Abstract
Synthetic polymers and biopolymers are extensively used within the field of tissue engineering. Some common examples of these materials include polylactic acid, polyglycolic acid, collagen, elastin, and various forms of polysaccharides. In terms of application, these materials are primarily used in the construction of scaffolds that aid in the local delivery of cells and growth factors, and in many cases fulfill a mechanical role in supporting physiologic loads that would otherwise be supported by a healthy tissue. In this review we will examine the development of scaffolds derived from biopolymers and their use with various cell types in the context of tissue engineering the nucleus pulposus of the intervertebral disc.
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References
An HS, Thonar EJ, Masuda K (2003) Biological repair of intervertebral disc. Spine 28(15 Suppl):S86–S92
Deyo RA, Nachemson A, Mirza SK (2004) Spinal-fusion surgery - the case for restraint. N Engl J Med 350(7):722–726
Frymoyer JW, Cats-Baril WL (1991) An overview of the incidences and costs of low back pain. Orthop Clin North Am 22(2):263–271
Masuda K, Lotz JC (2010) New challenges for intervertebral disc treatment using regenerative medicine. Tissue Eng Part B Rev 16(1):147–158
Miller JA, Schmatz C, Schultz AB (1988) Lumbar disc degeneration: correlation with age, sex, and spine level in 600 autopsy specimens. Spine (Phila Pa 1976) 13(2):173–178
Boden SD (1996) The use of radiographic imaging studies in the evaluation of patients who have degenerative disorders of the lumbar spine. J Bone Joint Surg Am 78(1):114–124
Videman T, Nurminen M (2004) The occurrence of anular tears and their relation to lifetime back pain history: a cadaveric study using barium sulfate discography. Spine 29(23):2668–2676
Pye SR et al (2004) Radiographic features of lumbar disc degeneration and self-reported back pain. J Rheumatol 31(4):753–758
McNally DS et al (1996) In vivo stress measurement can predict pain on discography. Spine 21(22):2580–2587
Schwarzer AC et al (1995) The prevalence and clinical features of internal disc disruption in patients with chronic low back pain. Spine 20(17):1878–1883
Raj PP (2008) Intervertebral disc: anatomy-physiology-pathophysiology-treatment. Pain Pract 8(1):18–44
Hardingham T (1998) Cartilage: aggrecan – link protein – hyaluronan aggregates. Available from http://www.glycoforum.gr.jp/science/hyaluronan/HA05/HA05E.html. Last accessed 25 July 2011
Middleditch A, Oliver J (2005) Functional anatomy of the spine, 2nd edn. Elsevier, New York
Roberts S et al (2006) Histology and pathology of the human intervertebral disc. J Bone Joint Surg Am 88(Suppl 2):10–14
Roberts S et al (1996) Transport properties of the human cartilage endplate in relation to its composition and calcification. Spine (Phila Pa 1976) 21(4):415–420
Roughley PJ (2004) Biology of intervertebral disc aging and degeneration: involvement of the extracellular matrix. Spine 29(23):2691–2699
Eyre DR, Matsui Y, Wu JJ (2002) Collagen polymorphisms of the intervertebral disc. Biochem Soc Trans 30:844–848
Vaughan L et al (1988) D-periodic distribution of collagen type IX along cartilage fibrils. J Cell Biol 106(3):991–997
Eyre DR (1988) Collagens of the disc. In: Ghosh P (ed) The biology of the intervertebral disc. CRC, Boca Raton, pp 171–188
Urban JP (2000) The nucleus of the intervertebral disc from development to degeneration. Am Zool 40(1):53–61
Le Maitre CL et al (2007) Matrix synthesis and degradation in human intervertebral disc degeneration. Biochem Soc Trans 35(Pt 4):652–655
Richardson SM et al (2007) Intervertebral disc biology, degeneration and novel tissue engineering and regenerative medicine therapies. Histol Histopathol 22(9):1033–1041
Mwale F, Roughley P, Antoniou J (2004) Distinction between the extracellular matrix of the nucleus pulposus and hyaline cartilage: a requisite for tissue engineering of intervertebral disc. Eur Cell Mater 8:58–63
Horner HA et al (2002) Cells from different regions of the intervertebral disc: effect of culture system on matrix expression and cell phenotype. Spine (Phila Pa 1976) 27(10):1018–1028
Hunter CJ, Matyas JR, Duncan NA (2003) The notochordal cell in the nucleus pulposus: a review in the context of tissue engineering. Tissue Eng 9(4):667–677
Roberts S et al (2000) Matrix metalloproteinases and aggrecanase: their role in disorders of the human intervertebral disc. Spine (Phila Pa 1976) 25(23):3005–3013
Rutges JP et al (2008) Increased MMP-2 activity during intervertebral disc degeneration is correlated to MMP-14 levels. J Pathol 214(4):523–530
Urban JP, McMullin JF (1988) Swelling pressure of the lumbar intervertebral discs: influence of age, spinal level, composition, and degeneration. Spine 13(2):179–187
Sato K, Kikuchi S, Yonezawa T (1999) In vivo intradiscal pressure measurement in healthy individuals and in patients with ongoing back problems. Spine 24(23):2468–2474
Wilke HJ et al (1999) New in vivo measurements of pressures in the intervertebral disc in daily life. Spine 24(8):755–762
Boos N et al (2002) Classification of age-related changes in lumbar intervertebral discs: 2002 volvo award in basic science. Spine (Phila Pa 1976), 27(23):2631–2644
Roughley PJ et al (2006) The structure and degradation of aggrecan in human intervertebral disc. Eur Spine J 15(Suppl 3):S326–S332
Walker MH, Anderson DG (2004) Molecular basis of intervertebral disc degeneration. Spine J 4(6 Suppl):158S–166S
Urban JP, Roberts S (2003) Degeneration of the intervertebral disc. Arthritis Res Ther 5(3):120–130
Antoniou J et al (1996) The human lumbar intervertebral disc: evidence for changes in the biosynthesis and denaturation of the extracellular matrix with growth, maturation, ageing, and degeneration. J Clin Invest 98(4):996–1003
Sztrolovics R et al (1997) Aggrecan degradation in human intervertebral disc and articular cartilage. Biochem J 326(Pt 1):235–241
Hollander AP et al (1996) Enhanced denaturation of the alpha (II) chains of type-II collagen in normal adult human intervertebral discs compared with femoral articular cartilage. J Orthop Res 14(1):61–66
Oegema TR Jr et al (2000) Fibronectin and its fragments increase with degeneration in the human intervertebral disc. Spine (Phila Pa 1976) 25(21):2742–2747
Yasuda T, Poole AR (2002) A fibronectin fragment induces type II collagen degradation by collagenase through an interleukin-1-mediated pathway. Arthritis Rheum 46(1):138–148
Yasuda T et al (2006) Peptides of type II collagen can induce the cleavage of type II collagen and aggrecan in articular cartilage. Matrix Biol 25(7):419–429
Goupille P et al (1998) Matrix metalloproteinases: the clue to intervertebral disc degeneration? Spine (Phila Pa 1976) 23(14):1612–1626
Le Maitre CL, Freemont AJ, Hoyland JA (2004) Localization of degradative enzymes and their inhibitors in the degenerate human intervertebral disc. J Pathol 204(1):47–54
Zhao CQ et al (2007) The cell biology of intervertebral disc aging and degeneration. Ageing Res Rev 6(3):247–261
Iatridis JC et al (1997) Alterations in the mechanical behavior of the human lumbar nucleus pulposus with degeneration and aging. J Orthop Res 15(2):318–322
Johannessen W, Elliott DM (2005) Effects of degeneration on the biphasic material properties of human nucleus pulposus in confined compression. Spine (Phila Pa 1976) 30(24):E724–E729
Goel VK et al (1995) Interlaminar shear stresses and laminae separation in a disc: finite element analysis of the L3-L4 motion segment subjected to axial compressive loads. Spine (Phila Pa 1976) 20(6):689–698
Niosi CA, Oxland TR (2004) Degenerative mechanics of the lumbar spine. Spine J 4(6 Suppl):202S–208S
Tsantrizos A et al (2005) Internal strains in healthy and degenerated lumbar intervertebral discs. Spine (Phila Pa 1976) 30(19):2129–2137
Perez-Cruet MJ, Khoo LT, Fessler RG (eds) (2006) An anatomical approach to minimally invasive spine surgery. Quality Medical Publishing, St. Louis
Bastian L et al (2001) Evaluation of the mobility of adjacent segments after posterior thoracolumbar fixation: a biomechanical study. Eur Spine J 10(4):295–300
Eck JC, Humphreys SC, Hodges SD (1999) Adjacent-segment degeneration after lumbar fusion: a review of clinical, biomechanical, and radiologic studies. Am J Orthop 28(6):336–340
Putzier M et al (2006) Charite total disc replacement–clinical and radiographical results after an average follow-up of 17 years. Eur Spine J 15(2):183–195
van Ooij A et al (2007) Polyethylene wear debris and long-term clinical failure of the charite disc prosthesis: a study of 4 patients. Spine 32(2):223–229
van Ooij A, Oner FC, Verbout AJ (2003) Complications of artificial disc replacement: a report of 27 patients with the SB charite disc. J Spinal Disord Tech 16(4):369–383
Zeh A et al (2007) Release of cobalt and chromium ions into the serum following implantation of the metal-on-metal Maverick-type artificial lumbar disc (Medtronic Sofamor Danek). Spine 32(3):348–352
Girardi FP, Viscogliosi Bros (2007) Worldwide orthopedic and spine market. In: Davis RJ, Girardi FP (eds) Nucleus arthroplasty technology in spinal care, vol 1. Raymedica, Minneapolis, pp 21–26. Available at http://www.thesona.com/sona2.swf. Last accessed 25 July 2011
Ahrens M, Tsantrizos A, LeHuec J (2008) DASCOR. In: Yue J, Bertagnoli R, McAfee P, An H (eds) Motion preservation surgery of the spine; advanced techniques and controversies. Elsevier, Philadelphia, pp 397–407
Yue J, Bertagnoli R, McAfee P, An H (2008) Motion preservation surgery of the spine; advanced techniques and controversies. Elsevier, Philadelphia, pp 397–465
Ahrens M et al (2009) Nucleus replacement with the DASCOR disc arthroplasty device: interim two-year efficacy and safety results from two prospective, non-randomized multicenter European studies. Spine (Phila Pa 1976) 34(13):1376–1384
Vernengo J et al (2008) Evaluation of novel injectable hydrogels for nucleus pulposus replacement. J Biomed Mater Res B Appl Biomater 84(1):64–69
Boyd LM, Carter AJ (2006) Injectable biomaterials and vertebral endplate treatment for repair and regeneration of the intervertebral disc. Eur Spine J 15(Suppl 3):S414–S421
Wardlaw D (2008) BioDisc nucleus pulposus replacement. In: Yue J, Bertagnoli R, McAfee P, An H (eds) Motion preservation surgery of the spine: advanced techniques and controversies. Elsevier, Philadelphia, pp 431–441
Bertagnoli R, Schonmayr R (2002) Surgical and clinical results with the PDN prosthetic disc-nucleus device. Eur Spine J 11(Suppl 2):S143–S148
Bertagnoli R et al (2005) Mechanical testing of a novel hydrogel nucleus replacement implant. Spine J 5(6):672–681
Joshi A et al (2006) Functional compressive mechanics of a PVA/PVP nucleus pulposus replacement. Biomaterials 27(2):176–184
Thomas J et al (2004) The effect of dehydration history on PVA/PVP hydrogels for nucleus pulposus replacement. J Biomed Mater Res B Appl Biomater 69(2):135–140
Thomas J, Lowman A, Marcolongo M (2003) Novel associated hydrogels for nucleus pulposus replacement. J Biomed Mater Res A 67(4):1329–1337
Bao QB, Bagga CS, Higham PA (1997) Swelling pressure of hydrogel: a perceived benefit for a spinal prosthetic nucleus. In: Proceedings 10th annual meeting of the International Intradiscal Therapy Society, Naples, FL
Boelen EJ et al (2005) Intrinsically radiopaque hydrogels for nucleus pulposus replacement. Biomaterials 26(33):6674–6683
Lau S, Lam K (2007) Lumbar stabilisation techniques. Curr Orthop 21:25–39
Laurencin CT et al (1999) Tissue engineering: orthopedic applications. Annu Rev Biomed Eng 1:19–46
Nerem RM, Sambanis A (1995) Tissue engineering: from biology to biological substitutes. Tissue Eng 1(1):3–13
Halloran DO et al (2008) An injectable cross-linked scaffold for nucleus pulposus regeneration. Biomaterials 29(4):438–447
Richardson SM et al (2008) Human mesenchymal stem cell differentiation to NP-like cells in chitosan-glycerophosphate hydrogels. Biomaterials 29(1):85–93
Chan S, Lam S, Leung V, Chan D, Luk K, Cheung K (2010) Minimizing cryopreservation-induced loss of disc cell activity for storage of whole intervertebral discs. Eur Cells Mater 19:273–283
Ganey T et al (2003) Disc chondrocyte transplantation in a canine model: a treatment for degenerated or damaged intervertebral disc. Spine (Phila Pa 1976) 28(23):2609–2620
Gorensek M et al (2004) Nucleus pulposus repair with cultured autologous elastic cartilage derived chondrocytes. Cell Mol Biol Lett 9(2):363–373
Bae H, Kanim M, Zhao L (2008) Human fetal chondrocyte transplants for damaged intervertebral disc. Spine J 8(5):928–938
Kaneyama S et al (2008) Fas ligand expression on human nucleus pulposus cells decreases with disc degeneration processes. J Orthop Sci 13(2):130–135
Takada T et al (2002) Fas ligand exists on intervertebral disc cells: a potential molecular mechanism for immune privilege of the disc. Spine (Phila Pa 1976) 27(14):1526–1530
Wolfe HJ, Putschar WG, Vickery AL (1965) Role of the notochord in human intervetebral disk. I. Fetus and infant. Clin Orthop Relat Res 39:205–212
Cappello R et al (2006) Notochordal cell produce and assemble extracellular matrix in a distinct manner, which may be responsible for the maintenance of healthy nucleus pulposus. Spine (Phila Pa 1976) 31(8):873–882, discussion 883
Erwin WM et al (2006) Nucleus pulposus notochord cells secrete connective tissue growth factor and up-regulate proteoglycan expression by intervertebral disc chondrocytes. Arthritis Rheum 54(12):3859–3867
Erwin WM et al (2009) The regenerative capacity of the notochordal cell: tissue constructs generated in vitro under hypoxic conditions. J Neurosurg Spine 10(6):513–521
Aguiar DJ, Johnson SL, Oegema TR (1999) Notochordal cells interact with nucleus pulposus cells: regulation of proteoglycan synthesis. Exp Cell Res 246(1):129–137
Korecki CL et al (2010) Notochordal cell conditioned medium stimulates mesenchymal stem cell differentiation toward a young nucleus pulposus phenotype. Stem Cell Res Ther 1(2):18
Mercuri J, Gill S, Simionescu A, Simionescu D (2010) Xenogenic cues for human mesenchymal stem cell differentiation towads a nucleus pulposus cell-like phenotype. In: Proceedings 25th Annual Meeting of the North American Spine Society. Spine J 10(9):S114–S115
Pittenger MF et al (1999) Multilineage potential of adult human mesenchymal stem cells. Science 284(5411):143–147
Aggarwal S, Pittenger MF (2005) Human mesenchymal stem cells modulate allogeneic immune cell responses. Blood 105(4):1815–1822
McIntosh KR et al (2009) Immunogenicity of allogeneic adipose-derived stem cells in a rat spinal fusion model. Tissue Eng Part A 15(9):2677–2686
Steck E et al (2005) Induction of intervertebral disc-like cells from adult mesenchymal stem cells. Stem Cells 23(3):403–411
Risbud M, Izzo M, Adams C et al. (2003) Mesenchymal stem cells respond to their microenvironment and in vitro to assume nucleus pulposus-like phenotype. Paper presented at 30th Annual Meeting of the International Society for the Study of the Lumbar Spine. Vancouver, Canada
Richardson SM et al (2006) Intervertebral disc cell-mediated mesenchymal stem cell differentiation. Stem Cells 24(3):707–716
Sobajima S et al (2008) Feasibility of a stem cell therapy for intervertebral disc degeneration. Spine J 8(6):888–896
Sakai D et al (2006) Regenerative effects of transplanting mesenchymal stem cells embedded in atelocollagen to the degenerated intervertebral disc. Biomaterials 27(3):335–345
Li X et al (2005) Modulation of chondrocytic properties of fat-derived mesenchymal cells in co-cultures with nucleus pulposus. Connect Tissue Res 46(2):75–82
Lu ZF et al (2007) Differentiation of adipose stem cells by nucleus pulposus cells: configuration effect. Biochem Biophys Res Commun 359(4):991–996
Kluba T et al (2005) Human anulus fibrosis and nucleus pulposus cells of the intervertebral disc: effect of degeneration and culture system on cell phenotype. Spine (Phila Pa 1976) 30(24):2743–2748
Stokes DG et al (2001) Regulation of type-II collagen gene expression during human chondrocyte de-differentiation and recovery of chondrocyte-specific phenotype in culture involves Sry-type high-mobility-group box (SOX) transcription factors. Biochem J 360(Pt 2):461–470
Tsai TT et al (2007) Fibroblast growth factor-2 maintains the differentiation potential of nucleus pulposus cells in vitro: implications for cell-based transplantation therapy. Spine (Phila Pa 1976) 32(5):495–502
Yang SH et al (2005) An in-vitro study on regeneration of human nucleus pulposus by using gelatin/chondroitin-6-sulfate/hyaluronan tri-copolymer scaffold. Artif Organs 29(10):806–814
Yang SH et al (2005) Gelatin/chondroitin-6-sulfate copolymer scaffold for culturing human nucleus pulposus cells in vitro with production of extracellular matrix. J Biomed Mater Res B Appl Biomater 74(1):488–494
Li CQ et al (2009) Construction of collagen II/hyaluronate/chondroitin-6-sulfate tri-copolymer scaffold for nucleus pulposus tissue engineering and preliminary analysis of its physico-chemical properties and biocompatibility. J Mater Sci Mater Med 21:741–751
Calderon L et al (2010) Type II collagen-hyaluronan hydrogel–a step towards a scaffold for intervertebral disc tissue engineering. Eur Cell Mater 20:134–148
Sakai D et al (2006) Atelocollagen for culture of human nucleus pulposus cells forming nucleus pulposus-like tissue in vitro: influence on the proliferation and proteoglycan production of HNPSV-1 cells. Biomaterials 27(3):346–353
Yu J (2002) Elastic tissues of the intervertebral disc. Biochem Soc Trans 30(Pt 6):848–852
Chuang TH et al (2009) Polyphenol-stabilized tubular elastin scaffolds for tissue engineered vascular grafts. Tissue Eng Part A 15(10):2837–2851
Tedder ME et al (2009) Stabilized collagen scaffolds for heart valve tissue engineering. Tissue Eng Part A 15(6):1257–1268
Addington C, Mercuri J, Gill S, Simionescu D (2011) Stabilized elastin-glycosaminoglycan shape-memory sponge scaffold for nucleus pulposus tissue engineering. In: Transactions 2011 Orthopaedic Research Society Annual Meeting. Long Beach, CA
Daamen WF et al (2003) Preparation and evaluation of molecularly-defined collagen-elastin-glycosaminoglycan scaffolds for tissue engineering. Biomaterials 24(22):4001–4009
Badylak SF (2007) The extracellular matrix as a biologic scaffold material. Biomaterials 28(25):3587–3593
Wu Z et al (2009) The use of phospholipase A(2) to prepare acellular porcine corneal stroma as a tissue engineering scaffold. Biomaterials 30(21):3513–3522
Mercuri J, Gill S, Simionescu D (2011) Novel tissue derived biomimetic scaffold for regenerating the human nucleus pulposus. J Biomed Mater Res A 96(2):422–435
Cloyd JM et al (2007) Material properties in unconfined compression of human nucleus pulposus, injectable hyaluronic acid-based hydrogels and tissue engineering scaffolds. Eur Spine J 16(11):1892–1898
Seguin CA et al (2004) Tissue engineered nucleus pulposus tissue formed on a porous calcium polyphosphate substrate. Spine (Phila Pa 1976) 29(12):1299–1306
Le Visage C et al (2006) Small intestinal submucosa as a potential bioscaffold for intervertebral disc regeneration. Spine 31(21):2423–2430, discussion 2431
Baer AE et al (2001) Collagen gene expression and mechanical properties of intervertebral disc cell-alginate cultures. J Orthop Res 19(1):2–10
Chou AI, Nicoll SB (2009) Characterization of photocrosslinked alginate hydrogels for nucleus pulposus cell encapsulation. J Biomed Mater Res A 91(1):187–194
Chou AI, Akintoye SO, Nicoll SB (2009) Photo-crosslinked alginate hydrogels support enhanced matrix accumulation by nucleus pulposus cells in vivo. Osteoarthr Cartil 17(10):1377–1384
Leone G et al (2008) Amidic alginate hydrogel for nucleus pulposus replacement. J Biomed Mater Res A 84(2):391–401
Gaetani P et al (2008) Adipose-derived stem cell therapy for intervertebral disc regeneration: an in vitro reconstructed tissue in alginate capsules. Tissue Eng Part A 14(8):1415–1423
Roughley P et al (2006) The potential of chitosan-based gels containing intervertebral disc cells for nucleus pulposus supplementation. Biomaterials 27(3):388–396
Reza AT, Nicoll SB (2009) Characterization of novel photocrosslinked carboxymethylcellulose hydrogels for encapsulation of nucleus pulposus cells. Acta Biomater 6(1):179–186
Yang SH et al (2008) Three-dimensional culture of human nucleus pulposus cells in fibrin clot: comparisons on cellular proliferation and matrix synthesis with cells in alginate. Artif Organs 32(1):70–73
Hamilton DJ et al (2006) Formation of a nucleus pulposus-cartilage endplate construct in vitro. Biomaterials 27(3):397–405
Brown RQ, Mount A, Burg KJ (2005) Evaluation of polymer scaffolds to be used in a composite injectable system for intervertebral disc tissue engineering. J Biomed Mater Res A 74(1):32–39
Abbushi A et al (2008) Regeneration of intervertebral disc tissue by resorbable cell-free polyglycolic acid-based implants in a rabbit model of disc degeneration. Spine 33(14):1527–1532
Revell PA et al (2007) Tissue engineered intervertebral disc repair in the pig using injectable polymers. J Mater Sci Mater Med 18(2):303–308
Nomura T et al (2001) Nucleus pulposus allograft retards intervertebral disc degeneration. Clin Orthop Relat Res 389:94–101
Alini M et al (2008) Are animal models useful for studying human disc disorders/degeneration? Eur Spine J 17(1):2–19
O’Connell GD, Vresilovic EJ, Elliott DM (2007) Comparison of animals used in disc research to human lumbar disc geometry. Spine (Phila Pa 1976) 32(3):328–333
Gillett NA et al (1988) Age-related changes in the beagle spine. Acta Orthop Scand 59(5):503–507
Nuckley DJ et al (2008) Intervertebral disc degeneration in a naturally occurring primate model: radiographic and biomechanical evidence. J Orthop Res 26(9):1283–1288
Ziv I et al (1992) Physicochemical properties of the aging and diabetic sand rat intervertebral disc. J Orthop Res 10(2):205–210
Masuda K et al (2005) A novel rabbit model of mild, reproducible disc degeneration by an anulus needle puncture: correlation between the degree of disc injury and radiological and histological appearances of disc degeneration. Spine 30(1):5–14
Sobajima S et al (2005) A slowly progressive and reproducible animal model of intervertebral disc degeneration characterized by MRI, X-ray, and histology. Spine 30(1):15–24
Singh K, Masuda K, An H (2008) Animal models for human disc degeneration. In: Yue J, Bertagnoli R, McAfee P, An H (eds) Motion preservation surgery of the spine: advanced techniques and controversies. Elsevier, Philadelphia, pp 639–648
Ulrich JA et al (2007) ISSLS prize winner: repeated disc injury causes persistent inflammation. Spine 32(25):2812–2819
Iatridis JC et al (1999) Compression-induced changes in intervertebral disc properties in a rat tail model. Spine (Phila Pa 1976) 24(10):996–1002
Kroeber MW et al (2002) New in vivo animal model to create intervertebral disc degeneration and to investigate the effects of therapeutic strategies to stimulate disc regeneration. Spine (Phila Pa 1976) 27(23):2684–2690
Kim KS et al (2005) Disc degeneration in the rabbit: a biochemical and radiological comparison between four disc injury models. Spine (Phila Pa 1976) 30(1):33–37
Hoogendoorn RJ et al (2007) Experimental intervertebral disc degeneration induced by chondroitinase ABC in the goat. Spine (Phila Pa 1976) 32(17):1816–1825
Zhou H et al (2007) A new in vivo animal model to create intervertebral disc degeneration characterized by MRI, radiography, CT/discogram, biochemistry, and histology. Spine (Phila Pa 1976) 32(8):864–872
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Mercuri, J.J., Simionescu, D.T. (2011). Advances in Tissue Engineering Approaches to Treatment of Intervertebral Disc Degeneration: Cells and Polymeric Scaffolds for Nucleus Pulposus Regeneration. In: Kunugi, S., Yamaoka, T. (eds) Polymers in Nanomedicine. Advances in Polymer Science, vol 247. Springer, Berlin, Heidelberg. https://doi.org/10.1007/12_2011_149
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