In Vitro Model for Lumbar Disc Herniation to Investigate Regenerative Tissue Repair Approaches

Lumbar disc herniation (LDH) is the most common reason for low back pain in the working society. New regenerative approaches and novel implants are directed towards the restoration of the disc or its biomechanical properties. Aiming to investigate these new therapies under physiological conditions,...

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Main Authors: Laura Zengerle, Elisabeth Debout, Bruno Kluger, Lena Zöllner, Hans-Joachim Wilke
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/6/2847
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author Laura Zengerle
Elisabeth Debout
Bruno Kluger
Lena Zöllner
Hans-Joachim Wilke
author_facet Laura Zengerle
Elisabeth Debout
Bruno Kluger
Lena Zöllner
Hans-Joachim Wilke
author_sort Laura Zengerle
collection DOAJ
description Lumbar disc herniation (LDH) is the most common reason for low back pain in the working society. New regenerative approaches and novel implants are directed towards the restoration of the disc or its biomechanical properties. Aiming to investigate these new therapies under physiological conditions, in this study, a model for LDH was established by developing a new physiological in vitro test method. In 14 human lumbar motion segments, different daily-life and worst-case activities were simulated successfully by applying a physiological range of motion and axial loading in order to create physiological intradiscal pressure. An LDH could be provoked in 11 of the 14 specimens through vertical and round annular defects of different sizes. Interestingly, the defect and the LDH hardly influenced the biomechanical properties of the disc. For the investigation of regenerative approaches in further experiments, the recommendation based on the results of this study is to create an LDH in non-degenerated motion segments by the application of the new physiological in vitro test method after setting the round annular defects to a size of 4 mm in diameter.
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spelling doaj.art-2656a1f34a284f468a238b633ea401b32023-11-21T11:35:13ZengMDPI AGApplied Sciences2076-34172021-03-01116284710.3390/app11062847In Vitro Model for Lumbar Disc Herniation to Investigate Regenerative Tissue Repair ApproachesLaura Zengerle0Elisabeth Debout1Bruno Kluger2Lena Zöllner3Hans-Joachim Wilke4Institute of Orthopaedic Research and Biomechanics, Ulm University, 89081 Ulm, GermanyInstitute of Orthopaedic Research and Biomechanics, Ulm University, 89081 Ulm, GermanyInstitute for Laser Technologies in Medicine and Metrology, Ulm University, 89081 Ulm, GermanyInstitute of Orthopaedic Research and Biomechanics, Ulm University, 89081 Ulm, GermanyInstitute of Orthopaedic Research and Biomechanics, Ulm University, 89081 Ulm, GermanyLumbar disc herniation (LDH) is the most common reason for low back pain in the working society. New regenerative approaches and novel implants are directed towards the restoration of the disc or its biomechanical properties. Aiming to investigate these new therapies under physiological conditions, in this study, a model for LDH was established by developing a new physiological in vitro test method. In 14 human lumbar motion segments, different daily-life and worst-case activities were simulated successfully by applying a physiological range of motion and axial loading in order to create physiological intradiscal pressure. An LDH could be provoked in 11 of the 14 specimens through vertical and round annular defects of different sizes. Interestingly, the defect and the LDH hardly influenced the biomechanical properties of the disc. For the investigation of regenerative approaches in further experiments, the recommendation based on the results of this study is to create an LDH in non-degenerated motion segments by the application of the new physiological in vitro test method after setting the round annular defects to a size of 4 mm in diameter.https://www.mdpi.com/2076-3417/11/6/2847test methoddynamic testingin vitro(lumbar) disc herniationphysiological activitiesregenerative approaches
spellingShingle Laura Zengerle
Elisabeth Debout
Bruno Kluger
Lena Zöllner
Hans-Joachim Wilke
In Vitro Model for Lumbar Disc Herniation to Investigate Regenerative Tissue Repair Approaches
Applied Sciences
test method
dynamic testing
in vitro
(lumbar) disc herniation
physiological activities
regenerative approaches
title In Vitro Model for Lumbar Disc Herniation to Investigate Regenerative Tissue Repair Approaches
title_full In Vitro Model for Lumbar Disc Herniation to Investigate Regenerative Tissue Repair Approaches
title_fullStr In Vitro Model for Lumbar Disc Herniation to Investigate Regenerative Tissue Repair Approaches
title_full_unstemmed In Vitro Model for Lumbar Disc Herniation to Investigate Regenerative Tissue Repair Approaches
title_short In Vitro Model for Lumbar Disc Herniation to Investigate Regenerative Tissue Repair Approaches
title_sort in vitro model for lumbar disc herniation to investigate regenerative tissue repair approaches
topic test method
dynamic testing
in vitro
(lumbar) disc herniation
physiological activities
regenerative approaches
url https://www.mdpi.com/2076-3417/11/6/2847
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