Evidence map›Paper›PMID 24736931›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2015

Persistent degenerative changes in the intervertebral disc after burst fracture in an in vitro model mimicking physiological post-traumatic conditions.

Stefan Dudli, Daniel Haschtmann, Stephen John Ferguson

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In one paragraph

Article in 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, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pathobiology of Modic changes.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 · 2016
    Pooled it
  2. Trial
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  12. Fate of the intervertebral disc and analysis of its risk factors following high-energy traumatic thoracic and lumbar fractures: MRI results of minimum five years after injury.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
  13. Immuno-Modulatory Effects of Intervertebral Disc Cells.Frontiers in cell and developmental biology · 2022
    Review
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  16. Intervertebral disc damage models in organ culture: a comparison of annulus fibrosus cross-incision versus punch model under complex loading.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
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  19. Morphological changes in the human cervical intervertebral disc post trauma: response to fracture-type and degeneration grade over time.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 · 2016
    Article
  20. Review
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

3 authors at 2 institutions in 1 country.

Stefan DudliInstitute for Biomechanics, ETH Zürich, Schafmattstrasse 30, 8093, Zurich, Switzerland, stefan.dudli@ucsf.edu.
Daniel Haschtmann
Stephen John Ferguson
ETH Zurich · CHSchulthess-Klinik · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePost-traumatic disc degeneration (DD) is currently investigated with models not fully matching the clinical condition, in particular post-traumatic loading of the disc is not considered. Therefore, the aim was to establish an in vitro burst fracture model that more closely mimics the in vivo situation by including post-traumatic physiological loading and to investigate DD under these conditions.

methods72 rabbit spinal segments (disc/endplates + 1/3 of adjacent vertebrae) were harvested from T8/9 to L5/6 and assigned to control (n = 36) or trauma groups (n = 36). Burst fractures were induced at day 0 in the trauma group using a dropped-weight device. From day 1 to 28, all specimens were cultured at 37 °C and were dynamically loaded daily (~1 MPa nominal pressure, 1 Hz, 2,500 cycles). At day 1, 7, 14, and 28, 9 specimens from each group were taken for analysis: histology (n = 2), total disc glycosaminoglycan (GAG) content (n = 3) normalized to DNA, and qPCR of DD marker genes (n = 4) in the nucleus pulposus and the annulus fibrosus.

resultsBurst fracture with post-traumatic physiological loading resulted in a 65 % loss of GAG/DNA by day 28. Histological sections confirmed the remodeling of the matrix. Catabolic (MMP-1/-3), pro-apoptotic (TNF-α, fas ligand), and pro-inflammatory (IL-1/-6, iNOS) gene transcription was substantially up-regulated in the nucleus after the trauma and did not normalize to control within 28 days. Similar results were found for the annulus on lower levels.

conclusionAn in vitro burst fracture model with physiological post-traumatic loading was established. Under these conditions, burst spinal segments undergo strong and persistent degenerative changes.

Indexed as

Analysis of VarianceAnimalsDisease Models, AnimalFas Ligand ProteinGlycosaminoglycansInterleukin-1Intervertebral Disc DegenerationMatrix Metalloproteinase 1RabbitsSpinal FracturesStress, PhysiologicalTranscription, GeneticTumor Necrosis Factor-alphaFas Ligand ProteinGlycosaminoglycansInterleukin-1Matrix Metalloproteinase 1MMP1 protein, humanTumor Necrosis Factor-alpha

Identifiers

PMID24736931
OpenAlexW1991339694

What OpenQuestion holds

Textmetadata
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.