A Safe, Effective, and Economical Protocol for Rabbit Vertebral Screw Insertion

Posterior lumbar screw fixation is the most common surgical method for lumbar disc herniation, but patients often face multiple complications postoperatively. The occurrence of screw track loosening can lead to fusion failure and even life-threatening screw track extrusion. However, there is currently a lack of animal models specifically targeting changes in the screw track following lumbar screw fixation. This study developed a vertebral screw insertion method based on New Zealand white rabbits, designed to minimize the risk of postoperative screw penetration into the spinal canal, thus avoiding spinal cord injury. In this protocol, the intersection point of the horizontal line from the upper edge of the transverse process and the junction of the pedicle is recommended as the entry point. The insertion angle should be approximately 45°-55° outward and 20°-40° downward. Additionally, based on screw placement under direct vision and the use of commercial instruments,this method is simpler and more cost-effective compared to existing large animal modeling techniques. It provides an animal model for subsequent basic research on screw track loosening and the microenvironment surrounding the screw track.

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Publication Details

Journal
Journal of Visualized Experiments
Published
2025-08-19
DOI
https://doi.org/10.3791/68702
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
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article

A Safe, Effective, and Economical Protocol for Rabbit Vertebral Screw Insertion

Guang Li, Quan Zhang, Xiao Dong-Lun, Zhou Meng-Meng et al.
Journal of Visualized Experiments
Orthopedic Surgery and Rehabilitation
article

A Safe, Effective, and Economical Protocol for Rabbit Vertebral Screw Insertion

Guang Li, Quan Zhang, Xiao Dong-Lun, Zhou Meng-Meng, Li Shen-Ao, Yang Hou-Zhi, Tian Rong
article en

Abstract

Posterior lumbar screw fixation is the most common surgical method for lumbar disc herniation, but patients often face multiple complications postoperatively. The occurrence of screw track loosening can lead to fusion failure and even life-threatening screw track extrusion. However, there is currently a lack of animal models specifically targeting changes in the screw track following lumbar screw fixation. This study developed a vertebral screw insertion method based on New Zealand white rabbits, designed to minimize the risk of postoperative screw penetration into the spinal canal, thus avoiding spinal cord injury. In this protocol, the intersection point of the horizontal line from the upper edge of the transverse process and the junction of the pedicle is recommended as the entry point. The insertion angle should be approximately 45°-55° outward and 20°-40° downward. Additionally, based on screw placement under direct vision and the use of commercial instruments,this method is simpler and more cost-effective compared to existing large animal modeling techniques. It provides an animal model for subsequent basic research on screw track loosening and the microenvironment surrounding the screw track.

Journal of Visualized Experiments(222)
Tianjin University of Traditional Chinese Medicine (CN), Tianjin First Center Hospital (CN), Tianjin Medical University (CN)
Openalex Percentile: Top 65%
Orthopedic Surgery and Rehabilitation
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