Intervertebral disc

Intervertebral disc
Intervertebral disc
Details
Identifiers
Latin	Disci intervertebrales
MeSH	A02.165.308.410
Dorlands /Elsevier	12300697
TA	A03.2.02.003
FMA	10446
Anatomical terminology []

An intervertebral disc (or intervertebral fibrocartilage) lies between adjacent vertebrae in the vertebral column. Each disc forms a fibrocartilaginous joint (a symphysis), to allow slight movement of the vertebrae, and acts as a ligament to hold the vertebrae together. Their role as shock absorbers in the spine is crucial.

Intervertebral discs consist of an outer fibrous ring, the annulus fibrosus disci intervertebralis, which surrounds an inner gel-like center, the nucleus pulposus. The anulus fibrosus consists of several layers (laminae) of fibrocartilage made up of both type I and type II collagen. Type I is concentrated towards the edge of the ring where it provides greater strength. The stiff laminae can withstand compressive forces. The fibrous intervertebral disc contains the nucleus pulposus and this helps to distribute pressure evenly across the disc. This prevents the development of stress concentrations which could cause damage to the underlying vertebrae or to their endplates. The nucleus pulposus contains loose fibers suspended in a mucoprotein gel. The nucleus of the disc acts as a shock absorber, absorbing the impact of the body's activities and keeping the two vertebrae separated. It is the remnant of the .

There is one disc between each pair of vertebrae, except for the first cervical segment, the atlas. The atlas is a ring around the roughly cone-shaped extension of the axis (second cervical segment). The axis acts as a post around which the atlas can rotate, allowing the neck to swivel. There are 23 discs in the human spine: 6 in the neck (cervical region), 12 in the middle back (thoracic region), and 5 in the lower back (lumbar region). For example, the disc between the fifth and sixth cervical vertebrae is designated "C5-6".

During development and at birth, vertebral discs have some vascular supply to the cartilage endplates and the annulus fibrosus. These quickly deteriorate leaving almost no direct blood supply in healthy adults.

The intervertebral disc functions to separate the vertebrae from each other and provides the surface for the shock-absorbing gel of the nucleus pulposus. The nucleus pulposus of the disc functions to distribute hydraulic pressure in all directions within each intervertebral disc under compressive loads. The nucleus pulposus consists of large vacuolated notochord cells, small chondrocyte-like cells, collagen fibrils, and aggrecan, a proteoglycan that aggregates by binding to hyaluronan. Attached to each aggrecan molecule are glycosaminoglycan (GAG) chains of chondroitin sulfate and keratan sulfate. Aggrecan is highly negatively charged, allowing the nucleus pulposus to swell by imbibing water. The amount of glycosaminoglycans (and hence water) decreases with age and degeneration.