The Journal of Bone and Joint Surgery (American). 2006;88:110-114.
doi:10.2106/JBJS.F.00030
© 2006 The Journal of Bone and Joint Surgery, Inc.
Directions for Future Research
Gunnar B.J. Andersson, MD, PhD,
Howard S. An, MD,
Theodore R. Oegema, Jr., PhD and
Lori A. Setton, PhD
Corresponding author: Gunnar B.J. Andersson, MD, PhD Department of
Orthopedic Surgery, Rush University Medical Center, 1653 West Congress
Parkway, 1471 Jelke, Chicago, IL 60612. E-mail address:
gunnar_andersson@rsh.net
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Introduction
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During the workshop, five subgroups met to identify research opportunities.
The following outlines summarize their work and conclusions on knowledge gaps
and research agendas. Because these topics are closely related, duplication is
unavoidable yet underscores key areas.
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Research into the Biology of the Intervertebral Disc and Disc Degeneration
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Aging and Degeneration
- Role of gender
- Role of ethnicity
- Link between gene mutation and mechanisms of degeneration
Study of Disc
- Should not study in isolation; functions as whole spinal segment
- Difficult to study disc in isolation; organ or cell culture results must be
related to disc in vivo
- Need for immortalized disc cell lines
- Need for use of transgenic and knockout mouse models to study molecular
function
- Need to study interactions of different cell types
- Need for intact human organ culture model (heparinized donor discs) under
load
Disc-Cell Phenotypes
- Need for cell markers to distinguish which cells are from the anulus
pulposus, which are from the nucleus pulposus, and which are from the end
plate
- Need for markers to distinguish disc . . . [Full Text of this Article]

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