title: Reduced nucleus pulposus glycosaminoglycan content alters intervertebral disc dynamic viscoelastic mechanics.
abstract: The intervertebral disc functions over a range of dynamic loading regimes including axial loads applied across a spectrum of frequencies at varying compressive loads. Biochemical changes occurring in early degeneration, including reduced nucleus pulposus glycosaminoglycan content, may alter disc mechanical behavior and thus may contribute to the progression of degeneration. The objective of this study was to determine disc dynamic viscoelastic properties under several equilibrium loads and loading frequencies, and further, to determine how reduced nucleus glycosaminoglycan content alters dynamic mechanics. We hypothesized that (1) dynamic stiffness would be elevated with increasing equilibrium load and increasing frequency, (2) the disc would behave more elastically at higher frequencies, and finally, (3) dynamic stiffness would be reduced at low equilibrium loads under all frequencies due to nucleus glycosaminoglycan loss. We mechanically tested control and chondroitinase ABC injected rat lumbar motion segments at several equilibrium loads using oscillatory loading at frequencies ranging from 0.05 to 5Hz. The rat lumbar disc behaved non-linearly with higher dynamic stiffness at elevated compressive loads irrespective of frequency. Phase angle was not affected by equilibrium load, although it decreased as frequency was increased. Reduced glycosaminoglycan decreased dynamic stiffness at low loads but not at high equilibrium loads and led to increased phase angle at all loads and frequencies. The findings of this study demonstrate the effect of equilibrium load and loading frequencies on dynamic disc mechanics and indicate possible mechanical mechanisms through which disc degeneration can progress.
authors.affiliation: Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA 19104-6081, USA.
authors.forename: John I
authors.initials: JI
authors.lastname: Boxberger
authors.forename: Amy S
authors.initials: AS
authors.lastname: Orlansky
authors.forename: Sounok
authors.initials: S
authors.lastname: Sen
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Elliott
mesh_terms: D000818:Animals; D001696:Biomechanical Phenomena; D015299:Discitis / Q000209:etiology; D004548:Elasticity; D006025:Glycosaminoglycans / Q000032:analysis / Q000502:physiology*; D007403:Intervertebral Disc / Q000502:physiology*; D018583:Pliability; D051381:Rats; D016474:Weight-Bearing
chemical_list: D006025:Glycosaminoglycans