Intervertebral disc regeneration – Is it possible?

Objective: The aim of this study was to evaluate disc metabolism after decreasing the axial load through surgery by assessing the glycosaminoglycan content through a non-invasive method—delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC). Methods: Sixteen patients with m...

Full description

Saved in:
Bibliographic Details
Main Authors: Dragos Schiopu, Arnaud Devriendt, Clara Van Vyve, Tamas S. Illes
Format: Article
Language:English
Published: AVES 2024-11-01
Series:Acta Orthopaedica et Traumatologica Turcica
Online Access:https://www.aott.org.tr/en/intervertebral-disc-regeneration-is-it-possible-137437
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832542872256118784
author Dragos Schiopu
Arnaud Devriendt
Clara Van Vyve
Tamas S. Illes
author_facet Dragos Schiopu
Arnaud Devriendt
Clara Van Vyve
Tamas S. Illes
author_sort Dragos Schiopu
collection DOAJ
description Objective: The aim of this study was to evaluate disc metabolism after decreasing the axial load through surgery by assessing the glycosaminoglycan content through a non-invasive method—delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC). Methods: Sixteen patients with mono-segmental disc degeneration (L4-L5 or L5-S1) who underwent posterior lumbar spine fixation with intervertebral distraction of 2 consecutive vertebrae using monoaxial transpedicular screws and lyophilized allograft to achieve segmental fusion, and who had a follow-up period of at least 2 years, were included in this study. The first lumbar disc was used as the control group. The dGEMRIC studies in degenerative and control discs, visual analogue scale (VAS), Oswestry disability index (ODI), lumbar lordosis, and disc thickness were reviewed before and after surgery. Results: Visual analogue scale and ODI showed significant improvements (P=.003, P=.0004, respectively). The thickness of the operated discs was increased by an average of 2.41 mm (P=.0004) while maintaining lumbar lordosis (P=.35). In pre- and post-surgery dGEMRIC studies, the operated discs showed a significant di!erence (P=.0013), while the control groups remained approximately unchanged (P=.87). Conclusion: We have demonstrated that by restoring the disc height and reducing the associated pressure, the glycosaminoglycan content can be increased in the discs, as indicated by a decrease in gadolinium binding. Our results suggest that eliminating pressure on intervertebral discs can prevent their degeneration and initiate the regeneration process. Level of Evidence: Level IV, Therapeutic study
format Article
id doaj-art-13103850642a4685ad8475ce1844eda3
institution Kabale University
issn 1017-995X
language English
publishDate 2024-11-01
publisher AVES
record_format Article
series Acta Orthopaedica et Traumatologica Turcica
spelling doaj-art-13103850642a4685ad8475ce1844eda32025-02-03T12:55:30ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2024-11-0158634635710.5152/j.aott.2024.24034Intervertebral disc regeneration – Is it possible?Dragos Schiopu0https://orcid.org/0009-0005-1225-7529Arnaud Devriendt1https://orcid.org/0009-0001-6517-7232Clara Van Vyve2Tamas S. Illes3https://orcid.org/0000-0002-7578-3877Department of Orthopedics and Traumatology, Brugmann University Hospital Center, Free University of Brussels, Brussels, BelgiumDepartment of Medical Imaging, Brugmann University Hospital Center, Free University of Brussels, Brussels, BelgiumMaster of Specialization in Orthopedic Surgery, Free University of Brussels, Brussels, BelgiumDepartment of Orthopedics and Traumatology, Brugmann University Hospital Center, Free University of Brussels, Brussels, Belgium ; National Academy of Medicine, Paris, FranceObjective: The aim of this study was to evaluate disc metabolism after decreasing the axial load through surgery by assessing the glycosaminoglycan content through a non-invasive method—delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC). Methods: Sixteen patients with mono-segmental disc degeneration (L4-L5 or L5-S1) who underwent posterior lumbar spine fixation with intervertebral distraction of 2 consecutive vertebrae using monoaxial transpedicular screws and lyophilized allograft to achieve segmental fusion, and who had a follow-up period of at least 2 years, were included in this study. The first lumbar disc was used as the control group. The dGEMRIC studies in degenerative and control discs, visual analogue scale (VAS), Oswestry disability index (ODI), lumbar lordosis, and disc thickness were reviewed before and after surgery. Results: Visual analogue scale and ODI showed significant improvements (P=.003, P=.0004, respectively). The thickness of the operated discs was increased by an average of 2.41 mm (P=.0004) while maintaining lumbar lordosis (P=.35). In pre- and post-surgery dGEMRIC studies, the operated discs showed a significant di!erence (P=.0013), while the control groups remained approximately unchanged (P=.87). Conclusion: We have demonstrated that by restoring the disc height and reducing the associated pressure, the glycosaminoglycan content can be increased in the discs, as indicated by a decrease in gadolinium binding. Our results suggest that eliminating pressure on intervertebral discs can prevent their degeneration and initiate the regeneration process. Level of Evidence: Level IV, Therapeutic studyhttps://www.aott.org.tr/en/intervertebral-disc-regeneration-is-it-possible-137437
spellingShingle Dragos Schiopu
Arnaud Devriendt
Clara Van Vyve
Tamas S. Illes
Intervertebral disc regeneration – Is it possible?
Acta Orthopaedica et Traumatologica Turcica
title Intervertebral disc regeneration – Is it possible?
title_full Intervertebral disc regeneration – Is it possible?
title_fullStr Intervertebral disc regeneration – Is it possible?
title_full_unstemmed Intervertebral disc regeneration – Is it possible?
title_short Intervertebral disc regeneration – Is it possible?
title_sort intervertebral disc regeneration is it possible
url https://www.aott.org.tr/en/intervertebral-disc-regeneration-is-it-possible-137437
work_keys_str_mv AT dragosschiopu intervertebraldiscregenerationisitpossible
AT arnauddevriendt intervertebraldiscregenerationisitpossible
AT claravanvyve intervertebraldiscregenerationisitpossible
AT tamassilles intervertebraldiscregenerationisitpossible