Title |
Does nuclear tissue infected with bacteria following disc herniations lead to Modic changes in the adjacent vertebrae?
|
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Published in |
European Spine Journal, February 2013
|
DOI | 10.1007/s00586-013-2674-z |
Pubmed ID | |
Authors |
Hanne B. Albert, Peter Lambert, Jess Rollason, Joan Solgaard Sorensen, Tony Worthington, Mogens Bach Pedersen, Hanne Schack Nørgaard, Ann Vernallis, Frederik Busch, Claus Manniche, Tom Elliott |
Abstract |
To investigate the prevalence of infected herniated nucleus material in lumbar disc herniations and to determine if patients with an anaerobic infected disc are more likely to develop Modic change (MC) (bone oedema) in the adjacent vertebrae after the disc herniation. MCs (bone oedema) in vertebrae are observed in 6 % of the general population and in 35-40 % of people with low back pain. These changes are strongly associated with low back pain. There are probably a mechanical cause and an infective cause that causes MC. Several studies on nuclear tissue from herniated discs have demonstrated the presence of low virulent anaerobic microorganisms, predominantly Propionibacterium acnes, in 7-53 % of patients. At the time of a herniation these low virulent anaerobic bacteria may enter the disc and give rise to an insidious infection. Local inflammation in the adjacent bone may be a secondary effect due to cytokine and propionic acid production. |
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Geographical breakdown
Country | Count | As % |
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United States | 7 | 13% |
United Kingdom | 5 | 9% |
Canada | 4 | 8% |
New Zealand | 4 | 8% |
Spain | 3 | 6% |
Ireland | 2 | 4% |
France | 2 | 4% |
Iraq | 1 | 2% |
South Africa | 1 | 2% |
Other | 4 | 8% |
Unknown | 20 | 38% |
Demographic breakdown
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Practitioners (doctors, other healthcare professionals) | 6 | 11% |
Scientists | 4 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United States | 6 | 2% |
Australia | 2 | <1% |
Brazil | 2 | <1% |
Denmark | 2 | <1% |
Netherlands | 1 | <1% |
Czechia | 1 | <1% |
Canada | 1 | <1% |
New Zealand | 1 | <1% |
Other | 5 | 2% |
Unknown | 279 | 91% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 55 | 18% |
Other | 47 | 15% |
Student > Ph. D. Student | 36 | 12% |
Student > Master | 30 | 10% |
Student > Postgraduate | 21 | 7% |
Other | 84 | 27% |
Unknown | 34 | 11% |
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---|---|---|
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Agricultural and Biological Sciences | 19 | 6% |
Neuroscience | 11 | 4% |
Nursing and Health Professions | 10 | 3% |
Biochemistry, Genetics and Molecular Biology | 7 | 2% |
Other | 37 | 12% |
Unknown | 52 | 17% |