Abnormal fetal muscle forces result in defects in spinal curvature and alterations in vertebral segmentation and shape
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Accepted version
Author(s)
Type
Journal Article
Abstract
The incidence of congenital spine deformities, including congenital scoliosis, kyphosis and lordosis, may be influenced by the in utero mechanical environment, and particularly by fetal movements at critical time-points. There is a limited understanding of the influence of fetal movements on spinal development, despite the fact that mechanical forces have been shown to play an essential role in skeletal development of the limb. This study investigates the effects of muscle forces on spinal curvature, vertebral segmentation and vertebral shape by inducing rigid or flaccid paralysis in the embryonic chick. The critical time-points for the influence of fetal movements on spinal development were identified by varying the time of onset of paralysis. Prolonged rigid paralysis induced severe defects in the spine, including curvature abnormalities, posterior and anterior vertebral fusions and altered vertebral shape, while flaccid paralysis did not affect spinal curvature or vertebral segmentation. Early rigid paralysis resulted in more severe abnormalities in the spine than later rigid paralysis. The findings of this study support the hypothesis that the timing and nature of fetal muscle activity are critical influences on the normal development of the spine, with implications for the understanding of congenital spine deformities.
Date Issued
2017-01-12
Date Acceptance
2017-01-06
Citation
Journal of Orthopaedic Research, 2017, 35 (10), pp.2135-2144
ISSN
1554-527X
Publisher
Wiley
Start Page
2135
End Page
2144
Journal / Book Title
Journal of Orthopaedic Research
Volume
35
Issue
10
Copyright Statement
This is the peer reviewed version of the following article: Rolfe, R. A., Bezer, J. H., Kim, T., Zaidon, A. Z., Oyen, M. L., Iatridis, J. C. and Nowlan, N. C. (2017), Abnormal fetal muscle forces result in defects in spinal curvature and alterations in vertebral segmentation and shape. J. Orthop. Res., 35: 2135–2144, which has been published in final form at https://dx.doi.org/10.1002/jor.23518. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
Sponsor
The Leverhulme Trust
Grant Number
RPG-2014-339
Subjects
chick immobilization
congenital spine deformities
development
flaccid paralysis
muscle forces
rigid paralysis
0903 Biomedical Engineering
1103 Clinical Sciences
1106 Human Movement And Sports Science
Orthopedics
Publication Status
Published