Is Low Grade Infection a Contributing Factor of Disc Degeneration? | Intervertebral disc degeneration (IVD) has a multi factorial origin. Genetic and environmental factors are major determinants. However the pathomechanisms of IVD is inadequately understood. Low grade infection has also been implicated, however, its scientific rigor has been questioned. This article reviews the current literature in this field. Evidence suggests that low grade infection can also be imputed as a potential causative factor of IVD and perhaps serves as a paradigm shift of our current thinking in this entity. Our current consensus is that the underlying causes of disc degeneration are multi factorial but in many aspects obscured. Different factors including ageing, genetic predisposition, mechanical loading, metabolic disorders, toxins and infection acting independently or collectively activate or contribute to the degeneration cascade [1]. However, a generally accepted disease model has not been established. In a recently published paper the authors suggested a vicious circle as a model of the disease which involves abnormal mechanical forces, catabolic cell response, and alterations in extracellular matrix [2]. They also suggest that low grade infection could possibly trigger cells to decay the extracellular matrix of the intervertebral disc. For More Articles: Biomedical Journal Impact Factor : https://biomedres.us/









