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Back structure and how it functions

The intervertebral disc

Between each of the cervical, thoracic and lumbar vertebrae there is a cushion called "intervertebral disc".

The intervertebral disc is composed of two parts: the central portion with a gelatin-like consistency named "nucleus pulposus" and a fibrous fold to hold it tightly in place, called "annulus fibrosis" or " fibrous ring".

The fibrous ring is thicker at the anterior portion of the disc; the posterior portion is more fragile. This is why, in case of disc herniation, this occurs mostly on the posterior part of the disc, causing disc herniation.

As time elapses, the force supported by the disc makes its gelatin portion wear out and lose height. This process, known as "vertebral arthritis", is not an illness per se. A majority of the healthy population above 30 years of age begins to show a certain degree of deterioration.

Astronauts, in weightless conditions, increase their height since the lack of gravity keeps discs from being compressed; the separation between vertebrae is therefore increased.

Pressure on the nucleus pulposus is 5- to 15-fold greater than blood pressure, thus blood cannot reach the nucleus. There are no nerves in the nucleus; they are located in the most external layers of the fibrous ring. This explains why disc degeneration may not be painful while the external layer of the fibrous ring is not affected; although tissue may wear out there are no nerves to receive and transmit pain.



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