Regular ArticleFractures of the lumbar vertebral endplate in the etiology of low back pain: a hypothesis on the causative role of spinal compression in aspecific low back pain
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2021, Journal of Clinical NeuroscienceCitation Excerpt :2) IVDD or disc herniation may increase shear forces on the vertebral end-plates due to the loss of the nucleus pulposus. Increased axial and torsional stresses could cause micro-fractures in the vertebral end-plates [24–26]. Consistently, we also suggest that degenerated intervertebral discs at L4-L5 level might transfer the shear forces one level below to L5-S1 vertebral end-plates.
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