Selective occlusion of lumbar arteries as a spinal cord ischemia model in rabbits

Paraplegia is a devastating complication of operations requiring transient occlusion of the descending thoracic aorta. Many animal models of spinal cord ischemia have been utilized to examine the efficacy of various neuroprotective methods. In this study, we establish a rabbit model of spinal cord ischemia by selective temporary occlusion of lumbar arteries and examine the protective effects of systemic mild hypothermia in this model. Animals were divided into the following four groups: sham group (group A, n=6); 10min ischemia, normothermia (39degreesC) (group B, n=6); 20min ischemia, normothermia (group C, n=6); and 30min ischemia, mild hypothermia (35degreesC) (group D, n=6). After 7d of reperfusion, three rabbits in group B and five rabbits in group C developed paraplegia (Tarlov's score=0). In contrast, all rabbits preserved hindlimb motor function (Tarlov's score=4) in groups A and D. Histological findings indicated that the number of motor neurons in the anterior horns in group C were significantly fewer than in group A. A large number of motor neurons were preserved in group D. Hypothermia is known to be an effective and reliable method of neuroprotection, but the risk of complications rises at deep hypothermia. Our current results confirm that systemic, mild hypothermia is a safe and effective neuroprotective method during ischemia-reperfusion injury of the spinal cord.