The Human Inter Vertebral Disc - A Histological Approach
Abstract:
The human
intervertebral disc (IVD) is a very complex joint structure that can be made up
of highly organized matrix laid down by relatively few cells in a specific
manner. Macroscopically it can be separated in to three distinct components. The
central gelatinous nucleus pulposus is contained within the more collagenous
anulus fibrosus laterally and the cartilage end plates inferiorly and
superiorly. The anulus consists of concentric rings or lamellae, with fibers in
the outer lamellae continuing into the longitudinal ligaments and vertebral
bodies. This arrangement allows the discs to facilitate movement and
flexibility within what would be an otherwise rigid spine. With increasing age,
the disc-particularly the nucleus-becomes less gelatinous and more fibrous, and
cracks and fissures eventually form. More blood vessels begin to grow into the
disc from the outer areas of the annulus. There is an increase in cell
proliferation and formation of cell clusters as well as an increase in cell
death. In the present study the microscopic anatomy of intervertebral disc of
full term human foetus was examined the alignment of collagen Fibers &
distribution of chondrocytes in the annulus is observed with the help of
Haematoxylin & Eosin stain and Vangieson’s stain. The Haematoxylin &
Eosin study reveals that the collagen fibers are arranged circularly & the
nucleus pulposus is of mucoid material, which is made up of degenerated
notochordal cells.
Keywords: Inter vertebral disc, Anulus
fibrosus, Nucleus pulposus, Histology.
References:
[1]. Antoniou J, Goudsouzian NM, Heathfield TF, et al. The human lumbar endplate: Evidence of changes in biosynthesis and denaturation of the extracellular matrix with growth, maturation, aging, and degeneration. Spine 1996; 21:1153–61.
[2]. Buckwalter JA. Spine update: Aging and degeneration of the human intervertebral disc. Spine 1995; 20:1307–14.
[3]. Coventry MB, Ghormley RK, Kernohan JW. The intervertebral disc: Its microscopic anatomy and pathology: Part II. Changes in the intervertebral disc concomitant with age. J Bone Joint Surg [Am] 1945; 27:233–47.
[4]. Coventry MB, Ghormley RK, Kernohan JW. The intervertebral disc: its microscopic anatomy and pathology: part I. anatomy, development and pathology. J Bone Joint Surg [Am] 1945; 27:105–12, 1945; 27:460–74.
[5]. Langman's Medical Embryology 9th edition - T. Sadler (2003)
[6]. Moore, Keith L.; Dalley, Arthur F. Clinically Oriented Anatomy, 5th Edition
[7]. Saunders JB, Inman VT. Pathology of the inter vertebral disk. Arch Surg 1940; 40: 389-416.