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The Structural Components of the Intervertebral Disc A STUDY OF THEIR CONTRIBUTIONS TO THE ABILITY OF THE DISC TO WITHSTAND COMPRESSIVE FORCES
KEITH L. MARKOLF; JAMES M. MORRIS
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From the Biomechanics Laboratory, Department of Orthopaedic Surgery, University of California School of Medicine, San Francisco, and the Department of Mechanical Engineering, College of Engineering, University of California, Berkeley
1974 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1974; 56:675-687 
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Abstract

To determine the contributions of the various parts of the intervertebral disc to its ability to withstand compressive forces, we did a series of static tests (load versus displacement, creep, and load relaxation) on fresh autopsy specimens. The following preparations were tested: intact disc, disc injected with saline, disc punctured through anular wall, disc with nucleus removed, and anulus alone. About the same compressive stiffness was shown by all specimens (after initial readjustment of height and bulging in some preparations), indicating that the anulus is much more important for the compressive behavior of the disc than has been hitherto believed.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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