Evidence map›Paper›PMID 41644951›Full record

ReviewNature reviews. Disease primers2026

Intervertebral disc degeneration.

Bradley T Hammoor, Christopher S Lai, Grace X Xiong, Dawn M Elliott, Brian Snyder, Edward Vresilovic, Christopher M Bono, Benjamin R Freedman

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
  6. Article
  7. Review
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  9. Review
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  11. Article
  12. Human hip osteoarthritis-associatedbioRxiv : the preprint server for biology · 2026
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Stress-response exhaustion in intervertebral disc degeneration.Frontiers in cell and developmental biology · 2026
    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

8 authors.

Bradley T HammoorDepartment of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA. bhammoor@bidmc.harvard.edu.ORCID http://orcid.org/0000-0003-3761-9600
Christopher S LaiDepartment of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9881-9206
Grace X XiongDepartment of Orthopaedic Surgery, Stanford University, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0003-4168-7702
Dawn M ElliottDepartment of Biomedical Engineering, University of Delaware, Newark, DE, USA.
Brian SnyderDepartment of Orthopaedic Surgery, Harvard Medical School, Boston, MA, USA.
Edward VresilovicDepartment of Biomedical Engineering, University of Delaware, Newark, DE, USA.ORCID http://orcid.org/0000-0002-9591-8409
Christopher M BonoDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA.
Benjamin R FreedmanDepartment of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA. bfreedm2@bidmc.harvard.edu.

Funding

Supplement Multifunctional Tough Adhesive Hydrogels to Recruit, Expand, and Deliver Tendon Cells During Aging and InjuryR00AG065495 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Benjamin Ross Freedman · 2023 to 2026
$842k
NIA NIH HHS R00 AG065495
6 · The paper itself

Abstract

Intervertebral disc (IVD) degeneration is a naturally occurring process that is a consequence of biological ageing and exposure to normal physiological loading over a lifetime and is characterized by loss of IVD tissue structural integrity. The nucleus pulposus changes with loss of pressurization, decreased collagen concentration and loss of distinction from annulus fibrosus. The annulus fibrosus and cartilaginous endplate suffer delamination, tears, fractures and clefts of their respective extracellular matrix at both microscopic and macroscopic scales. This loss of structural integrity generally follows a predictable pattern of degeneration, and it predisposes the IVD to pathological states. As the disc degenerates, the likelihood of functional failure to protect the neural elements and/or to provide stable spine motion and support increases. Functional failure takes the degenerated IVD to a state of disc pathology that has various phenotypes: the most common forms are disc herniation, mechanical instability, spinal stenosis, degenerative spondylolisthesis and degenerative scoliosis. IVD pathology is commonly self-limited and non-operative treatment remains the mainstay of treatment in most patients. For patients with refractory disease, surgical intervention focuses on neural decompression and, when indicated, motion segment stabilization. Future therapies for prevention of disc degeneration, targeted disc regeneration and biological modification of the degenerative cascade might prevent or reverse pathological changes across all spinal regions.

Indexed as

Intervertebral Disc DegenerationHumansIntervertebral Disc

Identifiers

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.