Wilke 1997
Wilke 1997
Anatomy of the Sheep Spine and Its Comparison to the Human Spine
                          HANS-JOACHIM WILKE,* ANNETTE KETTLER, KARL HOWARD WENGER,
                                             AND LUTZ EBERHARDT CLAES
                                 Department Unfallchirurgische Forschung und Biomechanik,
                                             Universität Ulm, Ulm, Germany
   Fresh human specimens are increasingly difficult to        its utility as a model for the human spine in in vivo and
obtain for in vitro experiments, and when available           in vitro experiments.
such specimens are required in large quantities to
overcome the wide scattering effect associated with                           MATERIALS AND METHODS
biological variability (Ashman et al., 1989). Specifically,      Five spines from 3- to 4-year-old female merino sheep
to provide a model for the human spine, animals such          with a weight of 72.1 6 7.3 (57–81) kg were harvested
as sheep, goat, pig, calf, and dog have been used. Such       for this study. After storage at 220°C in double-sealed
animal specimens are more readily available (Edmons-          bags, the specimens were thawed and then directly
ton et al., 1994) and show much better homogeneity            measured. The use of frozen stored specimens is consis-
than do human specimens when selected for breed, sex,         tent with the procedures of some investigators (Mor-
age, and weight (Eggli et al., 1992; Gurwitz et al., 1993).   oney et al., 1988; Green et al., 1993; Xu et al., 1995),
Sheep in particular are often used as a model for in vivo     whereas others have used dried specimens (Francis,
studies concerning, for instance, histomorphology of          1955; Berry et al., 1987; Scoles et al., 1988; Doherty and
the intervertebral disc (Osti et al., 1990; Moore et al.,     Heggeness, 1994, 1995), but this technique and forma-
1992; Gunzburg et al., 1993) and biomechanical efficacy       lin fixation tend to shrink the tissue.
of fusion techniques in the lumbar spine (Ahlgren et al.,        In general, sheep spines consist of 7 cervical, 12–14
1994). Sheep spines have also been used in vitro to           thoracic, and 6–7 lumbar vertebrae (Nickel et al., 1984).
study the initial stabilizing effect of spinal implants in    For consistency, only sheep with the most common
the lumbar (Slater et al., 1988; Yamamuro et al., 1990;       number of vertebrae—7 cervical, 14 thoracic, and 7
Nagel et al., 1991) and cervical regions (Vazquez-            lumbar—were selected. All muscles were dissected, and
Seonae et al., 1993).                                         at first the ligaments and intervertebral discs were
   Comprehensive, quantitative data on the characteris-       kept intact to maintain the physiological curvature of
tic anatomy of the sheep spine, however, are lacking.
Knowledge of the similarities and differences between
sheep and human spines is essential for interpreting            Received 23 August 1996; accepted 3 October 1996.
results from studies using this model and is needed to          *Correspondence to: Priv. Doz. Dr. Hans-Joachim Wilke, Depart-
establish for which investigations the sheep model is         ment Unfallchirurgische Forschung und Biomechanik, Universität
suitable. Thus, the purpose of this study was to provide      Ulm, Helmholtzstra¬e 14, 89081 Ulm, Germany; E-mail: wilke@sirius.
                                                              medizin.uni-ulm.de
an anatomical database of the sheep spine and a                 Contract grant sponsor: University Hospital of Ulm; Contract grant
detailed comparison with the human spine to improve           number: P.272.
  Fig. 1. Anatomical definition of reported dimensions. Abbreviations         the sheep spine, cranial view. e: C4 of the sheep spine, dorsal view. f:
are listed in Table 1. a: T6 of the sheep spine, lateral view. b: T6 of the   Thoracic vertebra, oblique perspective (adapted from Panjabi et al.,
sheep spine, cranial view. c: L4 of the sheep spine, dorsal view. d: L4 of    1993).
the spine. After measuring anterior disc height, the                          refer to the cranial joint space and were measured on
ligaments and disc were removed to determine verte-                           the right side.
bral dimensions (Fig. 1). Table 1 lists the nomenclature
key for the various measurements.                                                                    Angular Dimensions
                                                                                 Angles were measured with a three-dimensional
                         Linear Dimensions                                    goniometric linkage system consisting of six potentiom-
  Lengths, heights, and widths were measured with a                           eters connected by five rigid rods and yielding a verified
hand-held micrometer. Accuracy of the measurements                            accuracy of 0.1° and 0.1 mm (Wilke et al., 1994). Assuming
was governed by the users’ definition of the anatomical                       symmetry, angles of the transverse processes and multiple
landmarks, generally yielding a repeatability of about                        joint surfaces were measured only on the right cranial side.
0.5 mm. Assuming structural symmetry, pedicle height                          Various measuring probes were fabricated to maintain
and width, and transverse process length were mea-                            the reliability and repeatability of the apparatus in its
sured only on the right side. Facet height and width                          contact with the various bony surfaces.
544                                                               H.-J. WILKE ET AL.
          TABLE 1. Anatomical parameters and their                             appeared to deviate somewhat from columnar. In gen-
                abbreviations in this paper                                    eral, the greater width than depth of the sheep end-
Body part                 Abbreviations               Dimension                plates—as much as 2.3-fold at L7—was shown by an
                                                                               oval shape of the vertebral cross section.
Vertebral Body                 VBH           Vertebral body height               All vertebrae were taller than wide (1.5-fold at C3
                               EPW           End-plate width                   and 1.2-fold at T7) and wider than deep, especially in
                               EPD           End-plate depth
Pedicle                        PDH           Pedicle height
                                                                               the lumbar spine.
                               PDW           Pedicle width
Spinal canal                   SCD           Spinal canal depth
                                                                                                       Pedicles
                               SCW           Spinal canal width                  Pedicle height (PDH) in the cervical region decreased
Spinous and                    SPL           Spinous process length            caudally from 38.9 6 1.6 mm at C2 to 15.3 6 1.6 mm at
  transverse process           SPA           Spinous process angle             T1 and then increased continuously to 36.8 6 1.4 mm at
                               TPL           Transverse process length         L5; L6 and more so L7 were shorter in PDH (Table 3).
                               TPA           Transverse process angle
                               TPW           Transverse process width          Pedicle width (PDW) was smallest between C2 and C6
Articular facet                FCH           Facet height                      (4.7 6 0.7 to 6.3 6 0.8 mm), although greatest immedi-
                               FCW           Facet width                       ately adjacent at C7 (14.4 6 0.8 mm). PDW then
                               IFW           Interfacet width                  generally decreased through T13 (7.6 6 1.1 mm) and
                               CAX*          Card angle about x-axis           then increased through L7 (13.4 6 1.1 mm).
                               CAY*          Card angle about y-axis             The pedicles always were taller than wide. In the
Intervertebral disc            IDH           Intervertebral disc height        cervical vertebrae, PDW was as little as 14.6% of PDH.
Suffices                       u             upper or cranial                  A similar relationship was seen in the lumbar verte-
                               l             lower or caudal                   brae. The difference between VBHp and PDH was least
                               a             anterior
                               p             posterior                         in the lumbar vertebrae, with a minimum of 4.7 mm at
                                                                               L5, and greatest in the cervical vertebrae, with a
*The two angles CAX and CAY represent tilting angles of a card, which          maximum of 14.1 mm at C4.
was tilted relatively to the transversal plane first around the x-axis (CAX)
and then around the y-axis (CAY) to have the same orientation of the joint
plane.
                                                                                                     Spinal Canal
                                                                                 Spinal canal width (SCW) was greatest in the cervi-
                                                                               cal region, reaching 17.9 6 0.8 mm at C7, then nar-
                              RESULTS                                          rowed through the thoracic region to 10.9 6 0.8 at T10,
                           Vertebral Bodies                                    and increased in the lumbar region to 17.5 6 1.2 mm at
                                                                               L7 (Table 3). Spinal canal depth (SCD) was also largest
   Posterior vertebral body height (VBHp) decreased                            in the cervical spine, with a maximum of 15.2 6 1.0 mm
steadily through the cervical spine from 46.8 6 1.9 mm                         at C2, then decreased to 8.6 6 0.7 mm at T13, and
at C2 (the most cranial generic vertebra) to 27.0 6 1.1                        increased to 10.9 6 1.2 mm at L7.
mm at C7 (Table 2). VBHp in the upper thoracic spine                             The spinal canal was wider than deep over the whole
was fairly constant at about 26 mm. From mid-thoracic                          column; thus, as with the vertebral body, it displayed an
through L6, VBHp increased, reaching 41.6 6 1.1 mm                             oval shape most pronounced in the lumbar vertebrae
at L6; L7 was 5.4 mm shorter. Anterior height (VBHa)                           and weakest in the thoracic vertebrae.
showed a trend similar to VBHp, measuring 56.3 6 3.1
mm at C2 and 26.6 6 1.4 mm at C7 and then increasing,                                     Spinous and Transverse Processes
beginning in the mid-thoracic spine to a maximum of
39.4 6 1.7 mm at L6. VBHp in the lumbar region was as                            Spinous process length (SPL) reached a minimum of
much as 3.5 mm (9.3%) larger than VBHa. This differ-                           13.0 6 1.2 mm at C3, a maximum of 81.3 6 3.1 mm at
ence likewise was consistent, although smaller, in the                         T3, and then decreased to 28.8 6 1.7 mm at T13,
thoracic region. However, in the cervical spine VBHa                           remaining at about this length through the lumbar
typically was larger than VBHp, most notably at C2                             spine (Table 4). Minimum transverse process length
(9.5 mm, or 20.3%, difference). The width of the cranial                       (TPL) was 17.9 6 0.9 mm at T5 and maximum at 63.8 6
endplate (EPWu) was typically approximately 25 mm                              2.9 mm at L4 and L5; cervical TPL was somewhat
in the upper cervical spine, decreasing caudally to T3,                        larger than was thoracic TPL.
and then increasing again to 32.7 6 0.6 at L7. C2 with                           In the cervical spine, it was difficult to determine the
an EPWu of 52.6 6 1.3 mm was exceptionally different.                          angles of the spinous and transverse processes (SPA
Caudal endplate width (EPWl) was greater than EPWu                             and TPA) because of their short length, which was also
at each level except at C2, with the largest differences                       true for TPA in the thoracic spine. SPA from T1 to T7
at the cervical and lumbar ends. EPWl at L7, for                               increasingly lay flatter, reaching a maximum caudally
example, was 7.7 mm or 23.6% greater than EPWu.                                directed angle of 44.3 6 2.0°, and then again became
   Depth of the endplates (EPD) was the smallest of the                        more dorsally projected, transitioning to a cranial
vertebral body dimensions, and between the lumbar                              projection at the thoracolumbar junction. SPA reached
and thoracic regions the most consistent in caudal-                            a cranially directed maximum of 20.0 6 1.4° at L1. TPA
cranial and regional comparisons. The lowest value was                         was generally just below 20° in the lumbar region,
17.7 6 0.9 mm at L7, although in the lumbar spine EPD                          although higher at L7.
was closer in general to 20 mm and the highest value
was 26.5 6 1.2 mm at C4. The caudal-cranial difference                                                Facet Joints
of both endplate width and depth for a given level was                          The surface of the facets in the sheep cervical spine
remarkable only in the cervical region, where the shape                        was flat in general, with a dorsolateral orientation. In
                                                SHEEP SPINE ANATOMY                                                      545
                           TABLE 2. Dimensions related to the vertebral body of the sheep
                                             (mean 6 S.D. in mm)
             Vertebra      EPWl          EPWu          EPDl              EPDu            VBHa           VBHp
               C2        28.6 6 1.5    52.6 6 1.3     25.1 6 0.5      17.7 6 0.7        56.3 6 3.1     46.8 6 1.9
               C3        29.2 6 1.0    24.7 6 1.2     25.8 6 0.8      20.6 6 0.7        44.6 6 1.2     45.5 6 1.9
               C4        29.1 6 1.4    25.8 6 1.0     26.5 6 1.2      20.7 6 1.2        44.3 6 1.7     43.8 6 2.1
               C5        29.3 6 1.4    24.4 6 1.4     24.6 6 1.3      21.1 6 1.4        40.3 6 1.2     39.6 6 1.5
               C6        25.8 6 1.4    23.4 6 1.1     23.6 6 1.1      20.2 6 1.2        34.2 6 1.1     33.8 6 1.6
               C7        24.4 6 1.4    21.8 6 1.6     21.8 6 1.0      20.8 6 1.2        26.6 6 1.4     27.0 6 1.1
               T1        19.7 6 0.6    20.7 6 1.4     20.4 6 1.4      20.7 6 1.2        24.0 6 1.2     26.8 6 1.0
               T2        19.7 6 1.2    17.8 6 1.1     19.8 6 1.2      19.8 6 0.8        25.1 6 0.8     26.0 6 1.2
               T3        20.6 6 0.9    18.9 6 1.2     19.8 6 0.8      19.2 6 0.8        26.1 6 1.1     26.5 6 0.8
               T4        21.3 6 0.6    20.5 6 1.2     19.3 6 1.0      18.7 6 0.8        25.6 6 0.4     26.0 6 0.9
               T5        21.7 6 0.7    20.4 6 0.4     19.3 6 0.8      18.6 6 0.7        25.0 6 1.1     26.1 6 1.1
               T6        21.3 6 1.0    20.6 6 0.8     19.0 6 0.8      18.5 6 0.9        24.3 6 0.9     25.2 6 1.0
               T7        21.4 6 0.7    21.1 6 0.8     18.6 6 0.7      18.5 6 0.5        24.3 6 0.7     25.5 6 0.6
               T8        20.9 6 0.8    21.2 6 0.8     19.0 6 0.8      18.2 6 0.4        25.2 6 0.8     26.1 6 0.4
               T9        22.2 6 0.6    21.2 6 0.6     18.5 6 0.7      18.6 6 0.7       216.2 6 0.6     27.9 6 1.1
               T10       22.9 6 0.8    21.9 6 0.4     18.5 6 0.7      18.5 6 0.9        27.1 6 0.7     28.9 6 1.0
               T11       24.5 6 0.9    23.4 6 0.7     18.7 6 0.4      18.7 6 0.4        28.9 6 0.7     30.5 6 0.6
               T12       25.0 6 1.0    23.9 6 0.4     18.7 6 0.8      18.6 6 0.7        30.1 6 0.4     31.9 6 0.4
               T13       26.6 6 0.7    25.2 6 0.4     19.0 6 0.5      18.7 6 0.9        32.4 6 0.7     34.3 6 0.8
               L1        26.3 6 1.1    25.0 6 0.0    20.0- 6 0.0      19.5 6 0.7        35.0 6 1.4     37.0 6 0.7
               L2        28.9 6 1.2    26.5 6 0.8     20.4 6 0.5      20.4 6 0.7        36.5 6 1.4     38.7 6 0.8
               L3        29.8 6 1.3    26.5 6 0.9     20.0 6 0.6      20.5 6 0.7        37.2 6 1.3     40.2 6 1.2
               L4        31.0 6 0.6    27.4 6 0.4     20.1 6 0.7      20.8 6 0.8        37.6 6 1.2     41.1 6 0.8
               L5        32.1 6 1.1    28.7 6 1.0     19.5 6 0.6      20.4 6 0.8        39.7 6 1.6     41.5 6 1.3
               L6        36.4 6 1.6    30.5 6 0.5     18.5 6 0.5      19.7 6 0.4        39.4 6 1.7     41.6 6 1.1
               L7        40.4 6 2.0    32.7 6 0.6     17.7 6 0.9      17.6 6 0.7        34.4 6 1.2     36.2 6 1.6
the thoracic spine, the facet surface had the character         TABLE 3. Dimensions related to the pedicles and the
of a shallow peanut shell bent into a slight crescent              spinal canal of the sheep (mean 6 S.D. in mm)
shape facing anteromedially, with more open lips at the
                                                              Vertebra      PDW             PDH           SCW         SCD
ends to provide slight axial rotation. More caudally and
into the lumbar spine, this shape became slightly bent          C2         6.9 6 0.7      38.9 6 1.6   16.9 6 1.4   15.2 6 1.0
in the vertical plane, providing a tilting degree of            C3         4.7 6 0.7      32.3 6 2.0   15.2 6 1.2   11.5 6 0.4
freedom (Fig. 1d). Given the complexity of the shape,           C4         4.4 6 0.7      30.2 6 1.2   16.0 6 1.1   11.4 6 0.4
standardization of the measurements was difficult, and          C5         5.1 6 0.8      27.6 6 1.6   15.7 6 0.8   12.0 6 0.4
                                                                C6         6.3 6 0.8      22.3 6 1.4   17.2 6 0.9   13.4 6 0.8
generally larger standard deviations resulted from              C7        14.4 6 0.8      16.7 6 1.0   17.9 6 0.8   13.5 6 0.4
these dimensions. Nevertheless, for a quantifiable ori-         T1        14.0 6 1.3      15.3 6 0.8   17.2 6 0.6   12.0 6 0.6
entating perspective, the angles relative to the anatomi-       T2        13.4 6 1.2      16.3 6 0.3   13.9 6 0.5   10.3 6 0.4
cal planes and the lengths of the major axes are reported.      T3        12.6 6 0.8      17.5 6 0.9   13.6 6 0.4   10.0 6 0.5
   The angle about the x-axis relative to the coronal           T4        10.9 6 0.7      17.7 6 1.0   13.1 6 0.4    9.9 6 0.2
plane (CAX; Fig. 1f), reached a minimum of 64.7 6 3.4°          T5        11.2 6 0.9      17.7 6 1.0   12.1 6 0.7    9.4 6 0.4
at C3 and developed to just over 80° in the thoracic            T6        10.4 6 0.8      17.8 6 1.3   11.8 6 0.3    9.2 6 0.4
region (Table 5). The angle about the y-axis relative to        T7         9.8 6 0.9      18.5 6 1.2   11.0 6 0.4    8.8 6 0.8
the frontal plane (CAY) was oriented dorsolaterally in          T8         9.7 6 0.9      19.8 6 1.4   10.9 6 0.4    8.9 6 0.2
                                                                T9        10.2 6 0.8      21.7 6 1.0   11.1 6 1.0    8.8 6 0.3
the cervical spine, decreasing from 37.8 6 5.1° at C3 to        T10       10.2 6 0.8      23.6 6 1.1   10.9 6 0.8    8.9 6 0.4
19.0 6 2.6° at C6. An abrupt transition of CAY through          T11       10.5 6 0.6      24.9 6 1.5   11.4 6 0.8    8.5 6 0.6
the frontal plane occurred between T1 and T2, with the          T12        8.7 6 1.2      26.2 6 1.0   11.6 6 0.7    8.5 6 0.6
remaining thoracic facet joints being oriented between          T13        7.6 6 1.1      30.1 6 1.0   11.6 6 0.5    8.6 6 0.7
9.4 6 1.4° and 18.6 6 2.6° anterolaterally.                     L1         8.0 6 0.7      33.0 6 0.7   11.5 6 0.7    8.5 6 0.7
   Facet joint height (FCH, measured at the cranial             L2         8.6 6 0.5      33.9 6 1.4   12.3 6 0.8    8.4 6 0.4
joint; Fig. 1), was between 13.2 6 1.0 and 15.3 6 1.7 mm        L3         9.5 6 0.9      35.7 6 1.4   12.6 6 1.1    8.6 6 0.7
in the cervical spine, with a similar range in the lumbar       L4         9.6 6 1.0      36.3 6 1.4   12.9 6 1.1    8.8 6 0.4
spine, and was lower in general in the thoracic spine. A        L5        10.2 6 1.0      36.8 6 1.4   13.9 6 1.6    9.0 6 0.6
                                                                L6        10.7 6 1.0      35.3 6 1.5   16.1 6 0.9   10.1 6 0.8
relatively large transition occurred between T11 and            L7        13.4 6 1.1      29.0 6 1.9   17.5 6 1.2   10.9 6 1.2
T12. Facet joint width (FCW) was very similar to FCH
except in the thoracic region, where, typically, it was
considerably less.
   Interfacet width (IFW) was greatest in the cervical
region, reaching 33.7 6 1.4 mm at C7, least in the
thoracic region with a minimum of 8.2 6 0.8 mm at T6,                              Intervertebral Discs
and then increased up to 30.6 6 1.1 mm in the lumbar            Anterior disc height (IDH) was greatest in the cervi-
region. IFW actually exceeded EPW in the cervical             cal region, between 6.8 6 0.6 and 7.2 6 0.8 mm, least in
region.                                                       the thoracic region, between 2.6 6 0.2 and 4.5 6 0.8
546                                              H.-J. WILKE ET AL.
                   TABLE 5. Dimensions and orientation of the cranial joint surfaces of the sheep
                                          (mean 6 S.D. in mm and °)
           Vertebra        FCW mm          FCH mm            CAX °             CAY °           IFW mm
             C2
             C3           12.6 6 1.4      14.1 6 1.9      264.7 6 3.4        237.8 6 5.1      29.1 6 1.2
             C4           14.1 6 1.0      13.8 6 1.3      271.1 6 4.7        236.6 6 4.3      29.9 6 1.8
             C5           12.5 6 1.2      13.2 6 1.0      272.0 6 3.5        230.5 6 3.3      30.8 6 1.9
             C6           12.2 6 0.8      14.2 6 1.6      268.3 6 2.7        222.1 6 2.7      32.3 6 1.4
             C7           11.9 6 0.7      15.3 6 1.7      263.8 6 4.1        219.0 6 2.6      33.7 6 1.4
             T1           12.9 6 1.1      11.8 6 1.8      282.4 6 4.0        230.3 6 4.7      30.7 6 1.1
             T2            8.4 6 0.8      11.8 6 1.2      284.5 6 3.9         16.0 6 2.3      12.0 6 0.9
             T3            8.0 6 1.2      11.6 6 1.3      283.1 6 2.5         18.6 6 2.6      11.2 6 0.8
             T4            7.0 6 1.1      10.2 6 1.6      284.8 6 2.2         10.8 6 3.0       9.6 6 1.0
             T5            5.4 6 1.0       9.4 6 1.6      284.9 6 2.1         12.3 6 2.6       9.2 6 1.4
             T6            4.6 6 0.4      10.2 6 1.0      280.9 6 3.01         1.3 6 2.1       8.2 6 0.8
             T7            4.1 6 0.7      10.4 6 1.0      278.1 6 4.2          9.4 6 1.4       8.7 6 0.8
             T8            3.9 6 0.4      10.9 6 0.9      277.3 6 3.6          9.6 6 2.5       9.1 6 0.8
             T9            4.0 6 0.7      13.3 6 1.0      280.1 6 3.5         12.4 6 1.9       9.5 6 1.1
             T10           4.9 6 0.7      14.1 6 2.0      280.0 6 4.6         11.1 6 4.4      10.9 6 1.0
             T11           5.1 6 0.8      15.8 6 1.6      279.1 6 4.6         16.1 6 3.4      11.5 6 0.4
             T12           8.3 6 0.9      11.5 6 1.7                                          14.5 6 0.9
             T13           9.3 6 0.9      11.9 6 1.3                                          16.1 6 1.0
             L1           12.8 6 1.1      14.3 6 0.4                                          18.8 6 1.8
             L2           12.4 6 0.9      13.9 6 1.3                                          20.5 6 0.7
             L3           13.0 6 0.8      14.0 6 1.2                                          22.0 6 1.1
             L4           13.6 6 1.1      15.0 6 1.6                                          23.1 6 1.7
             L5           14.1 6 1.3      13.2 6 1.5                                          25.1 6 1.6
             L6           13.6 6 1.2      13.8 6 1.0                                          27.2 6 1.4
             L7           14.3 6 1.4      15.2 6 2.0                                          30.6 6 1.1
mm, and somewhat larger again in the lumbar region,        spine. The small standard deviations encourage their
between 4.2 6 0.4 and 4.5 6 0.4 mm (Table 6).              use as a model where appropriate to overcome the
                                                           inconclusiveness of studies in which comparative behav-
                      DISCUSSION                           ior among study groups is subtle, and thus the inherent
  The results of this study provide a database of the      scatter in the data for each group may obscure real
anatomy of the 3- to 4-year-old female merino sheep        differences in treatment effect or other variables.
                                                    SHEEP SPINE ANATOMY                                              547
       TABLE 6. Anterior disc height of the sheep             spine, with pedicle and vertebra height actually being
                (mean 6 S.D. in mm)                           more closely correlated in the sheep than in the human
           Disc                          IDHa
                                                              spine.
                                                                A better correlation is found between the two species
           C2–3                         6.7 6 0.8             in pedicle width (Fig. 6), where lumbar and cervical
           C3–4                         6.9 6 0.8             results are each largely overlapping, although diver-
           C4–5                         7.2 6 0.6             gence is seen in the mid-thoracic region.
           C5–6                         6.8 6 0.6
           C6–7                         7.2 6 0.8                                    Spinal Canal
           C7–T1                        5.3 6 0.4
           T1–2                         4.5 6 0.8                The trends of the two species in spinal canal width
           T2–3                         3.3 6 0.3             are nearly identical, although they differ in value,
           T3–4                         2.8 6 0.3             again mostly toward the extremes (Figs. 7 & 8). Rela-
           T4–5                         2.7 6 0.3             tive consistency of the depth interregionally occurs in
           T5–6                         2.6 6 0.2
           T6–7                         2.6 6 0.2
                                                              both species.
           T7–8                         2.6 6 0.2                         Spinous and Transverse Processes
           T8–9                         2.7 6 0.3
           T9–10                        2.8 6 0.3               The spinous process in the cervical and thoracic
           T10–11                       3.0 6 0.4             regions is 2–3 times longer in the sheep, with a notable
           T11–12                       3.2 6 0.3             difference of more than 50 mm in the upper thoracic
           T12–13                       3.7 6 0.4             region (Fig. 9). However, in the lumbar spine, the sheep
           T13–L1                       4.3 6 0.4
           L1–2                         4.4 6 0.2
                                                              and human spinous processes are about the same
           L2–3                         4.2 6 0.4             length. Conversely, the tip-to-tip transverse process
           L3–4                         4.5 6 0.4             width is very similar between the two species in the
           L4–5                         4.3 6 0.3             cervical and thoracic regions but diverges somewhat in
           L5–6                         4.5 6 0.5             the lumbar spine (Fig. 10).
           L6–7                         4.5 6 0.0
                                                                                     Facet Joints
                                                                 In the cervical spine, the facet orientation in sheep is
  The following sections provide a structure-by-struc-        consistently dorsolateral and leans somewhat forward,
ture anatomical comparison of the sheep and human             whereas in the human it is on average directly lateral
spine, which may be helpful for a given study to suggest      and leans farther forward (Figs. 11 & 12). In the
the appropriateness of using the sheep spine as a model       thoracic spine, the transition is most abrupt for the
for the human spine.                                          sheep spine, with the facets turned somewhat anterolat-
                                                              erally and standing almost vertically. The human facets
                     Vertebral Bodies                         likewise are more vertical than in the cervical region
  A fundamental difference between the species is that        and have virtually the same slightly anterior orienta-
the human vertebra is characteristically wider than           tion in the transverse plane as those of the sheep. From
tall, by as much as a factor of 2, whereas the sheep          the mid-thoracic region to the thoracolumbar junction,
vertebra is taller than wide, especially in the cervical      the two species become almost identical in facet orienta-
spine (Figs. 2–4). However, for both species, vertebra        tion. Comparative data are not available for the lumbar
width is greater than depth, thus producing a typically       region due to the large curvature and uncertainty in the
oval shape that is most pronounced in the lumbar              measurement of the sheep facet angles.
region. In the sheep spine, height, width, and depth are         Facet height and width mostly overlap between the
greater in the cervical spine than in the other regions,      sheep and human, except for width in the thoracic
in contrast to the human spine, where these dimensions        region, which is considerably less in sheep (Figs. 13 &
are the least; height is also greater in the sheep than in    14). Variation in width from the cervical to thoracic
the human spine in the thoracic and lumbar regions,           region is somewhat stronger in the sheep but not as
but width and depth are less.                                 strong through the lumbar region. Interfacet distance
  Another difference is the curvature in the lumbar           followed the same trend in the sheep and human, with
spine, which for the sheep is slightly kyphotic rather        smaller dimensions but larger transitions for the sheep
than lordotic. The atlas and axis of the two species are      (Fig. 15). This trend follows the result of larger width in
also fundamentally different. However, these dimen-           general in the human vertebrae.
sions are not included to avoid detracting from the more
                                                                                        Discs
characteristic comparisons of the vertebra.
                                                                Anterior disc height in the sheep lumbar spine is as
                        Pedicles                              much as 5 mm lower than the 11-16 mm height in
  Pedicle height comparison (Fig. 5) is qualitatively         humans (Nachemson et al., 1979; Green et al., 1993).
similar to that of vertebral height, and the differences      This relationship is reversed in the cervical spine,
are likewise most pronounced in the cervical spine. The       where the 5–7 mm sheep disc height is 2–3 mm greater
trend through the thoracic spine is comparable between        than that in humans (Moroney et al., 1988).
the two species, but the lower transition to a decreasing
pedicle height, which occurs at T11–T12 in the human                               CONCLUSIONS
spine, does not occur until L5 in the sheep spine. Thus,        Similarities in the major dimensions of the sheep and
the differences again become exaggerated in the lumbar        human spine overall are strongest in the thoracic and
  Fig. 2. Posterior vertebral body height (VBHp) of the sheep spine from C2 to L7 (mean 6 S.D.) in
comparison with reported values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 3. Caudal endplate width (EPW) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with
reported values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 4. Caudal endplate depth (EPD) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with
reported values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 5. Pedicle height (PDH) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with reported
values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 6. Pedicle width (PDW) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with reported
values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 7. Spinal canal width (SCW) of the of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison
with reported values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 8. Spinal canal depth (SCD) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with
reported values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 9. Spinous process length (SPL) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with
reported values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 10. Transverse process width (TPW) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison
with reported values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 11. Joint surface inclination relative to the coronal plane CAX (adapted from Panjabi et al., 1993) of
the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with reported values for the human spine from
C2 to L5. Vertebrae images are at equal scale.
  Fig. 12. Joint surface inclination relative to a vertical plane, CAY (adapted from Panjabi et al., 1993) of
the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with reported values for the human spine from
C2 to L5. Vertebrae images are at equal scale.
  Fig. 13. Facet height (FCH) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with reported
values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 14. Facet width (FCW) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with reported
values for the human spine from C2 to L5. Vertebrae images are at equal scale.
  Fig. 15. Interfacet width (IDH) of the sheep spine from C2 to L7 (mean 6 S.D.) in comparison with
reported values for the human spine from C2 to L5. Vertebrae images are at equal scale.
                                                           SHEEP SPINE ANATOMY                                                               555
lumbar regions. The strongest difference in trend is in                        approaches for lumbar burst fractures using short-segment instru-
vertebral body height, which is greatest in the cervical                       mentation. Spine, 18:977–982.
                                                                           Moore, R.J., O.L. Osti, B. Vernon-Roberts, and R.D. Fraser 1992
spine in sheep but in the lumbar spine in humans.                              Changes in endplate vascularity after an outer anulus tear in the
Nevertheless, regional trends are similar in most mea-                         sheep. Spine, 17:874–878.
surements.                                                                 Moroney, S.P., A.B. Schultz, J.A.A. Miller, and G.B.J. Andersson 1988
  These results provide data that may be helpful to                            Load-displacement properties of lower cervical spine motion
                                                                               segments. J. Biomech., 21:769–779.
plan future studies that contemplate the use of sheep as                   Nachemson, A., A.B. Schultz, and M.H. Berkson 1979 Mechanical
a model for the human spine. Regarding spinal implant                          properties of human lumbar spine motion segements—Influences
tests, these results suggest that the sheep may be a                           of age, sex, disc level, and degeneration. Spine, 4:1–8.
reasonable anatomical model for instrumentation affect-                    Nagel, D.A., P.C. Kramers, B.A. Rahn, J. Cordey, and S.M. Perren
                                                                               1991 A paradigm of delayed union and nonunion in the lumbosa-
ing the thoracic and lumbar regions.                                           cral joint—A study of motion and bone grafting of the lumbosacral
                                                                               spine in sheep. Spine, 16:553–559.
                     ACKNOWLEDGMENTS                                       Nickel, R., A. Schummer, and E. Seiferle 1984 Lehrbuch der Anatomie
                                                                               der Haustiere I. Verlag Paul Parey, Berlin und Hamburg.
  We specially thank Herrn Albert Aigner for the                           Osti, O.L., B. Vernon-Roberts, and R.D. Fraser 1990 Anulus tears and
preparation of the sheep spines. The maceration of our                         intervertebral disc degeneration. An experimental study using an
exemplar specimen was done by Gustav Reiter. This work                         animal model. Spine, 15:431–435.
                                                                           Panjabi, M.M., J. Duranceau, V. Goel, T. Oxland, and K. Takata 1991a
was supported by the University Hospital of Ulm (P.272).                       Cervical human vertebrae—Quantitative three-dimensional
                                                                               anatomy of the middle and lower regions. Spine, 16:861–869.
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