Review
Copyright ©The Author(s) 2023.
World J Clin Cases. Jan 6, 2023; 11(1): 17-29
Published online Jan 6, 2023. doi: 10.12998/wjcc.v11.i1.17
Table 1 The most common factors taken into account when talking about intervertebral disc degeneration
Factors in the degeneration of the intervertebral disc
Function in the pathological process
Genetic factorsMutation in genes THBS2, CLIP, ASPN, PARK2, CHTS, COL1A1, COL9A3, COL11A2, COL11 lead to alterations of matrix morphology
Mechanical stressSmoking, obesity, heavy physical labour, inappropriate flexed posture and physical inactivity
Nutritional disordersVessels disease in the vertebral endplate cause a fall in nutritional supply, resulting in a fall in oxygen availability and an increase in lactate concentration, affecting the cell function and synthesis of the extracellular matrix