Burn-associated bone disease in sheep: roles of immobilization and endogenous corticosteroids

J Burn Care Rehabil. 1996 Nov-Dec;17(6 Pt 1):518-21. doi: 10.1097/00004630-199611000-00007.

Abstract

To determine the role of immobilization in the pathogenesis of burn-associated bone disease, we selected the sheep as a model to study the effects of burn injury compared with a sham-burned control group. Seven of the sheep were subjected to controlled 40% flame burn, and seven underwent anesthesia with arterial and venous cannulation but without burn. After labeling newly formed bone with tetracycline and calcein, the sheep were killed 2 weeks after burn or sham burn, and the iliac crest and lumbar vertebrae were analyzed for histomorphometry. Analysis failed to demonstrate a significant reduction of bone formation rate in the burned sheep. Osteoid area and surface and osteoblast surface, which correlated significantly with bone formation rate (r = 0.49, p < 0.025), were reduced in the burned sheep. Results suggest that immobilization may play a primary role in the pathogenesis of burn-associated bone disease, but the presence of differences in other histomorphometric features indicates the bone disease is multifactorial.

MeSH terms

  • Adrenal Cortex Hormones / analysis
  • Adrenal Cortex Hormones / biosynthesis*
  • Animals
  • Bone Density
  • Bone Diseases / complications
  • Bone Diseases / pathology
  • Bone Resorption* / etiology
  • Bone Resorption* / pathology
  • Burns / complications*
  • Burns / pathology
  • Disease Models, Animal
  • Female
  • Reference Values
  • Risk Factors
  • Sheep

Substances

  • Adrenal Cortex Hormones