Evidence map›Paper›PMID 31463457›Full record

ReviewJOR spine2019

Controversies in regenerative medicine: Should intervertebral disc degeneration be treated with mesenchymal stem cells?

Markus Loibl, Karin Wuertz-Kozak, Gianluca Vadala, Siegmund Lang, Jeremy Fairbank, Jill P Urban

Open access · goldAbstract readReview
In one paragraph

Review in JOR spine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% 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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Intervertebral disc degeneration.Nature reviews. Disease primers · 2026
    Review
  7. Article
  8. Article
  9. Tissue engineering strategies for treating intervertebral disc degeneration.Frontiers in bioengineering and biotechnology · 2025
    Review
  10. Harnessing CRISPR potential for intervertebral disc regeneration strategies.Frontiers in bioengineering and biotechnology · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

13 more citing papers are in PubMed but not listed here.

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

6 authors at 5 institutions in 5 countries.

Markus LoiblDepartment of Spine Surgery Schulthess Klinik Zürich Switzerland.ORCID https://orcid.org/0000-0001-7631-0476
Karin Wuertz-KozakInstitute for Biomechanics, Department of Health Sciences and Technology ETH Zürich, Zürich Switzerland.ORCID https://orcid.org/0000-0002-3281-4629
Gianluca VadalaDepartment of Orthopaedic and Trauma Surgery Campus Bio-Medico University of Rome Rome Italy.ORCID https://orcid.org/0000-0001-7142-1660
Siegmund LangDepartment of Trauma Surgery Regensburg University Medical Center Regensburg Germany.ORCID https://orcid.org/0000-0003-0459-9092
Jeremy FairbankNuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford Oxford UK.ORCID https://orcid.org/0000-0002-0050-874X
Jill P UrbanDepartment of Physiology, Anatomy and Genetics University of Oxford Oxford UK.
University Hospital Regensburg · DENuffield Orthopaedic Centre · GBUniversità Campus Bio-Medico · ITUniversity of Oxford · GBUniversity of Potsdam · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low back pain (LBP) can significantly reduce the quality of life of patients, and has a considerable economic and social impact worldwide. It is commonly associated with disc degeneration, even though many people with degenerate discs are asymptomatic. Degenerate disc disease (DDD), is thus a common term for intervertebral disc (IVD) degeneration associated with LBP. Degeneration is thought to lead to LBP because of nerve ingrowth into the degenerate disc, inflammation, or because degradation of extracellular matrix (ECM) alters spinal biomechanics inappropriately. Thus, while the objectives of some interventions for LBP are to control pain intensity, other interventions aim to deal with the consequences of disc degeneration through stabilizing the disc surgically, by inserting artificial discs or by repairing the disc biologically and preventing progressive IVD degeneration. Despite tremendous research efforts, treatment of LBP through the use of regenerative interventions aiming to repair the IVD is still controversial. The use of mesenchymal stem cells for IVD regeneration in a patient-based case will be discussed by an ensemble of clinicians and researchers.

Indexed as

degenerate disc diseaseinflammationintervertebral disc degenerationmesenchymal stem cellsmicroenvironmentregeneration

Identifiers

PMID31463457
PMCPMC6711491
OpenAlexW2914515734

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.