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Method Article

Acupotomy for Cervical Spondylosis in Rats: A Visualized Protocol for Model Establishment and Intervention

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DOI:

10.3791/72132

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September 3rd, 2026

* These authors contributed equally

In This Article

Summary

This study elaborately describes a modeling method for cervical spondylosis in rats and an acupotomy intervention strategy, providing a visualized operational protocol for relevant research.

Abstract

Cervical spondylosis (CS) is a chronic degenerative disease. Degenerative changes in the intervertebral discs of the cervical spine, along with subsequent pathological alterations, affect surrounding tissues and structures, leading to clinical manifestations such as neck pain, stiffness, limited mobility, and occasionally numbness and radiating symptoms in the upper limbs. Among these, nerve root compression is the most common. Therefore, this study established a rat model of CS induced by cervical nerve root compression. Acupotomy therapy has shown potential in clinical CS treatment by releasing local soft tissue adhesions and alleviating nerve compression. However, there is currently a lack of visualized procedural protocols in animal experiments. This study provides a detailed description of a reliable method for establishing a rat model of CS and the corresponding acupotomy intervention protocol. In this procedure, we elaborate on the model induction process, the steps of acupotomy manipulation, therapeutic localization, rat restraint techniques, and critical precautions. Additionally, this study used electromyography (EMG) to confirm the successful establishment of the CS model and evaluated the intervention through mechanical withdrawal thresholds, gait analysis, and nerve root histopathology. This research not only provides a reference for the establishment of the CS rat model and acupotomy intervention but also offers a systematic and feasible experimental framework for future studies investigating the mechanisms of action.

Introduction

Cervical spondylosis (CS) is a common degenerative spinal disease. Its core pathological process originates from the degeneration of intervertebral discs, which further triggers a series of secondary pathological changes, including intervertebral space stenosis, osteophyte formation, and ligament hypertrophy1,2. These pathological alterations result in a variety of clinical symptoms, such as soreness and pain in the neck and shoulders, and radiating numbness in the upper extremities. In severe cases, neurological impairments may occur, including motor dysfunction and even tetraplegia2

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Protocol

All experimental procedures were reviewed, approved, and stringently monitored by the Laboratory Animal Ethics Committee of Beijing MDKN Biotech Company (Approval ID: MDKN-2025-096). All protocols were conducted in strict accordance with the Guide for the Care and Use of Laboratory Animals issued by the National Institutes of Health (NIH). The reagents and equipment employed in this study are listed in the Table of Materials.

1. Experimental animals and groups

  1. Select adult male Sprague–Dawley (SD) rats weighing 230.0 g ± 20 g for inclusion in the experiment.
  2. House the animal....

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Results

Mechanical withdrawal threshold (MWT) assessments demonstrated comparable baseline values across all groups prior to model induction. On the 3rd day after modeling and sham operation, no significant difference was observed between the sham group and the control group (p > 0.05). In contrast, both the model and acupotomy groups exhibited a marked reduction in MWT relative to the sham group (p < 0.01, Figure 4). Upon completion of treatment, the acupotomy group showed a.......

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Discussion

The selection of an appropriate animal model is a prerequisite for elucidating the pathogenesis of cervical spondylosis (CS) and for rigorously evaluating therapeutic interventions. Currently, the intravertebral nylon suture method is widely adopted due to its advantages of relative simplicity, short modeling cycle, and high reproducibility and reliability15,20. In this approach, a compressive material is implanted into the rat spinal canal to exert continuous co.......

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Disclosures

All authors have declared no potential conflicts of interest.

Acknowledgements

This study was supported by the National Key Research and Development Program of China (Grant No. 2023YFC3502703) and the Key Project of the Hubei Provincial Natural Science Foundation Innovation and Development Joint Fund (Grant No. 2024AFD271).

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Materials

List of materials used in this article
NameCompanyCatalog NumberComments
0.5 mL syringeHebei Yunsheng Biotechnology Co., LtdSN-04442
1 mL syringeShanghai Zhiyu Medical Equipment Co., LTDZSQ-1
4-0 Suture with Needle, Single-armed (4×12)GLASSJZZSX193
75% alcoholShandong Anjie Gaoke Disinfection Technology Co. LTD75-500ml
Acupotomy NeedleBeijing Huaxia Blue Chip Biotechnology Co., Ltd.HY0440
Adherent slideCITOTEST188105
Biological Signal Acquisition and Analysis SystemTechmanBL-420N
Biological Signal Acquisition and Analysis System (Software)TechmanBL-420N Version 3.0.0.237
Cover glassCitotest Labware Manufacturing Co.,Ltd10212432C
DehydratorDIAPATHDonatello
Electronic balanceMettler-ToledoME203E/02
Electrothermal blast drying ovenLaboteryGEL-70
Embedding machineWuhan Junjie Electronics Co., LtdJB-P5
Environmental Friendly Dewaxing Transparent LiquidServicebioG1128-1L
ESD-Safe Black Stainless Steel Tweezers (Curved Tip)solomenESD-15
EthanolSCRC100092683
Fat-free cotton ballCaoxian Hualu Sanitary Material Co. LTDTZMQ-500
Hematoxylin-eosin (HE) HD constant dye kit ServicebioG1076
Hemostatic ForcepssolomenB0557
IBM SPSS StatisticsIBM CorporationVersion 22.0
Imaging systemNikonNIKON DS-U3
IodophorShandong Anjie Gaoke Disinfection Technology Co. LTDDF-500
IsofluraneRWD life scienceR510-22-10
Latex glovesBeijing Ruijing Latex Products Co. LTDRJJC-S
Mechanical Paw Poking Test DeviceKew basisKW-CT-1
Medical forcepsAIZANCHENGAZN00008
Mosquito hemostatic forcepsServicebioQX1310D
Neutral gumSCRC10004160
Normal saline solutionSHIMENSLYS-500ml
Ophthalmic scissorssolomenB0754
Paraffin liquidMacklin8012-95-1
Paraformaldehyde Fixative (Neutral)ServicebioG1101
Pathology slicerShanghai Leica Instrument Co., LtdRM2016
Penicillin G Sodium for InjectionJilin Huamu Animal Health Product Co., Ltd.Veterinary Drug Approval No.070011248
Poly-L-lysine solutionShanghai Yuanye Biotechnology Co., Ltd.R23126-50ml
Rodent ClippersolomenB1564
Rodent Gait Imaging and Analysis SystemCleverTreadScan; BCamCapture
Rodent Gait Imaging and Analysis System (Software)CleverTreadScan Version 4.00; BCamCapture Version 3.00
SD ratsBeijing Sibefei Biotechnology Co., LtdA102
Small Animal Anesthesia Machine YuYAN ABM
Steam sterilizer (autoclave)YamatoSQ810C
Surgical BladesolomenB1177
Surgical maskwinnerWJKZ-1
Surgical needle holdersolomenB0772
Surgical scissorsGLASSJZZSX-ZC544R
Tissue spreaderZhejiang Kehua Instrument Co., Ltd KD-P
Ultrapure Water Polishing SystemAiken water ElAK-RO-C2
Universal tissue fixative (neutral)ServicebioG1101-15ML
Upright optical microscopeNikonNIKON ECLIPSE E100
XyleneSCRC10023418

References

  1. Theodore N. Degenerative cervical spondylosis. N Engl J Med. 2020;383(2):159-68.
  2. Yeshna, Singh M, Monika, Kumar A, Garg V, Jhawat V. Pathophysiology and emerging therapeutic strategies for cervical spondylosis: the role of pro-inflammatory mediators, kinase inhibitors, and organogel-based drug delivery systems. Int Immunopharmacol. 2025;151:114350.
  3. Nouri A, Tetreault L, Singh A, Karadimas SK, Fehlings MG. Degenerative cervical myelopathy: epidemiology, genetics, and pathogenesis. Spine (Phila Pa 1976). 2015;40(12):E675-93.
  4. Lakhapate SS, Devade OA, Redasani VK. A brief review on cervical spondylosis. J Drug Deliv Ther. 2025;15(7):144-149.
  5. Chen....

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Tags

Acupotomy TherapyRat ModelNerve Root CompressionElectromyography AnalysisGait AnalysisMechanical Withdrawal ThresholdNerve Root Histopathology