K. Olmarker et al., EFFECTS OF METHYLPREDNISOLONE ON NUCLEUS PULPOSUS-INDUCED NERVE ROOT INJURY, Spine (Philadelphia, Pa. 1976), 19(16), 1994, pp. 1803-1808
Study Design. The effects of intervention by intravenous injection of
methylprednisolone to reduce the nerve root injury after epidural appl
ication of autologous nucleus pulposus was studied in an experimental
model on the pig cauda equina in 20 animals. Methods. Nucleus pulposus
was harvested from a lumbar disc. After lowering the pH of the nucleu
s pulposus to 3.5 it was placed onto the sacrococcygeal cauda equina.
Fifteen of the pigs received a single intravenous injection of 30 mg/k
g methylprednisolone, 5 minutes, 24 hours, or 48 hours, respectively,
after the application. After 7 days, the nerve conduction velocity was
determined, and biopsies of the cauda equina was examined by lightmic
roscopy. Results. In the five pigs that did not receive any methylpred
nisolone treatment, nerve conduction velocity was reduced, whereas it
was normal in the pigs treated 5 minutes and 24 hours after nucleus pu
lposus application. In pigs treated after 48 hours, nerve conduction v
elocity was reduced only slightly. At the light microscopic level, sig
nificant changes occurred in all series. Conclusions. This study indic
ates that the nucleus pulposus-induced effects on nerve function in an
experimental pig model may be reduced dramatically by high-dose methy
lprednisolone administration within 24-48 hours after epidural applica
tion.of autologous nucleus pulposus. The light microscopic changes wer
e probably not significant for the nerve function. Instead, a morpholo
gic explanation on a subcellular level should probably be sought.