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Influence of degenerative changes of intervertebral disc on its material properties and pathology
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作者 WANG Yi CHEN Hai-bin +3 位作者 ZHANG Ling ZHANG Li-ying LIU Jing-cheng WANG Zheng-guo 《Chinese Journal of Traumatology》 CAS 2012年第2期67-76,共10页
Objective: To investigate the material properties of normal and degenerated intervertebral discs (IVDs) and examine the effect of degenerative changes on IVD pathology. Methods: A computer-based online search was... Objective: To investigate the material properties of normal and degenerated intervertebral discs (IVDs) and examine the effect of degenerative changes on IVD pathology. Methods: A computer-based online search was undertaken to identify English articles about material properties of IVDs published from January 1950 to 2011 in PubMed database. The retrieved keywords included material properties, intervertebral disc and degeneration. Based on the principles of reliability, advancement and efficiency, the obtained data were primarily examined, and the original source was retrieved to read the full-text. Repetitive articles were excluded. The data of material properties of normal and degenerated IVDs were summarized and analyzed by meta-analysis. Results: The data of Young's modulus, Poisson's ratio, shear modulus, hydraulic permeability and intradiscal pres- sure of normal and degenerated 1VDs were obtained. Com- pared with normal IVDs, the Young's modulus and shear modulus of annulus fibrosus and nucleus pulposus werehigher in degenerated IVDs, the Poisson's ratio was lower while the hydraulic permeability and intradiscal pressure were higher. Besides, the degeneration-related alterations in IVDs had an influence both on itself and other spinal structures, leading to diseases such as bulging disc, discogenic pain and spinal stenosis. Meanwhile, the heavy mechanical loading and injury indicated important pathways to IVD degeneration. Conclusions: To a certain extent, the degenerative changes of IVD influence its material properties. And the degeneration-related alterations of composition can cause structural failure oflVDs, leading to injuries and diseases. 展开更多
关键词 Intervertebral disc mechanicalphenomena DEGENERATION Elastic modulus PERMEABILITY PATHOLOGY
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