Tabares NHI, Díaz QJM, Tabares SH, Tabares SL

Language: Spanish
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Page: 1-15
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ABSTRACT

Introduction: Aging and degeneration produce changes in the spine that start in the intervertebral disc. The disks stop fulfilling their functions (movement and resistance of the loads), which causes pain and possible loss of mechanical stability.
Objective: To assess what has been published about the degeneration of the intervertebral disc and the relationship with pain and stability of the lumbar spine.
Methods: The main advances related to disc degeneration and its influence on the mechanisms of vertebral stability and the occurrence of pain were reviewed. Articles published in English in PubMed from 2012 to 2017 were consulted. Free access articles, Clinical Key and Hinari articles were examined, likewise. Some articles older than 5 years were taken into account, but which are relevant to this subject.
Results: Degeneration, which starts in the intervertebral discs and continues in the facet joints, stimulates the vertebral compensatory process, which affects degeneration of ligaments and lumbar vertebral musculature. This sequence of degenerative type influences the stability of the lumbar spine and causes clinical and functional symptomatology.
Conclusions: Disc degeneration affects the close relationship and coordination between the subsystems structural passive, active mobile and nervous regulator subsystems. It causes pain and affects the vertebral stability.