Endplate junction disruption may be more common than annulus fibrosus disruption, according to an ISSLS prize winning study.
These authors took the time to look at over 180 subjects to evaluate whether it is more common to see failure of the endplate or annulus in disc herniation. This won them an award. Congratulations! The study titled: The Anatomy of Failure in Lumbar Disc Herniation looked at how 65% of disc herniation was found at the endplate disruption causing the nucleus to exit through the vertebral endplate rather than frank disruption of the fibres of the annulus fibrosus. This is an important study and may lead to better treatments for subpopulations of disc herniation. In the spirit of this research, Dr. Jerome Fryer simulated this endplate disruption to help in the understanding of disc herniation.
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