINE JOURNAL.2022,31(11):2960-2971.doi:10.1007/s00586-022-07398-2.
APA:
Wang, Weiheng,Xiao, Bing,Yu, Lei,Wang, Haotian,Qi, Junqiang...&Xu, Guohua.(2022).Effect of species, concentration and volume of local anesthetics on intervertebral disk degeneration in rats with discoblock.EUROPEAN SPINE JOURNAL,31,(11)
MLA:
Wang, Weiheng,et al."Effect of species, concentration and volume of local anesthetics on intervertebral disk degeneration in rats with discoblock".EUROPEAN SPINE JOURNAL 31..11(2022):2960-2971