Abstract
Degenerative disease of the spine is one of the most common clinical entities and affects the intervertebral discs, including opposing vertebral endplates, the intervertebral posterior joints and the ligaments. The most severe primary spinal degenerative changes are found in the lower cervical and lumbar spine regions. The spine contains three different types of joints, each of which presents its own pattern of degenerative disease: cartilaginous joints, synovial joints, and fibrous joints. With regard to radicular pain, root compression alone does not fully account for root pain following disc‐root conflict, but it is, nevertheless, considered to be the main cause of pain. The authors pointed out that the origin of pain is multi‐factorial and that inflammation probably predominates over merely mechanical mechanisms. They also considered whether vertebral arthrosis can be construed as the body's decision to favor the spine's static function over its dynamic role when joint “hypermobility” linked to chronic load in old age could cause severe structural damage to the bony vertebral structures.
Published Version
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