Bibliometric and Visualization Analysis of Biomechanical Research on Lumbar Intervertebral Disc

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Abstract

Background

Biomechanical research on the lumbar intervertebral disc (IVD) provides valuable information for the diagnosis, treatment, and prevention of related diseases, and has received increasing attention. Using bibliometric methods and visualization techniques, this study investigates for the first time the research status and development trends in this field, with the aim of providing guidance and support for subsequent research.

Methods

The Science Citation Index Expanded (SCI-Expanded) within the Web of Science Core Collection (WoSCC) database was used as the data source to select literature published from 2003 to 2022 related to biomechanical research on lumbar IVD. VOSviewer 1.6.19 and CiteSpace 6.2.R2 visualization software, as well as the online analysis platform of literature metrology, were utilized to generate scientific knowledge maps for visual display and data analysis.

Results

The United States is the most productive country in this field, with the Ulm University making the largest contribution. Wilke HJ is both the most prolific author and one of the highly cited authors, while Adams MA is the most cited author. Spine, J Biomech, Eur Spine J, Spine J, and Clin Biomech are not only the journals with the highest number of publications, but also highly cited journals. The main research topics in this field include constructing and validating three-dimensional (3D) finite element model (FEM) of lumbar spine, measuring intradiscal pressure, exploring the biomechanical effects and related risk factors of lumbar disc degeneration, studying the mechanical responses to different torque load combinations, and classifying lumbar disc degeneration based on magnetic resonance images (MRI), which are also the hot research themes in recent years.

Conclusion

This study systematically reviews the knowledge system and development trends in the field of biomechanics of lumbar IVD, providing valuable references for further research.

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Most cited references 105

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Magnetic resonance classification of lumbar intervertebral disc degeneration.

C Pfirrmann, A Metzdorf, M. Zanetti … (2001)

A reliability study was conducted. To develop a classification system for lumbar disc degeneration based on routine magnetic resonance imaging, to investigate the applicability of a simple algorithm, and to assess the reliability of this classification system. A standardized nomenclature in the assessment of disc abnormalities is a prerequisite for a comparison of data from different investigations. The reliability of the assessment has a crucial influence on the validity of the data. Grading systems of disc degeneration based on state of the art magnetic resonance imaging and corresponding reproducibility studies currently are sparse. A grading system for lumbar disc degeneration was developed on the basis of the literature. An algorithm to assess the grading was developed and optimized by reviewing lumbar magnetic resonance examinations. The reliability of the algorithm in depicting intervertebral disc alterations was tested on the magnetic resonance images of 300 lumbar intervertebral discs in 60 patients (33 men and 27 women) with a mean age of 40 years (range, 10-83 years). All scans were analyzed independently by three observers. Intra- and interobserver reliabilities were assessed by calculating kappa statistics. There were 14 Grade I, 82 Grade II, 72 Grade III, 68 Grade IV, and 64 Grade V discs. The kappa coefficients for intra- and interobserver agreement were substantial to excellent: intraobserver (kappa range, 0.84-0.90) and interobserver (kappa range, 0.69-0.81). Complete agreement was obtained, on the average, in 83.8% of all the discs. A difference of one grade occurred in 15.9% and a difference of two or more grades in 1.3% of all the cases. Disc degeneration can be graded reliably on routine T2-weighted magnetic resonance images using the grading system and algorithm presented in this investigation.

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What is intervertebral disc degeneration, and what causes it?

Michael A. Adams, Peter J. Roughley (2006)

Review and reinterpretation of existing literature. To suggest how intervertebral disc degeneration might be distinguished from the physiologic processes of growth, aging, healing, and adaptive remodeling. The research literature concerning disc degeneration is particularly diverse, and there are no accepted definitions to guide biomedical research, or medicolegal practice. The process of disc degeneration is an aberrant, cell-mediated response to progressive structural failure. A degenerate disc is one with structural failure combined with accelerated or advanced signs of aging. Early degenerative changes should refer to accelerated age-related changes in a structurally intact disc. Degenerative disc disease should be applied to a degenerate disc that is also painful. Structural defects such as endplate fracture, radial fissures, and herniation are easily detected, unambiguous markers of impaired disc function. They are not inevitable with age and are more closely related to pain than any other feature of aging discs. Structural failure is irreversible because adult discs have limited healing potential. It also progresses by physical and biologic mechanisms, and, therefore, is a suitable marker for a degenerative process. Biologic progression occurs because structural failure uncouples the local mechanical environment of disc cells from the overall loading of the disc, so that disc cell responses can be inappropriate or "aberrant." Animal models confirm that cell-mediated changes always follow structural failure caused by trauma. This definition of disc degeneration simplifies the issue of causality: excessive mechanical loading disrupts a disc's structure and precipitates a cascade of cell-mediated responses, leading to further disruption. Underlying causes of disc degeneration include genetic inheritance, age, inadequate metabolite transport, and loading history, all of which can weaken discs to such an extent that structural failure occurs during the activities of daily living. The other closely related definitions help to distinguish between degenerate and injured discs, and between discs that are and are not painful.

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Degeneration of the intervertebral disc

Jill Urban, Sally Roberts (2003)

The intervertebral disc is a cartilaginous structure that resembles articular cartilage in its biochemistry, but morphologically it is clearly different. It shows degenerative and ageing changes earlier than does any other connective tissue in the body. It is believed to be important clinically because there is an association of disc degeneration with back pain. Current treatments are predominantly conservative or, less commonly, surgical; in many cases there is no clear diagnosis and therapy is considered inadequate. New developments, such as genetic and biological approaches, may allow better diagnosis and treatments in the future.

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Author and article information

Journal

Journal ID (nlm-ta): J Pain Res

Journal ID (iso-abbrev): J Pain Res

Journal ID (publisher-id): jpr

Title: Journal of Pain Research

Publisher: Dove

ISSN (Electronic): 1178-7090

Publication date (Electronic): 17 October 2023

Publication date Collection: 2023

Volume: 16

Pages: 3441-3462

Affiliations

[1 ]Faculty of Orthopedics and Traumatology, Guangxi University of Chinese Medicine , Nanning, People’s Republic of China

[2 ]Department of Orthopedics and Traumatology, Yancheng TCM Hospital Affiliated to Nanjing University of Chinese Medicine , Yancheng, People’s Republic of China

[3 ]Department of Orthopedics and Traumatology, Yancheng TCM Hospital , Yancheng, People’s Republic of China

[4 ]Department of Rehabilitation Medicine, The First Affiliated Hospital of Guangxi University of Chinese Medicine , Nanning, People’s Republic of China

[5 ]Guangxi Key Laboratory of Biomechanics and Injury Repair in Traditional Chinese Medicine Orthopedics and Traumatology , Nanning, People’s Republic of China

[6 ]Department of Orthopedics and Traumatology, The First Affiliated Hospital of Guangxi University of Chinese Medicine , Nanning, People’s Republic of China

Author notes

Correspondence: Honghai Zhou; Yan Lu, Faculty of Orthopedics and Traumatology, Guangxi University of Chinese Medicine , Nanning, People’s Republic of China, Email zhouhonghai3599@163.com; 609731367@qq.com

[*]

These authors contributed equally to this work

Author information

Zhaomeng Hou http://orcid.org/0000-0001-7151-3610

Article

Publisher ID: 428991

DOI: 10.2147/JPR.S428991

PMC ID: 10590139

PubMed ID: 37869478

SO-VID: dea6b0bb-1b6e-49ac-80a2-3a4601707fb4

License:

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

History

Date received : 04 July 2023

Date accepted : 28 September 2023

Page count

Figures: 11, Tables: 8, References: 105, Pages: 22

Funding

Funded by: Innovation Project of Guangxi Graduate Education;

Funded by: the Guangxi Construction Project of Studio for Famous TCM Experts;

Funded by: Research Center for Academic Thought and Clinical Diagnosis and Treatment Inheritance and Development of Chinese Medicine Master Wei Guikang at Guangxi University of Chinese Medicine Sponsored Project;

The study was supported by the Innovation Project of Guangxi Graduate Education (No. YCBXJ2022004), the Guangxi Construction Project of Studio for Famous TCM Experts (GZYKJF [2021] No.6, No.2022004-005-008), and Research Center for Academic Thought and Clinical Diagnosis and Treatment Inheritance and Development of Chinese Medicine Master Wei Guikang at Guangxi University of Chinese Medicine Sponsored Project (No. 2022V001).

Bibliometric and Visualization Analysis of Biomechanical Research on Lumbar Intervertebral Disc

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Abstract

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Irish Journal of Paramedicine

Most cited references 105

Magnetic resonance classification of lumbar intervertebral disc degeneration.

What is intervertebral disc degeneration, and what causes it?

Degeneration of the intervertebral disc

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