Evidence map›Paper›PMID 24594442›Full record

ArticleThe spine journal : official journal of the North American Spine Society2014

Disc degeneration reduces the delamination strength of the annulus fibrosus in the rabbit annular disc puncture model.

Diane E Gregory, Won C Bae, Robert L Sah, Koichi Masuda

Abstract read
In one paragraph

Article in The spine journal : official journal of the North American Spine Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
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  4. Review
  5. ISSLS Prize in Bioengineering Science 2022: low rate cyclic loading as a therapeutic strategy for intervertebral disc regeneration.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Immuno-stimulatory capacity of decorin in the rat tail intervertebral disc and the mechanical consequence of resultant inflammation.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
    Article
  10. Article
  11. GEORG SCHMORL PRIZE OF THE GERMAN SPINE SOCIETY (DWG) 2018: combined inflammatory and mechanical stress weakens the annulus fibrosus: evidences from a loaded bovine AF organ culture.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2019
    Article
  12. Quantitative MRI correlates with histological grade in a percutaneous needle injury mouse model of disc degeneration.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2018
    Article
  13. Pressure-induced end-plate fracture in the porcine spine: Is the annulus fibrosus susceptible to damage?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Derivation of inter-lamellar behaviour of the intervertebral disc annulus.Journal of the mechanical behavior of biomedical materials · 2015
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

Diane E GregoryDepartment of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, 75 University Ave West, Waterloo, Ontario, Canada, N2L 3C5; Department of Orthopaedic Surgery, University of California San Diego, 9500 Gilman Dr., La Jolla, CA 92093, USA.
Won C BaeDepartment of Orthopaedic Surgery, University of California San Diego, 9500 Gilman Dr., La Jolla, CA 92093, USA.
Robert L SahDepartment of Bioengineering, University of California San Diego, 9500 Gilman Dr., La Jolla, CA 92093, USA; Department of Radiology, University of California San Diego, 200 West Arbor Drive, San Diego, CA, 92103, USA.
Koichi MasudaDepartment of Radiology, University of California San Diego, 200 West Arbor Drive, San Diego, CA, 92103, USA. Electronic address: koichimasuda@ucsd.edu.
University of California, San Diego · US

Funding

TISSUE ACQUISITION, MORPHOLOGY, AND CELL CULTUREP01AG007996 · NIA · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI SAH, ROBERT L · 1989 to 2016
$26.0M
Segmental spine motion of the lumbar spineP01AR048152 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI MASUDA, KOICHI · 2001 to 2010
$13.7M
NIAMS NIH HHS P01 AR048152NIAMS NIH HHS P01AR48152NIA NIH HHS P01 AG007996
6 · The paper itself

Abstract

background contextDegenerative disc disease is a common pathologic disorder accompanied by both structural and biochemical changes. Changes in stress distribution across the disc can lead to annulus fibrosus (AF) damage that can affect the strength and integrity of the disc. Given that some present degeneration therapies incorporate biological regrowth of the nucleus pulposus (NP), it is crucial that the AF remains capable of containing this newly grown material. PURPOSE: To examine the resistance of AF to delamination using an adhesive peel test in experimentally degenerated rabbit discs. STUDY

designExperimentally induced disc degeneration; excised AF tissue study.

methodsDisc degeneration was induced in eight New Zealand white rabbits by annular puncture; four additional rabbits served as controls. In experimental rabbits, an 18-gauge needle was inserted into the anterolateral AF region of levels L2-L3 and L4-L5, and disc height was monitored by X-ray. Animals were sacrificed at 4 and 12 weeks postsurgery and magnetic resonance images and X-rays were taken. Four discs were excised from the experimental animals; two punctured (L2-L3 and L4-L5) and two controls (L3-L4 and L6-L7). The same four discs were also excised from the age-matched control animals and served as nonpunctured control discs. To determine resistance to delamination, AF samples were dissected from each disc and subjected to a mechanical peel test at 0.5 mm/s.

resultsMagnetic resonance imaging and X-ray images confirmed dehydration of the NP and reduced disc height, similar to that found in clinical degeneration. Resistance to delamination was significantly lower in punctured/degenerated discs compared with both the nonpunctured discs from the same animal (27% lower) and the nonpunctured control discs (30% lower) (p=.024).

conclusionsThe findings of this study suggest that degeneration increases the potential for delamination between AF layers. Given this substantial change to the integrity of the AF after degeneration, clinical treatments should not only target rehydration or regrowth of the NP, but should also target repair and strengthening of the AF to confine the NP.

Indexed as

AnimalsDisease Models, AnimalIntervertebral DiscIntervertebral Disc DegenerationMagnetic Resonance ImagingPuncturesRabbitsRadiographyTensile StrengthAnimal modelAnnulus fibrosusDisc herniationDisc therapyLamellaePuncture

Identifiers

PMID24594442
PMCPMC4063999
OpenAlexW2091379711

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.