Spine · 2009 · 27 citations · 60 references
The current study predicted an optimal nucleus replacement of 1 to 4 MPa. An overly stiff implant could result in subsidence, which would preclude the benefit of disc height increase or restoration. Conversely, an overly soft implant could accelerate a degenerative cascade in the anulus.
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Three-Dimensional Movements of the Whole Lumbar Spine and Lumbosacral Joint
Isao Yamamoto, Manohar M. Panjabi, T. Crisco et al. · Spine · 1989 · 629 citations