Biochemical changes associated with the symptomatic human intervertebral disk

Significant changes in disk biochemistry were evident in the nuclei pulposi of 25 symptomatic disks that demonstrated abnormal diskography. Compared with the results from ten normal disk from young subjects (mean age, ten years) and from ten asymptomatic disks from adult patients (mean age, 33 years...

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Veröffentlicht in:Clinical orthopaedics and related research 1993-08 (293), p.372-377
Hauptverfasser: KITANO, T, ZERWEKH, J. E, USUI, Y, EDWARDS, M. L, FLICKER, P. L, MOONEY, V
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container_end_page 377
container_issue 293
container_start_page 372
container_title Clinical orthopaedics and related research
container_volume
creator KITANO, T
ZERWEKH, J. E
USUI, Y
EDWARDS, M. L
FLICKER, P. L
MOONEY, V
description Significant changes in disk biochemistry were evident in the nuclei pulposi of 25 symptomatic disks that demonstrated abnormal diskography. Compared with the results from ten normal disk from young subjects (mean age, ten years) and from ten asymptomatic disks from adult patients (mean age, 33 years), the symptomatic disks demonstrated significantly greater collagen content than the young and asymptomatic adult subjects, respectively. Significantly fewer total glycosaminoglycans (GAGs) and significantly less water content were also evident for the diseased disks. The mean pH of the nucleus pulposus from 23 patients was also significantly reduced for the symptomatic disks as compared with the mean pH measured for four asymptomatic adult subjects. Although significantly fewer total GAGs were observed for the symptomatic disks, there were no significant differences in the percent composition of hyaluronic acid (HA), chondroitin sulfate (CS), or keratan sulfate (KS) among the normal and symptomatic disks. Significant changes in disk biochemistry are associated with the symptomatic disk, and these changes could contribute to the development of the painful disk syndrome.
doi_str_mv 10.1097/00003086-199308000-00050
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Although significantly fewer total GAGs were observed for the symptomatic disks, there were no significant differences in the percent composition of hyaluronic acid (HA), chondroitin sulfate (CS), or keratan sulfate (KS) among the normal and symptomatic disks. 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source Journals@Ovid Ovid Autoload; MEDLINE
subjects Adult
Biological and medical sciences
Body Water
Child
Collagen - analysis
Diseases of the osteoarticular system
Diseases of the spine
Glycosaminoglycans - analysis
Humans
Hydrogen-Ion Concentration
Intervertebral Disc - chemistry
Intervertebral Disc Displacement - metabolism
Intervertebral Disc Displacement - surgery
Lumbar Vertebrae
Medical sciences
Spinal Fusion
title Biochemical changes associated with the symptomatic human intervertebral disk
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