Award-winning paper questions assumptions about how herniated discs happen

Herniated discs in the lower (lumbar) spine most often result from avulsion (separation) of the tissue connection between the disc and spinal bone, rather than rupture of the disc itself, according to a study in Spine. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. The results suggest that surgeons may need to pay more attention to failure of the vertebral end plate junction (EPJ) - the attachment between the spinal bone and discs - as the main cause of herniated lumbar discs. The study by Dr S...

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