Evidence map›Paper›PMID 41148278›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 Society2026

The higher cellular elastic modulus of the nucleus pulposus with degenerative changes in the cervical intervertebral discs.

Bowei Xiao, Tianchi Zhou, Juying Huang, Tianhua Rong, Bingxuan Wu, Baoge Liu

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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, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Bowei XiaoDepartment of Orthopaedic Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Tianchi ZhouDepartment of Orthopaedic Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Juying HuangBeijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical Univercity, Beijing, China.
Tianhua RongDepartment of Orthopaedic Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Bingxuan WuDepartment of Orthopaedic Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Baoge LiuDepartment of Orthopaedic Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. baogeliuttyy@163.com.

Funding

High Level Public Health Technology Talent Construction Project Leading Talent-02-05National Natural Science Foundation of China 82272524; 81972084Natural Science Foundation of Beijing Municipality 7222051
6 · The paper itself

Abstract

purposeOur study aims to explore the association between the elastic modulus of nucleus pulposus cells (NPCs) and degenerative changes in the cervical intervertebral discs (IVDs).

methodsPrimary human NPCs were isolated from 21 degenerative IVDs that underwent anterior cervical decompression and fusion. The clinical degeneration degree of IVDs were assessed by a qualitative approach based on MRIs and a quantitative method based on the radiographs after all elastic modulus of NPCs were measured. On the basis of the degree of cervical IVDs degeneration, subjects were divided into mild (n = 6), moderate (n = 10) and severe (n = 5) degeneration groups. Atomic force microscopy were used to acquire morphology and force displacement curves. Force curves were fitted using the Sneddon model to extract the cellular elastic modulus.

resultsIn our study, the elastic modulus increased significantly in mild, moderate, and severe groups (46.75 ± 17.87, 50.34 ± 25.97, and 72.63 ± 25.82 kPa, respectively) in accordance with the degree of cervical IVD degeneration (P < 0.05). In particularly, when the degree of height loss was enhanced because of IVD degeneration, the elastic modulus was also significantly increased in the groups (45.24 ± 19.90, 53.39 ± 26.78, and 70.68 ± 25.43 kPa, respectively; P < 0.05).

conclusionsThe micromechanics of NPCs was associated with the macroscopic behavior in the IVDs. The cellular elastic modulus of NPCs, which could be influenced by age, sex and IVD segment of the subjects, increased with the aggravation of IVDs degeneration and the reduction of discs height.

Indexed as

Cervical VertebraeElastic ModulusIntervertebral DiscIntervertebral Disc DegenerationNucleus PulposusAdultAgedCells, CulturedFemaleHumansMaleMicroscopy, Atomic ForceMiddle AgedAtomic force microscopyCell mechanicsElastic modulusHuman nucleus pulposus cells

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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.