Publications by authors named "Robert D Bowles"

Article Synopsis
  • Chronic lower back pain is the top cause of disability globally and costs the U.S. over $100 billion each year, with degenerative disk disease (DDD) being a major contributor.
  • Research has identified various factors that may cause pain in DDD, such as tissue breakdown and inflammation, but the specific role of low pH (hyperacidity) in provoking pain is still largely misunderstood.
  • This review focuses on how acidity affects intervertebral disks, leading to cell damage and inflammation, while also aiming to highlight research gaps and suggest future studies to enhance our understanding and treatment of DDD pain.
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Back pain is the leading cause of disability globally and the second most common cause of doctors' visits. Despite extensive research efforts, the underlying mechanism of back pain has not been fully elucidated. The intervertebral disc (IVD) is a viscoelastic tissue that provides flexibility to the spinal column and acts as a shock absorber in the spine.

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Unlabelled: We developed a new method to manufacture dense, aligned, and porous collagen scaffolds using biaxial plastic compression of type I collagen gels. Using a novel compression apparatus that constricts like an iris diaphragm, low density collagen gels were compressed to yield a permanently densified, highly aligned collagen material. Micro-porosity scaffolds were created using hydrophilic elastomer porogens that can be selectively removed following biaxial compression, with porosity modulated by using different porogen concentrations.

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The intervertebral disc contributes to motion, weight bearing, and flexibility of the spine, but is susceptible to damage and morphological changes that contribute to pathology with age and injury. Engineering strategies that rely upon synthetic materials or composite implants that do not interface with the biological components of the disc have not met with widespread use or desirable outcomes in the treatment of intervertebral disc pathology. Here we review bioengineering advances to treat disc disorders, using cell-supplemented materials, or acellular, biologically based materials, that provide opportunity for cell-material interactions and remodeling in the treatment of intervertebral disc disorders.

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