No electron microscopic research in the neural arch of the pedicle side, (i.e. the remnant laminae of the pedicle side), in patients with spondylolysis has previously been reported.
The purpose of this investigation is to elucidate the electron microscopic findings in parts of the defected neural arch compared with the findings of pseudoarthrosis of the tubular bone.
Results:
1) Macroscopically, the pedicle in the patient with spondylolysis was smaller than that of a normal subject, which was statistically significant (P. 0.005). The isthmus showed a tendency to taper in both the remnant and the mobile laminae.
2) In the conventional light microscopic specimens of spondylolysis obtained from both sides of the neural defected parts, three layers were identified; the fibrous connective tissue (Defective zone: D zone), the fibrocartilagenous tissue (Junctional zone: J zone), and the osseus tissue (Bony zone:
B
zone
). No bone formation was shown in the D zone and fibrocartilagenous tissues were present in the J zone. Atrophied bone trabecula, an enlarged bone marrow canal, sclerotic change of the epiphysis, fibrous tissue and decreased fat tissue in the bone marrow were shown in the
B
zone
.
3) Under electron microscopic examination, the D zone of the mobile laminae showed sparsely distributed fibrous cells and a threedimensional crossing of fibrous bundle, formed by normal collagenous fibrils having 640Å periodicity.
4) In the J zone of the mobile laminae, the scattered cartilagelike cells were shown in the dense collagenous tissue. The cell was a different shape from the normal cartilage cell. These cells with many cytoplasmic processes possessed the PAM positive immature collagenous fibrils in lacunar space and released matrix vesicle-like bodies around the cell.
5) Osteocytic cells and fascicular dense collagenous tissue, corresponding to the laminar structure, were found in the
B
zone
of the mobile laminae.
6) Electron microscopic findings of D, J and B zones of the remnant laminae reveal identical pattern in the mobile laminae.
7) Pseudoarthrosis, macroscopically resembling the spondylolytic isthmus, consisted of D, J and B zones under a light microscope. Although the J zone was irregular in arrangement, osteosclerosis and bone marrow alterations were relatively slight.
8) Under electron microscopic observation of pseudoarthrosis, no outspoken findings were revealed in D and B zones. In the J zone, the following differences were seen in comparison with that of spondylolytic isthmus; (1) relatively narrowed lacunar space, (2) lack of immature collagenous fibrils, seen in lacunar space of spondylolysis, (3) presence of abundant micro filaments within the cytoplasm, (4) marked developed r-ER, (5) relatively increased cytoplasmic processes, (6) absence of a matrix vesicle-like body in the collagenous tissue, markedthickened collagenous fibrils, measuring up to 2, 000 to 2, 300 A in diameter in the collagenous tissue.
9) Based on the above observations, no significant differences between the mobile laminae and the remnant laminae of the pedicle side were obtained either microscopically or under light and electron microscopes. The morphology of matrix and cellular components showed distinct difference between the spondylolytic isthmus and pseudoarthrosis. In conclusion, it was assumed that spondylolysis is an interruption of the continuity of the isthmus in the neural arch with osseus dysplasia, and this might be exerted by a dynamic force during the development of the spinal curvature.
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