{"id":"https://openalex.org/W2095536286","doi":"https://doi.org/10.1097/00007632-200009010-00004","title":"Effect of Anular Repair on the Healing Strength of the Intervertebral Disc","display_name":"Effect of Anular Repair on the Healing Strength of the Intervertebral Disc","publication_year":2000,"publication_date":"2000-09-01","ids":{"openalex":"https://openalex.org/W2095536286","doi":"https://doi.org/10.1097/00007632-200009010-00004","mag":"2095536286","pmid":"https://pubmed.ncbi.nlm.nih.gov/10973397"},"language":"en","primary_location":{"id":"doi:10.1097/00007632-200009010-00004","doi":"https://doi.org/10.1097/00007632-200009010-00004","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00007632-200009010-00004","pdf_url":null,"source":{"id":"https://openalex.org/S4026894","display_name":"Spine","issn_l":"0362-2436","issn":["0362-2436","1528-1159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076180802","display_name":"Bradley D. Ahlgren","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799370151","display_name":"Beaumont Health","ror":"https://ror.org/05g2hd893","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2799370151","https://openalex.org/I4392738273"]},{"id":"https://openalex.org/I4210128757","display_name":"Corewell Health William Beaumont University Hospital","ror":"https://ror.org/03artm726","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128757","https://openalex.org/I4392738273"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Bradley D. Ahlgren","raw_affiliation_strings":["Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan, USA","institution_ids":["https://openalex.org/I2799370151","https://openalex.org/I4210128757"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Wen Lui","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wen Lui","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069794283","display_name":"Harry N. Herkowitz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799370151","display_name":"Beaumont Health","ror":"https://ror.org/05g2hd893","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2799370151","https://openalex.org/I4392738273"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210128757","display_name":"Corewell Health William Beaumont University Hospital","ror":"https://ror.org/03artm726","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128757","https://openalex.org/I4392738273"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Harry N. Herkowitz","raw_affiliation_strings":["Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan, and the \u2020Biomechanics Laboratory, Department of Orthopaedics and Rehabilitation, Yale University, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan, and the \u2020Biomechanics Laboratory, Department of Orthopaedics and Rehabilitation, Yale University, New Haven, Connecticut","institution_ids":["https://openalex.org/I2799370151","https://openalex.org/I32971472","https://openalex.org/I4210128757"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109102000","display_name":"Manohar M. Panjabi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Manohar M. Panjabi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"&NA; Tech","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"&NA; Tech","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"Jean-Paul Guiboux","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jean-Paul Guiboux","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5069794283","https://openalex.org/A5076180802"],"corresponding_institution_ids":["https://openalex.org/I2799370151","https://openalex.org/I32971472","https://openalex.org/I4210128757"],"apc_list":null,"apc_paid":null,"fwci":0.4317,"has_fulltext":false,"cited_by_count":127,"citation_normalized_percentile":{"value":0.66877118,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":100},"biblio":{"volume":"25","issue":"17","first_page":"2165","last_page":"2170"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anulus-fibrosus","display_name":"anulus fibrosus","score":0.824999988079071},{"id":"https://openalex.org/keywords/lumbar-discectomy","display_name":"lumbar discectomy","score":0.9359999895095825},{"id":"https://openalex.org/keywords/sheep-model","display_name":"sheep model","score":0.8840000033378601}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9413152933120728},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.6674504280090332},{"id":"https://openalex.org/C2776008035","wikidata":"https://www.wikidata.org/wiki/Q3029776","display_name":"Discectomy","level":3,"score":0.6455234885215759},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5267716646194458},{"id":"https://openalex.org/C2777755357","wikidata":"https://www.wikidata.org/wiki/Q502781","display_name":"Intervertebral disc","level":2,"score":0.4941439926624298}],"mesh":[{"descriptor_ui":"D000818","descriptor_name":"Animals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001696","descriptor_name":"Biomechanical Phenomena","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004195","descriptor_name":"Disease Models, Animal","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007403","descriptor_name":"Intervertebral Disc","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D007403","descriptor_name":"Intervertebral Disc","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D007403","descriptor_name":"Intervertebral Disc","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D007405","descriptor_name":"Intervertebral Disc Displacement","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D007405","descriptor_name":"Intervertebral Disc Displacement","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D007405","descriptor_name":"Intervertebral Disc Displacement","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008159","descriptor_name":"Lumbar Vertebrae","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D008159","descriptor_name":"Lumbar Vertebrae","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D008159","descriptor_name":"Lumbar Vertebrae","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D011312","descriptor_name":"Pressure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012756","descriptor_name":"Sheep","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014945","descriptor_name":"Wound Healing","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D017586","descriptor_name":"Diskectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/00007632-200009010-00004","doi":"https://doi.org/10.1097/00007632-200009010-00004","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00007632-200009010-00004","pdf_url":null,"source":{"id":"https://openalex.org/S4026894","display_name":"Spine","issn_l":"0362-2436","issn":["0362-2436","1528-1159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"journal-article"},{"id":"pmid:10973397","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10973397","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8048999905586243,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W157965290","https://openalex.org/W170473274","https://openalex.org/W1581420689","https://openalex.org/W1896924963","https://openalex.org/W1984019672","https://openalex.org/W1987876255","https://openalex.org/W1989397629","https://openalex.org/W1995064303","https://openalex.org/W1999953058","https://openalex.org/W2005449854","https://openalex.org/W2020612106","https://openalex.org/W2050411205","https://openalex.org/W2051379496","https://openalex.org/W2052657491","https://openalex.org/W2059437029","https://openalex.org/W2060600598","https://openalex.org/W2109989715","https://openalex.org/W2113474176","https://openalex.org/W2226039566","https://openalex.org/W2330981963","https://openalex.org/W2345243421","https://openalex.org/W2412598791","https://openalex.org/W4327847545"],"related_works":["https://openalex.org/W2050411205","https://openalex.org/W2370012600","https://openalex.org/W1984893853","https://openalex.org/W2500536454","https://openalex.org/W2156429753","https://openalex.org/W2327383262","https://openalex.org/W3028691999","https://openalex.org/W2924312728","https://openalex.org/W1993773226","https://openalex.org/W2170457795"],"abstract_inverted_index":{"STUDY":[0],"DESIGN:":[1],"The":[2,157,169],"intervertebral":[3,29,178,293],"disc,":[4],"in":[5,86,134,140,280],"a":[6,62,92,97,102],"sheep":[7,60,158],"model,":[8],"was":[9,77,109,126,203,239,257],"used":[10,85],"to":[11,65,153,182,185,205,260],"assess":[12,33,186],"the":[13,23,28,42,49,55,177,187,207,217,221,251,254,265,281,288,292],"effect":[14],"of":[15,27,44,54,90,190,209,220,228,277,291],"directly":[16,35],"repairing":[17,36],"three":[18,112],"different":[19],"anular":[20,38,71,123,188,248,278],"incisions":[21,84,279],"on":[22,128,216],"subsequent":[24],"healing":[25,50,210,230,289],"strength":[26,53,108,189,290],"disc.":[30],"OBJECTIVES:":[31],"To":[32],"whether":[34],"an":[37],"defect,":[39],"made":[40],"at":[41,79,111,161,196,235],"time":[43,113,136,142,198,237],"lumbar":[45,67,130,170,282,296],"discectomy,":[46],"could":[47],"influence":[48],"rate":[51],"and":[52,100,119,147,164,176,214,246],"anulus":[56],"fibrosus.":[57],"METHODS:":[58],"Twenty-four":[59],"underwent":[61,144],"retroperitoneal":[63],"approach":[64],"five":[66,148],"disc":[68,194,294],"levels.":[69],"An":[70],"incision,":[72,99],"followed":[73],"by":[74],"partial":[75],"discectomy":[76],"done":[78],"each":[80,135,141,197],"exposed":[81],"level.":[82],"Anular":[83],"this":[87],"study":[88],"consisted":[89],"1)":[91],"straight":[93],"transverse":[94],"slit,":[95],"2)":[96],"cruciate":[98,268],"3)":[101],"window":[103],"or":[104,267],"box":[105,255],"excision.":[106],"Healing":[107],"measured":[110],"intervals:":[114],"2":[115],"weeks,":[116,118],"4":[117],"6":[120,165],"weeks.":[121],"Each":[122],"incision":[124,212,256],"type":[125],"performed":[127,204],"30":[129],"discs,":[131,233,253],"10":[132],"discs":[133,139,149,179,270],"interval.":[137,199],"Five":[138],"interval":[143,238],"direct":[145],"repair,":[146],"were":[150,159,172,180],"left":[151],"unrepaired":[152,193],"heal":[154],"as":[155,262,264],"controls.":[156],"killed":[160],"2,":[162],"4,":[163],"weeks":[166],"after":[167,295],"surgery.":[168],"spines":[171],"removed":[173],"en":[174],"bloc,":[175],"subjected":[181],"pressure-volume":[183,218],"testing":[184,225],"repaired":[191,232,245],"versus":[192],"injuries":[195],"RESULTS:":[200],"Statistical":[201],"analysis":[202],"evaluate":[206],"effects":[208],"time,":[211],"technique,":[213],"repair":[215,276],"characteristics":[219],"involved":[222],"discs.":[223],"Pressure-volume":[224],"showed":[226],"trends":[227],"stronger":[229],"for":[231],"but":[234],"no":[236],"any":[240],"significant":[241],"difference":[242],"found":[243],"between":[244],"nonrepaired":[247,252],"strength.":[249],"Of":[250],"only":[258],"40":[259],"50%":[261],"strong":[263],"slit":[266],"incised":[269],"during":[271],"early":[272],"healing.":[273],"CONCLUSION:":[274],"Direct":[275],"spine":[283],"does":[284],"not":[285],"significantly":[286],"alter":[287],"discectomy.":[297]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":8},{"year":2018,"cited_by_count":8},{"year":2017,"cited_by_count":10},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":14},{"year":2014,"cited_by_count":7},{"year":2013,"cited_by_count":8},{"year":2012,"cited_by_count":12}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}