The effect of posture on the fluid content of lumbar intervertebral discs

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Adams, M. A.¹; Hutton, W. C.¹

The effect of posture on the fluid content of lumbar intervertebral discs

Spine. September 1983;8(8):665-671

©1983 Harper & Row, Publishers, Inc.

Affiliations

¹Polytechnic of Central London, London, England
Abstract and keywords

Cadaveric lumbar motion segments were creep loaded for 4 hours, and the fluid content of the intervertebral discs was measured and compared with that of unloaded discs. Half of the specimens were wedged to simulate sitting with the lumbar spine flexed, and the other half were wedged to simulate sitting or standing erect.

The results showed that “flexed” discs lost more fluid, especially from the nucleus pulposus, than did the “erect” discs. It is concluded that fluid flow in flexed postures can aid the nutrition of the lumbar discs.

Keywords:
Links

DOI: 10.1097/00007632-198309000-00013

PubMed: 6685921

WoS: A1983RR79300013
History

Received: 1982-11-30

Accepted: 1983-01-21

Cited Works (9)

Year	Entry
1979	Urban JPG, Maroudas A. The measurement of fixed charged density in the intervertebral disc. Biochim Biophys Acta. August 6, 1979;586(1):166-178.
1981	Adams MA, Hutton WC. The relevance of torsion to the mechanical derangement of the lumbar spine. Spine. May–June 1981;6(3):241-248.
1982	Adams MA, Hutton WC. Prolapsed intervertebral disc: a hyperflexion injury. Spine. May 1982;7(3):184-191.
1980	Adams MA, Stott JRR. The resistance to flexion of the lumbar intervertebral joint. Spine. May–June 1980;5(3):245-253.
1980	Adams MA, Hutton WC. The effect of posture on the role of the apophysial joints in resisting intervertebral compressive forces. J Bone Joint Surg. August 1980;62B(3):358-362.
1967	Galante JO. Tensile properties of the human lumbar annulus fibrosus. Acta Orthop Scand. 1967;(suppl 100):1-91.
1981	Holm S, Maroudas A, Urban JPG, Selstam G, Nachemson A. Nutrition of the intervertebral disc: solute transport and metabolism. Connect Tissue Res. 1981;8(2):101-119.
1957	Perey O. Fracture of the vertebral end-plate in the lumbar spine: an experimental biomechanical investigation. Acta Orthop Scand. 1957;28(suppl 25):1-101.
1979	Nachemson AL, Schultz AB, Berkson MH. Mechanical properties of human lumbar spine motion segments: influences of age, sex, disc level, and degeneration. Spine. January–February 1979;4(1):1-8.

Cited By (29)

Year	Entry
1996	Argoubi M, Shirazi-Adl A. Poroelastic creep response analysis of a lumbar motion segment in compression. J Biomech. October 1996;29(10):1331-1339.
2011	Stemper BD, Storvik SG, Yoganandan N, Baisden JL, Fijalkowski RJ, Pintar FA, Shender BS, Paskoff GR. A new PMHS model for lumbar spine injuries during vertical acceleration. J Biomech Eng. August 2011;133(8):081002.
1985	Adams MA, Hutton WC. The effect of posture on the lumbar spine. J Bone Joint Surg. August 1985;67B(4):625-629.
1990	Adams MA, Dolan P, Hutton WC, Porter RW. Diurnal changes in spinal mechanics and their clinical significance. J Bone Joint Surg. March 1990;72B(2):266-270.
1996	Adams MA, McNally DS, Dolan P. “Stress” distributions inside intervertebral discs: the effects of age and degeneration. J Bone Joint Surg. November 1996;78B(6):965-972.
1991	Janevic J, Ashton-Miller JA, Schultz AB. Large compressive preloads decrease lumbar motion segment flexibility. J Orthop Res. March 1991;9(2):228-236.
1995	Ohshima H, Urban JPG, Bergel DH. Effect of static load on matrix synthesis rates in the intervertebral disc measured in vitro by a new perfusion technique. J Orthop Res. January 1995;13(1):22-29.
1985	Adams MA, Hutton WC. Gradual disc prolapse. Spine. July 1985;10(6):524-531.
1987	Adams MA, Dolan P, Hutton WC. Diurnal variations in the stresses on the lumbar spine. Spine. March 1987;12(2):130-137.
1988	Urban JPG, McMullin JF. Swelling pressure of the lumbar intervertebral discs influence of age, spinal level, composition, and degeneration. Spine. February 1988;13(2):179-187.
1988	Adams MA, Dolan P, Hutton WC. The lumbar spine in backward bending. Spine. September 1988;13(9):1019-1026.
1992	McNally DS, Adams MA. Internal intervertebral disc mechanics as revealed by stress profilometry. Spine. January 1992;17(1):66-73.
1993	Laible JP, Pflaster DS, Krag MH, Simon BR, Haugh LD. A poroelastic-swelling finite element model with application to the intervertebral disc. Spine. April 1993;18(5):659-670.
2000	Adams MA, Freeman BJC, Morrison HP, Nelson IW, Dolan P. Mechanical initiation of intervertebral disc degeneration. Spine. July 1, 2000;25(13):1625-1636.
2006	Thomas JD. Development of Injectable Hydrogels for Nucleus Pulposus Replacement [PhD thesis]. Drexel University; June 2006.
2009	Massey CJ. Finite Element Analysis and Materials Characterization of Changes Due to Aging and Degeneration of the Human Intervertebral Disc [PhD thesis]. Drexel University; September 2009.
2002	Cheung T-mJ. A Finite Element Study of the Effects of Mechanical Loading on the Fluid Flow and Biomechanical Response of the Intervertebral Disc [Master's thesis]. Hong Kong Polytechnic University; September 2002.
2010	Jackson AR. Transport and Metabolism of Glucose in Intervertebral Disc [PhD thesis]. University of Miami; December 2010.
2011	Yuan T-Y. Innovative Methods to Determine Material Properties of Cartilaginous Tissues and Application for Tissue Engineering [PhD thesis]. University of Miami; August 2011.
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2008	Mokhbi-Soukane D. Études numériques de la diffusion couplée d'oxygène, glucose et d'acide lactique dans le disque intervertébral [PhD thesis]. École polytechnique de Montréal; June 2008.
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2010	Holguin N. Low-Level Vibrations Maintain the Intervertebral Disc During Unloading [PhD thesis]. Stony Brook, NY: Stony Brook University; December 2010.
2011	Hwang D. Effects of Degeneration and Load History on Nucleus Pulposus Behavior [PhD thesis]. University of Maryland; 2011.
2008	De Carvalho DE. Time Varying Gender and Passive Tissue Responses to Prolonged Driving [Master's thesis]. University of Waterloo; 2008.
2008	Parkinson RJ. Refining the Relationship Between the Mechanical Demands on the Spine and Injury Mechanisms Through Improved Estimates of Load Exposure and Tissue Tolerance [PhD thesis]. University of Waterloo; 2008.
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2014	Gallagher KM. The Relationships of Prolonged Standing Induced Low Back Pain Development With Lumbopelvic Posture and Movement Patterns [PhD thesis]. University of Waterloo; 2014.
2016	Balkovec C. Intervertebral Disc Height Loss and Restoration: Outcomes and Implications [PhD thesis]. University of Waterloo; 2016.