Ossification

Ossification, or osteogenesis, is the process by which the skeletal superstructure of the body s generated during the earliest stages of biological maturation. Bones are responsible not only for giving shape to vertebrates but also for protecting vital organs and providing critical support to make movement possible. The 206 bones in the human anatomy, for instance, ensure mobility and guarantee the efficient operation of the body’s most important processes. Bones are living tissue, and although they may appear to be inert, they perform vital functions. But first they must grow. Mammals, of course, are not born with their bone structures in place. The process through which the human body creates its familiar skeletal structure begins just weeks after conception and continues for nearly twenty years.

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Background

From the moment of conception, a developing embryo is composed of three different types of specialized cell layers, each responsible for furthering its ongoing biological development. They are the building sites for blood, tissue, organs, and bones. The layer of cells known as the ectoderm is responsible for generating the body’s eventual outer protective shell, the skin. The endoderm begins the process of cell differentiation that will, over weeks and months, shape the body’s internal organs, the communication networks of the blood stream, and the central nervous system. The mesoderm is a kind of middle layer in which the body develops its connective tissue, including the bones, the essential apparatus that will give the body its cohesion and its form.

During its first weeks, a human fetus gets its familiar comma shape from soft spongy skeletal material known as cartilage. Cartilage has plenty of give that allows the fetus to bob about in its amniotic fluid. By the close of the first trimester, however, ossification begins. Bone-forming cells called osteoblasts begin to take shape in the areas of cartilage. Initially, a fine net of sticky fibers, called collagen, is spun; polysaccharides, a kind of cementing agent, start to bind the collagen fibers into a sturdier tissue. The osteoblasts, in turn, begin to secrete minerals, including most notably calcium crystals but phosphorous and sodium as well, which begin to form the familiar compact bone shapes as these deposits accumulate. The process, however, cannot be completed within the tight confines of the uterus. Once born, a baby’s skeleton will continue to grow until maturity, roughly twenty years. At birth a baby has 275 bones—through adolescent development, some of these fine and slender bones will fuse, reducing the number of bones to 206. Some cartilage remains to give shape to the the nose and ears, for example, and to provide flexibility to the joints.

Overview

Although the process of ossification can be impacted by a variety of issues during fetal development—including genetics, the mother’s diet, uterine disease, even a mother’s exercise or lack of exercise—the stages of bone growth up to delivery are fairly standard. The process for producing long bones is known as endochondral ossification and starts in the cartilage. The bone formation process that does not start with cartilage, involving the formation of flat bones such as the skull or jaw or clavicle, is called intramembraneous ossification. The cartilage structure of the fetus is made up of cells called chondroblasts. Within chondroblasts are formed the osteoblasts, those cells critical in beginning to produce the calcium that will ultimately become the bone.

As the cartilage continues to grow as the fetus itself develops, and as it begins to bond with the calcium being produced by the osteoblasts, the bone begins to grow microscopic channels, narrow avenues or chambers in the cartilage called lacunae. These lacunae become the developing bone’s transportation system. Within the lacunae develop strings of rudimentary blood vessels that provide the osteoblasts with the system to begin to deliver calcium nutrients throughout the developing bone itself. There forms then a kind of bone-manufacturing plant, called an ossification center, where the calcium inlays begin to create the mineral matrix responsible ultimately for the manufacturing of cancellous bones, specifically the spinal cord and the shoulder blades, the bone structure able to assist the birth process. Simultaneously, bone cells called osteoclasts also travel along the developing bone’s blood vessel channels—they are directed to the center of the developing bone and are responsible for removing calcium, cartilage, and developing bone cells, creating a channel inside the bone where, eventually, bone marrow will develop.

After delivery, ossification will continue in secondary ossification centers as the long bones themselves grow to keep pace with the child’s bodily growth. These compact bones, the familiar solid hard bones of the rib cage, the leg and arms, and the spinal cord, make up about 80 percent of the skeleton system.

Although typically ossification takes twenty years to complete in humans, the process of bone making is lifelong. In the event of a break or a fracture, for instance, the body initially produces sufficient cartilage to begin to mend the break, and then over time converts that cartilage to new bone. That is why nutritionists monitor diet. Maintaining a diet rich in vitamins D and K helps to sustain long-term bone health. Scientists, physiologists, sports injury therapists, chiropractors, nutritionists, and physicians study ossification. The process of bone repair is crucial not only in adolescents prone to accidents but as well in mature adults where the possibilities of long-term bone damage through poor diet and aging represent significant challenges. Given the contemporary environment of increasingly sedentary lives spent largely in front of screens, the possibility for chronic bone damage is very real and has promoted research into how best to maintain the body’s mineral delivery system for which the bones are most responsible.

Bibliography

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Connor, J. M. Soft Tissue Ossification. New York: Springer, 2013. Print.

Egol, Kenneth, Kenneth Koval, and Joseph D. Zuckerman. Handbook of Fractures. Philadelphia: LWW, 2014. Print.

Fader, Lauren, et al. "MR Imaging of Capitellar Ossification: A Study in Children of Different Ages." Pediatric Radiology 44.8 (2014): 963–970. Academic Search Complete. Web. 2 Aug. 2015.

"Osteogenesis: The Development of Bones." The National Center for Biotechnical Information. Web. 15 July 2015.

Walzer, Sonja M., et al. "Vascularization of Primary and Secondary Ossification Centres in the Human Growth Plate." BMC Developmental Biology 14.1 (2014): 1–21. Academic Search Complete. Web. 2 Aug. 2015.

Winkler, S., et al. "Pathogenesis and Prevention Strategies of Heterotopic Ossification in Total Hip Arthroplasty: A Narrative Literature Review and Results of a Survey in Germany." Archives of Orthopaedic & Trauma Surgery 135.4 (2015): 481–489. Academic Search Complete. Web. 2 Aug. 2015.