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Volumn 39, Issue 13, 2014, Pages 1018-1028

How healthy discs herniate: A biomechanical and microstructural study investigating the combined effects of compression rate and flexion

Author keywords

annular disruption; elevated rate of compression; fl exion; mechanism of herniation; microstructural analysis; ovine lumbar motion segments

Indexed keywords

ANIMAL TISSUE; ARTICLE; BIOMECHANICS; COMPRESSION; COMPRESSION RATE; DISK WALL FAILURE; FEMALE; INTERVERTEBRAL DISK DISEASE; LUMBAR DISK HERNIA; NONHUMAN; PATHOGENESIS; PHYSICAL STRESS; PRIORITY JOURNAL; SHEEP; SPINE FLEXION; SPINE FRACTURE; SPINE MOBILITY; STRUCTURE ANALYSIS; TISSUE STRUCTURE; ANIMAL; BODY POSTURE; COMPRESSIVE STRENGTH; DISEASE MODEL; INTERVERTEBRAL DISK; INTERVERTEBRAL DISK HERNIA; JOINT CHARACTERISTICS AND FUNCTIONS; LUMBAR VERTEBRA; MECHANICAL STRESS; PATHOLOGY; PATHOPHYSIOLOGY; PHYSIOLOGY; ULTRASTRUCTURE; WEIGHT BEARING;

EID: 84902298640     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/BRS.0000000000000262     Document Type: Article
Times cited : (87)

References (55)
  • 1
    • 0036626696 scopus 로고    scopus 로고
    • Relationship between severity of lumbar disc disease and disability scores in sciatica patients
    • Porchet F, Wietlisbach V, Burnand B, et al. Relationship between severity of lumbar disc disease and disability scores in sciatica patients. Neurosurgery 2002; 50 : 1253-60.
    • (2002) Neurosurgery , vol.50 , pp. 1253-1260
    • Porchet, F.1    Wietlisbach, V.2    Burnand, B.3
  • 2
    • 0020535191 scopus 로고
    • Lumbar disc herniation A controlled, prospective study with ten years of observation
    • Weber H. Lumbar disc herniation. A controlled, prospective study with ten years of observation. Spine 1983; 8 : 131-40.
    • (1983) Spine , vol.8 , pp. 131-140
    • Weber, H.1
  • 3
    • 46749156226 scopus 로고    scopus 로고
    • Management of sciatica due to lumbar disc herniation in the Netherlands: A survey among spine surgeons
    • Arts MP, Peul WC, Koes BW, et al. Management of sciatica due to lumbar disc herniation in the Netherlands: a survey among spine surgeons. J Neurosurg Spine 2008; 9 : 32-9.
    • (2008) J Neurosurg Spine , vol.9 , pp. 32-39
    • Arts, M.P.1    Peul, W.C.2    Koes, B.W.3
  • 4
    • 0023758434 scopus 로고
    • Microtrauma in the lumbar spine: A cause of low back pain
    • Yoganandan N, Maiman DJ, Pintar F, et al. Microtrauma in the lumbar spine: a cause of low back pain. Neurosurgery 1988; 23 : 162-8.
    • (1988) Neurosurgery , vol.23 , pp. 162-168
    • Yoganandan, N.1    Maiman, D.J.2    Pintar, F.3
  • 5
    • 0016670205 scopus 로고
    • Deformation and fracture of the lumbar vertebral endplate
    • Rolander SD, Blair WE. Deformation and fracture of the lumbar vertebral endplate. Orthop Clin N Am 1975; 6 : 75-81.
    • (1975) Orthop Clin N Am , vol.6 , pp. 75-81
    • Rolander, S.D.1    Blair, W.E.2
  • 6
    • 0000856450 scopus 로고
    • A study of the mechanics of spinal injuries
    • Roaf R. A study of the mechanics of spinal injuries. J Bone Joint Surg Br 1960; 42-B : 810-23.
    • (1960) J Bone Joint Surg Br , vol.42-B , pp. 810-823
    • Roaf, R.1
  • 7
    • 0017853540 scopus 로고
    • Mechanical response of the lumbar intervertebral joint under physiological ( complex) loading
    • Lin HS, Liu YK, Adams KH. Mechanical response of the lumbar intervertebral joint under physiological ( complex) loading. J Bone Jt Surg Ser A 1978; 60 A : 41-55.
    • (1978) J Bone Jt Surg ser A , vol.60 A , pp. 41-55
    • Lin, H.S.1    Liu, Y.K.2    Adams, K.H.3
  • 8
    • 70449185393 scopus 로고
    • Some mechanical tests on the lumbosacral spine with particular reference to the intervertebral discs; A preliminary report
    • Brown T, Hansen RJ, Yorra AJ. Some mechanical tests on the lumbosacral spine with particular reference to the intervertebral discs; a preliminary report. J Bone Jt Surg Am 1957; 39 A : 1135-64.
    • (1957) J Bone Jt Surg Am , vol.39 A , pp. 1135-1164
    • Brown, T.1    Hansen, R.J.2    Yorra, A.J.3
  • 9
    • 0032426638 scopus 로고    scopus 로고
    • Injuries in the adolescent porcine spine exposed to mechanical compression
    • Lundin O, Ekström L, Hellström M, et al. Injuries in the adolescent porcine spine exposed to mechanical compression. Spine 1998; 23 : 2574-9.
    • (1998) Spine , vol.23 , pp. 2574-2579
    • Lundin, O.1    Ekström, L.2    Hellström, M.3
  • 10
    • 0019941891 scopus 로고
    • Prolapsed intervertebral disc: A hyperfl exion injury
    • Adams MA, Hutton WC. Prolapsed intervertebral disc: a hyperfl exion injury. Spine 1982; 7 : 184-91.
    • (1982) Spine , vol.7 , pp. 184-191
    • Adams, M.A.1    Hutton, W.C.2
  • 11
    • 0022379461 scopus 로고
    • Gradual disc prolapse
    • Adams MA, Hutton WC. Gradual disc prolapse. Spine 1985; 10 : 524-31.
    • (1985) Spine , vol.10 , pp. 524-531
    • Adams, M.A.1    Hutton, W.C.2
  • 12
    • 0020299158 scopus 로고
    • The mechanics of prolapsed intervertebral disc
    • Adams MA, Hutton WC. The mechanics of prolapsed intervertebral disc. Int Orthop 1982; 6 : 249-53.
    • (1982) Int Orthop , vol.6 , pp. 249-253
    • Adams, M.A.1    Hutton, W.C.2
  • 13
    • 0027305882 scopus 로고
    • Can intervertebral disc prolapse be predicted by disc mechanics?
    • McNally DS, Adams MA, Goodship AE. Can intervertebral disc prolapse be predicted by disc mechanics? Spine 1993; 18 : 1525-30.
    • (1993) Spine , vol.18 , pp. 1525-1530
    • McNally, D.S.1    Adams, M.A.2    Goodship, A.E.3
  • 14
    • 77956911828 scopus 로고    scopus 로고
    • The infl uence of torsion on disc herniation when combined with fl exion
    • Veres SP, Robertson PA, Broom ND. The infl uence of torsion on disc herniation when combined with fl exion. Eur Spine J 2010; 19 : 1468-78.
    • (2010) Eur Spine J , vol.19 , pp. 1468-1478
    • Veres, S.P.1    Robertson, P.A.2    Broom, N.D.3
  • 15
    • 70349802132 scopus 로고    scopus 로고
    • The morphology of acute disc herniation: A clinically relevant model defi ning the role of fl exion
    • Veres SP, Robertson PA, Broom ND. The morphology of acute disc herniation: a clinically relevant model defi ning the role of fl exion. Spine 2009; 34 : 2288-96.
    • (2009) Spine , vol.34 , pp. 2288-2296
    • Veres, S.P.1    Robertson, P.A.2    Broom, N.D.3
  • 16
    • 77958019231 scopus 로고    scopus 로고
    • ISSLS prize winner: How loading rate infl uences disc failure mechanics: A microstructural assessment of internal disruption
    • Veres SP, Robertson PA, Broom ND. ISSLS prize winner: How loading rate infl uences disc failure mechanics: a microstructural assessment of internal disruption. Spine 2010; 35 : 1897-908.
    • (2010) Spine , vol.35 , pp. 1897-1908
    • Veres, S.P.1    Robertson, P.A.2    Broom, N.D.3
  • 17
    • 68549128747 scopus 로고    scopus 로고
    • ISSLS prize winner: Microstructure and mechanical disruption of the lumbar disc annulus: Part II: How the annulus fails under hydrostatic pressure
    • Veres SP, Robertson PA, Broom ND. ISSLS prize winner: microstructure and mechanical disruption of the lumbar disc annulus: part II: how the annulus fails under hydrostatic pressure. Spine 2008; 33 : 2711-20.
    • (2008) Spine , vol.33 , pp. 2711-2720
    • Veres, S.P.1    Robertson, P.A.2    Broom, N.D.3
  • 18
    • 0025332891 scopus 로고
    • Preliminary evaluation of a scheme for grading the gross morphology of the human intervertebral disc
    • Thompson JP, Pearce RH, Schechter MT, et al. Preliminary evaluation of a scheme for grading the gross morphology of the human intervertebral disc. Spine 1990; 15 : 411-5.
    • (1990) Spine , vol.15 , pp. 411-415
    • Thompson, J.P.1    Pearce, R.H.2    Schechter, M.T.3
  • 19
    • 0018850797 scopus 로고
    • The effect of posture on the role of the apophysial joints in resisting intervertebral compressive forces
    • Adams MA, Hutton WC. The effect of posture on the role of the apophysial joints in resisting intervertebral compressive forces. J Bone Jt Surg Ser B 1980; 62 : 358-62.
    • (1980) J Bone Jt Surg ser B , vol.62 , pp. 358-362
    • Adams, M.A.1    Hutton, W.C.2
  • 20
    • 0030941203 scopus 로고    scopus 로고
    • Anatomy of the sheep spine and its comparison to the human spine
    • Wilke HJ, Kettler A, Wenger KH, et al. Anatomy of the sheep spine and its comparison to the human spine. Anatomical Record 1997; 247 : 542-55.
    • (1997) Anatomical Record , vol.247 , pp. 542-555
    • Wilke, H.J.1    Kettler, A.2    Wenger, K.H.3
  • 21
    • 0036258896 scopus 로고    scopus 로고
    • Sheep lumbar intervertebral discs as models for human discs
    • Reid JE, Meakin JR, Robins SP, et al. Sheep lumbar intervertebral discs as models for human discs. Clin Biomech 2002; 17 : 312-4.
    • (2002) Clin Biomech , vol.17 , pp. 312-314
    • Reid, J.E.1    Meakin, J.R.2    Robins, S.P.3
  • 22
    • 0031284671 scopus 로고    scopus 로고
    • Are sheep spines a valid biomechanical model for human spines?
    • Wilke HJ, Kettler A, Claes LE. Are sheep spines a valid biomechanical model for human spines? Spine 1997; 22 : 2365-74.
    • (1997) Spine , vol.22 , pp. 2365-2374
    • Wilke, H.J.1    Kettler, A.2    Claes, L.E.3
  • 23
    • 0036214369 scopus 로고    scopus 로고
    • The use of a quadruped as an in vivo model for the study of the spine-Biomechanical considerations
    • Smit TH. The use of a quadruped as an in vivo model for the study of the spine-Biomechanical considerations. Eur Spine J 2002; 11 : 137-44.
    • (2002) Eur Spine J , vol.11 , pp. 137-144
    • Smit, T.H.1
  • 24
    • 0034653633 scopus 로고    scopus 로고
    • Effect of loading rate and hydration on the mechanical properties of the disc
    • Race A, Broom ND, Robertson P. Effect of loading rate and hydration on the mechanical properties of the disc. Spine 2000; 25 : 662-9.
    • (2000) Spine , vol.25 , pp. 662-669
    • Race, A.1    Broom, N.D.2    Robertson, P.3
  • 25
    • 0034533687 scopus 로고    scopus 로고
    • Exposure of the porcine spine to mechanical compression: Differences in injury pattern between adolescents and adults
    • Lundin O, Ekström L, Hellström M, et al. Exposure of the porcine spine to mechanical compression: Differences in injury pattern between adolescents and adults. Eur Spine J 2000; 9 : 466-71.
    • (2000) Eur Spine J , vol.9 , pp. 466-471
    • Lundin, O.1    Ekström, L.2    Hellström, M.3
  • 26
    • 0022398157 scopus 로고
    • The effect of posture on the lumbar spine
    • Adams MA, Hutton WC. The effect of posture on the lumbar spine. J Bone Jt Surg Ser B 1985; 67 : 625-9.
    • (1985) J Bone Jt Surg ser B , vol.67 , pp. 625-629
    • Adams, M.A.1    Hutton, W.C.2
  • 27
    • 0028857557 scopus 로고
    • Recent advances in lumbar spinal mechanics and their clinical signifi cance
    • Adams MA, Dolan P. Recent advances in lumbar spinal mechanics and their clinical signifi cance. Clin Biomech 1995; 10 : 3-19.
    • (1995) Clin Biomech , vol.10 , pp. 3-19
    • Adams, M.A.1    Dolan, P.2
  • 28
    • 0025321027 scopus 로고
    • Histological changes in aging lumbar intervertebral discs. Their role in protrusions and prolapses
    • Yasuma T, Koh S, Okamura T, et al. Histological changes in aging lumbar intervertebral discs. Their role in protrusions and prolapses. J Bone Jt Surg Ser A 1990; 72 : 220-9.
    • (1990) J Bone Jt Surg ser A , vol.72 , pp. 220-229
    • Yasuma, T.1    Koh, S.2    Okamura, T.3
  • 29
    • 0023005538 scopus 로고
    • Histological development of intervertebral disc herniation
    • Yasuma T, Makino E, Saito S, et al. Histological development of intervertebral disc herniation. J Bone Jt Surg Ser A 1986; 68 : 1066-72.
    • (1986) J Bone Jt Surg ser A , vol.68 , pp. 1066-1072
    • Yasuma, T.1    Makino, E.2    Saito, S.3
  • 30
    • 0025048150 scopus 로고
    • Volvo award in experimental studies: Annulus tears and intervertebral disc degeneration: An experimental study using an animal model
    • Osti OL, Vernon-Roberts B, Fraser RD. 1990 Volvo award in experimental studies: annulus tears and intervertebral disc degeneration: an experimental study using an animal model. Spine 1990; 15 : 762-7.
    • (1990) Spine , vol.15 , pp. 762-767
    • Osti, O.L.1    Vernon-Roberts, B.2    Fraser, R.D.3
  • 31
    • 0026792914 scopus 로고
    • Annular tears and disc degeneration in the lumbar spine: A post-mortem study of 135 discs
    • Osti OL, Vernon-Roberts B, Moore R, et al. Annular tears and disc degeneration in the lumbar spine: a post-mortem study of 135 discs. J Bone Jt Surg Ser B 1992; 74 : 678-82.
    • (1992) J Bone Jt Surg ser B , vol.74 , pp. 678-682
    • Osti, O.L.1    Vernon-Roberts, B.2    Moore, R.3
  • 32
    • 84882734523 scopus 로고    scopus 로고
    • Do intervertebral discs degenerate before they herniate, or after?
    • Lama P, Le Maitre CL, Dolan P, et al. Do intervertebral discs degenerate before they herniate, or after? Bone Jt J 2013; 95 B : 1127-33.
    • (2013) Bone Jt J , vol.95 B , pp. 1127-1133
    • Lama, P.1    Le Maitre, C.L.2    Dolan, P.3
  • 33
    • 0025001308 scopus 로고
    • Volvo award in clinical sciences: Lumbar spinal pathology in cadaveric material in relation to history of back pain, occupation, and physical loading
    • Videman T, Nurminen M, Troup JDG. 1990 Volvo award in clinical sciences: lumbar spinal pathology in cadaveric material in relation to history of back pain, occupation, and physical loading. Spine 1990; 15 : 728-40.
    • (1990) Spine , vol.15 , pp. 728-740
    • Videman, T.1    Nurminen, M.2    Troup, J.D.G.3
  • 34
    • 57849110285 scopus 로고    scopus 로고
    • Genetic and environmental effects on disc degeneration by phenotype and spinal level: A multivariate twin study
    • Battié MC, Videman T, Levälahti E, et al. Genetic and environmental effects on disc degeneration by phenotype and spinal level: a multivariate twin study. Spine 2008; 33 : 2801-8.
    • (2008) Spine , vol.33 , pp. 2801-2808
    • Battié, M.C.1    Videman, T.2    Levälahti, E.3
  • 35
    • 84882452766 scopus 로고    scopus 로고
    • ISSLS prize winner: The anatomy of failure in lumbar disc herniation: An in vivo, multimodal, prospective study of 181 subjects
    • Rajasekaran S, Bajaj N, Tubaki V, et al. ISSLS prize winner: the anatomy of failure in lumbar disc herniation: an in vivo, multimodal, prospective study of 181 subjects. Spine 2013.
    • (2013) Spine
    • Rajasekaran, S.1    Bajaj, N.2    Tubaki, V.3
  • 36
    • 33747355707 scopus 로고    scopus 로고
    • What is intervertebral disc degeneration, and what causes it?
    • Adams MA, Roughley PJ. What is intervertebral disc degeneration, and what causes it? Spine 2006; 31 : 2151-61.
    • (2006) Spine , vol.31 , pp. 2151-2161
    • Adams, M.A.1    Roughley, P.J.2
  • 37
    • 39049134365 scopus 로고    scopus 로고
    • Progressive disc herniation: An investigation of the mechanism using radiologic, histochemical, and microscopic dissection techniques on a porcine model
    • Tampier C, Drake JDM, Callaghan JP, et al. Progressive disc herniation: an investigation of the mechanism using radiologic, histochemical, and microscopic dissection techniques on a porcine model. Spine 2007; 32 : 2869-74.
    • (2007) Spine , vol.32 , pp. 2869-2874
    • Tampier, C.1    Drake, J.D.M.2    Callaghan, J.P.3
  • 38
    • 0024467395 scopus 로고
    • A pathologic study of lumbar disc herniation in the elderly
    • Harada Y, Nakahara S. A pathologic study of lumbar disc herniation in the elderly. Spine 1989; 14 : 1020-4.
    • (1989) Spine , vol.14 , pp. 1020-1024
    • Harada, Y.1    Nakahara, S.2
  • 39
    • 0029766167 scopus 로고    scopus 로고
    • The origin and fate of herniated lumbar intervertebral disc tissue
    • Moore RJ, Vernon-Roberts B, Fraser RD, et al. The origin and fate of herniated lumbar intervertebral disc tissue. Spine 1996; 21 : 2149-55.
    • (1996) Spine , vol.21 , pp. 2149-2155
    • Moore, R.J.1    Vernon-Roberts, B.2    Fraser, R.D.3
  • 40
    • 0023692164 scopus 로고
    • Instantaneous axes of rotation of the lumbar intervertebral joints
    • Pearcy MJ, Bogduk N. Instantaneous axes of rotation of the lumbar intervertebral joints. Spine 1988; 13 : 1033-41.
    • (1988) Spine , vol.13 , pp. 1033-1041
    • Pearcy, M.J.1    Bogduk, N.2
  • 41
    • 0025338210 scopus 로고
    • Motion characteristic of the normal lumbar spine in young adults: Instantaneous axis of rotation and vertebral center motion analyses
    • Yoshioka T, Tsuji H, Hirano N, et al. Motion characteristic of the normal lumbar spine in young adults: instantaneous axis of rotation and vertebral center motion analyses. J Spinal Disord 1990; 3 : 103-13.
    • (1990) J Spinal Disord , vol.3 , pp. 103-113
    • Yoshioka, T.1    Tsuji, H.2    Hirano, N.3
  • 42
    • 0025288751 scopus 로고
    • Investigation of the laminate structure of lumbar disc annulus fi brosus
    • Marchand F, Ahmed AM. Investigation of the laminate structure of lumbar disc annulus fi brosus. Spine 1990; 15 : 402-10.
    • (1990) Spine , vol.15 , pp. 402-410
    • Marchand, F.1    Ahmed, A.M.2
  • 43
    • 83255181878 scopus 로고    scopus 로고
    • A fresh look at the nucleus-endplate region: New evidence for signifi cant structural integration
    • Wade K, Robertson P, Broom N. A fresh look at the nucleus-endplate region: new evidence for signifi cant structural integration. Eur Spine J 2011; 20 : 1225-32.
    • (2011) Eur Spine J , vol.20 , pp. 1225-1232
    • Wade, K.1    Robertson, P.2    Broom, N.3
  • 44
    • 84866913836 scopus 로고    scopus 로고
    • On the extent and nature of nucleus-annulus integration
    • Wade KR, Robertson PA, Broom ND. On the extent and nature of nucleus-annulus integration. Spine 2012; 37 : 1826-33.
    • (2012) Spine , vol.37 , pp. 1826-1833
    • Wade, K.R.1    Robertson, P.A.2    Broom, N.D.3
  • 45
    • 84862330685 scopus 로고    scopus 로고
    • On how nucleus-endplate integration is achieved at the fi brillar level in the ovine lumbar disc
    • Wade KR, Robertson PA, Broom ND. On how nucleus-endplate integration is achieved at the fi brillar level in the ovine lumbar disc. J Anatomy 2012; 221 : 39-46.
    • (2012) J Anatomy , vol.221 , pp. 39-46
    • Wade, K.R.1    Robertson, P.A.2    Broom, N.D.3
  • 46
    • 0016685272 scopus 로고
    • Towards a better understanding of low back pain: A review of the mechanics of the lumbar disc
    • Nachemson A. Towards a better understanding of low back pain: a review of the mechanics of the lumbar disc. Rheumatol Rehabil 1975; 14 : 129-43.
    • (1975) Rheumatol Rehabil , vol.14 , pp. 129-143
    • Nachemson, A.1
  • 47
    • 1842355772 scopus 로고
    • Lumbar intradiscal pressure Experimental studies on post-mortem material
    • Nachemson A. Lumbar intradiscal pressure. Experimental studies on post-mortem material. Acta Orthop Scand Suppl 1960; 43 : 1-104.
    • (1960) Acta Orthop Scand Suppl , vol.43 , pp. 1-104
    • Nachemson, A.1
  • 48
    • 0027516653 scopus 로고
    • Abnormal stress concentrations in lumbar intervertebral discs following damage to the vertebral bodies: A cause of disc failure?
    • Adams MA, McNally DS, Wagstaff J, et al. Abnormal stress concentrations in lumbar intervertebral discs following damage to the vertebral bodies: a cause of disc failure? Eur Spine J 1993; 1 : 214-21.
    • (1993) Eur Spine J , vol.1 , pp. 214-221
    • Adams, M.A.1    McNally, D.S.2    Wagstaff, J.3
  • 49
    • 0029850589 scopus 로고    scopus 로고
    • Stress distributions inside intervertebral discs. The effects of age and degeneration
    • Adams MA, McNally DS, Dolan P. "Stress" distributions inside intervertebral discs. The effects of age and degeneration. J Bone Jt Surg Ser B 1996; 78 : 965-72.
    • (1996) J Bone Jt Surg ser B , vol.78 , pp. 965-972
    • Adams, M.A.1    McNally, D.S.2    Dolan, P.3
  • 50
    • 0026751015 scopus 로고
    • Internal intervertebral disc mechanics as revealed by stress profi lometry
    • McNally DS, Adams MA. Internal intervertebral disc mechanics as revealed by stress profi lometry. Spine 1992; 17 : 66-73.
    • (1992) Spine , vol.17 , pp. 66-73
    • McNally, D.S.1    Adams, M.A.2
  • 51
    • 0030466597 scopus 로고    scopus 로고
    • Effect of sustained loading on the water content of intervertebral discs: Implications for disc metabolism
    • McMillan DW, Garbutt G, Adams MA. Effect of sustained loading on the water content of intervertebral discs: implications for disc metabolism. Ann Rheum Dis 1996; 55 : 880-7.
    • (1996) Ann Rheum Dis , vol.55 , pp. 880-887
    • McMillan, D.W.1    Garbutt, G.2    Adams, M.A.3
  • 52
    • 0345363296 scopus 로고    scopus 로고
    • An immunohistochemical study of nerve structures in the annulus fi brosus of human normal lumbar intervertebral discs
    • Palmgren T, Grönblad M, Virri J, et al. An immunohistochemical study of nerve structures in the annulus fi brosus of human normal lumbar intervertebral discs. Spine 1999; 24 : 2075-9.
    • (1999) Spine , vol.24 , pp. 2075-2079
    • Palmgren, T.1    Grönblad, M.2    Virri, J.3
  • 53
    • 0023501092 scopus 로고
    • Age changes in lumbar vertebrae and intervertebral discs
    • Twomey LT, Taylor JR. Age changes in lumbar vertebrae and intervertebral discs. Clin Orthop Relat Res 1987 : 97-104.
    • (1987) Clin Orthop Relat Res , pp. 97-104
    • Twomey, L.T.1    Taylor, J.R.2
  • 54
    • 84939402726 scopus 로고
    • Microradiographic study of the normal human vertebral body
    • Francois RJ, Dhem A. Microradiographic study of the normal human vertebral body. Acta Anat ( Basel) 1974 : 251-65.
    • (1974) Acta Anat ( Basel) , pp. 251-265
    • Francois, R.J.1    Dhem, A.2
  • 55
    • 0019722388 scopus 로고
    • The relevance of torsion to the mechanical derangement of the lumbar spine
    • Adams MA, Hutton WC. The relevance of torsion to the mechanical derangement of the lumbar spine. Spine 1981; 6 : 241-7.
    • (1981) Spine , vol.6 , pp. 241-247
    • Adams, M.A.1    Hutton, W.C.2


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