Orthopedic Clinics of North America
Volume 42, Issue 4 , Pages 447-464, October 2011

Structure and Biology of the Intervertebral Disk in Health and Disease

  • Wilson C.W. Chan, PhD

      Affiliations

    • Department of Biochemistry, The University of Hong Kong, LKS Faculty of Medicine, Laboratory Block, 3rd Floor, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
  • ,
  • Kit Ling Sze, PhD

      Affiliations

    • Department of Biochemistry, The University of Hong Kong, LKS Faculty of Medicine, Laboratory Block, 3rd Floor, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
  • ,
  • Dino Samartzis, DSc

      Affiliations

    • Department of Orthopaedics and Traumatology, Division of Spine Surgery, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Professorial Block, 5th Floor, 102 Pokfulam Road, Pokfulam, Hong Kong SAR, China
  • ,
  • Victor Y.L. Leung, PhD

      Affiliations

    • Department of Orthopaedics & Traumatology, The University of Hong Kong, Professorial Block, 5th Floor, 102 Pokfulam Road, Pokfulam, Hong Kong SAR, China
  • ,
  • Danny Chan, PhD

      Affiliations

    • Department of Biochemistry, The University of Hong Kong, LKS Faculty of Medicine, Laboratory Block, 3rd Floor, 21 Sassoon Road, Pokfulam, Hong Kong SAR, China
    • Corresponding Author InformationCorresponding author.

The intervertebral disks along the spine provide motion and protection against mechanical loading. The 3 structural components, nucleus pulposus, annulus fibrosus, and cartilage endplate, function as a synergistic unit, though each has its own role. The cells within each of these components have distinct origins in development and morphology, producing specific extracellular matrix proteins that are organized into unique architectures fit for intervertebral disk function. This article focuses on various aspects of intervertebral disk biology and disruptions that could lead to diseases such as intervertebral disk degeneration.

Keywords: Intervertebral disk, Degeneration, Extracellular matrix, Development, Biology

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 This work was supported by an Area of Excellence grant from the University Grants Committee of Hong Kong (AoE/M-04/04).

PII: S0030-5898(11)00078-2

doi:10.1016/j.ocl.2011.07.012

Orthopedic Clinics of North America
Volume 42, Issue 4 , Pages 447-464, October 2011