Chapter 18 - Regenerative medicine of the spine

Editor

R. T. Deer, & S. Diwan

Department

Neurosurgery

Document Type

Book Chapter

Publication Title

Minimally Invasive Spine Techniques: Modern Approaches

Abstract

Spinal structures, including discs, facets, and sacroiliac joints, are affected by deterioration from degeneration or trauma. Besides impairing function, facet and disc deterioration results in spinal stenosis and nerve root impingement. Its sequelae are chronic nociceptive and neuropathic pain. Regenerative applications attempt to reverse degenerative processes and/or support healing in defective tissues. Platelet-rich plasma, bone marrow aspirate concentrate, and adipose stem cells are emerging as agents facilitating these goals, either by reversing deterioration or by facilitating healing of injured tissues. In this chapter, we highlight the current evidence and utility of regenerative treatments for axial spine pain secondary to facet joint arthritis, degenerative disc disease, radicular pain, and sacroiliac joint-mediated pain.

First Page

225

Last Page

238

DOI

10.1016/B978-0-443-27568-5.00007-5

Publication Date

5-1-2026

Publisher

Academic Press

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