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Cited by 472

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

Intervertebral Disk Degeneration and Repair

Open access
Dowdell, James, Erwin, Mark, Choma, Theodoe, Vaccaro, Alexander, Iatridis, James, Cho, Samuel K·2017·Neurosurgery

Abstract

Intervertebral disk (IVD) degeneration is a natural progression of the aging process. Degenerative disk disease (DDD) is a pathologic condition associated with IVD that has been associated with chronic back pain. There are a variety of different mechanisms of DDD (genetic, mechanical, exposure). Each of these pathways leads to a final common result of unbalancing the anabolic and catabolic environment of the extracellular matrix in favor of catabolism. Attempts have been made to gain an understanding of the process of IVD degeneration with in Vitro studies. These models help our understanding of the disease process, but are limited as they do not come close to replicating the complexities that exist with an in Vivo model. Animal models have been developed to help us gain further understanding of the degenerative cascade of IVD degeneration In Vivo and test experimental treatment modalities to either prevent or reverse the process of DDD. Many modalities for treatment of DDD have been developed including therapeutic protein injections, stem cell injections, gene therapy, and tissue engineering. These interventions have had promising outcomes in animal models. Several of these modalities have been attempted in human trials, with early outcomes having promising results. Further, increasing our understanding of the degenerative process is essential to the development of new therapeutic interventions and the optimization of existing treatment protocols. Despite limited data, biological therapies are a promising treatment modality for DDD that could impact our future management of low back pain.

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Metadata

Authors
Dowdell, J., Erwin, M., Choma, T., Vaccaro, A., Iatridis, J., & Cho, S. K.
Venue
Neurosurgery
Published
2017-02-21
Volume
80
Issue
3S
Pages
S46-S54
ISSN
  • 0148-396X (ISSN-L)
  • 1524-4040
OpenAlex
W2589716687
Cited by
472
References
54
FWCI
15.58
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Intervertebral Disk Degeneration and Repair. https://app.cochat.ai/papers/10.1093/neuros/nyw078
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Dowdell, J., Erwin, M., Choma, T., Vaccaro, A., Iatridis, J., & Cho, S. K. (2017). Intervertebral Disk Degeneration and Repair. Neurosurgery. https://doi.org/10.1093/neuros/nyw078

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