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International Journal of Bioprinting                                      OMT-loaded spinal cord scaffold



            position on the animal operating table, and the limbs and   on the animal operating table. Routine disinfection and
            heads were fixed. A towel with routine disinfection (iodine)   draping of towels were performed. After the onset of
            was spread over the surgical site at the T10 level. The skin   anesthesia, the skin of the rat chest was incised with a
            along the posterior midline was cut, and the musculature   scalpel, and the subcutaneous tissue was bluntly stripped
            and soft tissues were bluntly dissected layer by layer to   to expose the sternum and left rib. The pericardium was
            expose the vertebral body. A laminectomy was performed   opened. An indwelling needle with suitable size was used
            at T8–T12 using a rongeur (corneoscleral forceps). This   to  pierce  the  left  ventricle  at  the  apex  of  the  heart,  and
            was done under a microscope and under sterile conditions.   the assistant helped to fix the needle to prevent it from
            A cut was made 2 mm left of the spinal cord segment at the   withdrawing. An incision of about 5 mm was made in the
            level of T10 to form a 2.0-mm gap on the T10 spinal cord.   right atrial appendage with ophthalmic scissors. First, a
            A small suction device was used to aspirate the transected   250-mL syringe was used to extract physiological sodium
            spinal cord tissue. The rat’s left hind limb twitched, the left   chloride through the left ventricle. Perfusion was continued
            foot was dorsiflexed, and the muscles were relaxed and   until the fluid flowing from the right atrial appendage
            weak, indicating that the modeling was successful. The   became clear and transparent. At the same time, the rat’s
            surgical port was flushed with 0.9% physiological sodium   lung tissue and liver became pale and highly swollen. At
            chloride. Following sufficient hemostasis after spinal cord   this time, a 4% paraformaldehyde solution was used for
            injury,  the  corresponding  scaffolds  of  each  group  were   continuous perfusion (whole-body muscle tremors were
            immediately transplanted to the defect site. The wound was   seen during the process, indicating the perfusion effect was
            sutured layer by layer and sterilized again with iodophor.   good). After the perfusion was complete, the spinal cord
            Rats were resuscitated on an electric blanket and given a   tissue was removed and placed in a 4% paraformaldehyde
            dose of penicillin to prevent infection.           solution. It was soaked in the test tube overnight. The next
                                                               day, it was removed for gradient dehydration treatment
            2.8. Postoperative care and infection prevention   with 15% and 30% sucrose solution or stored in a −80°C
            After the surgery, the rats were marked and kept in separate   freezer. Finally, the embedded tissue blocks were placed in
            cages according to their group. Attention was given to the   a cryostat for sectioning. The thickness of the slices was
            general condition and activities of the rats after the surgery.   6–15 μm. The sections could be directly stained or stored
            The rats were manually assisted daily with passive activities of   in a −80°C freezer.
            both lower limbs. This was to avoid joint stiffness and muscle
            atrophy of the lower limbs so as not to affect the assessment   2.11. Hematoxylin–eosin (H&E) staining
            of motor function. The rats’ bladders were manually   Selected sections were rinsed three times with PBS for
            massaged daily for 2 weeks to assist in urination and reduce   5 min each, hematoxylin staining solution for 5 min, tap
            complications, such as urinary tract infection. Intramuscular   water for 2 min, hydrochloric acid alcohol differentiation
            injection of penicillin was given once a day for 1 week after   solution for 3 s, tap water for 2 min, and ammonia water
            surgery. Then, antibiotics or physiological sodium chloride   for 3 s to blue. Sections were stained with eosin staining
            solution were appropriately injected according to the rats’   solution for 2 min and rinsed with tap water for 2 min.
            urine color, health status, and mental state. The litter was   The sections were sequentially placed in 80% ethanol, 90%
            cleaned up frequently to keep the cage dry.        ethanol, and 100% ethanol twice for 1 min each time and
                                                               put in xylene two times for 5 min each time. The sections
            2.9. Assessment of motor function                  were then placed in a fume hood to dry. After sealing with
            Basso–Beattie–Bresnahan’s  (BBB)  score  was  used  to   neutral gum, they were observed under a microscope.
            evaluate the recovery of hind limb motor function in rats
            after SCI. Scores were performed weekly for 1–8 weeks   2.12. Nissl staining
            after surgery. A score of 0 means complete loss of motor   The  washed  sections  were  immersed  in  Nissl  staining
            function of the hind limbs, and a score of 21 means that   solution in a staining box, which was placed in a 37°C
            the motor function of the hind limbs was normal. The   incubator, for 7 min. The sections were rinsed two times
            behavioral assessment was independently completed by   with PBS for 30 s each time, and placed in 95% ethanol
            two experimenters who did not know the grouping. To   for 30 s and in xylene solution two times for 5 min each
            avoid the impact of bladder filling on exercise, the rats   time. Then, the sections were placed in a fume hood to dry.
            were massaged for urination before the measurement.  After sealing with neutral gum, the sections were observed
                                                               under a microscope.
            2.10. Heart perfusion, sampling, and sectioning
            Eight weeks after the surgery, the experimental rats were   2.13. Immunofluorescence staining
            anesthetized by 3% sodium pentobarbital (1 mL/kg) via   The sections were selected and rinsed three times with PBS
            intraperitoneal injection and fixed in the supine position   for 5 min each time. The washed sections were placed in

            Volume 9 Issue 3 (2023)                        109                         https://doi.org/10.18063/ijb.692
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