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Publication Name World Journal of Orthopedics
Manuscript ID 117153
Country Slovenia
Received
2025-12-01 01:49
Peer-Review Started
2025-12-02 03:28
First Decision by Editorial Office Director
2025-12-23 10:24
Return for Revision
2025-12-23 10:24
Revised
2025-12-28 19:34
Publication Fee Transferred
Second Decision by Editor
2026-02-12 02:44
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-12 08:16
Articles in Press
2026-02-12 08:16
Edit the Manuscript by Language Editor
2026-02-18 02:33
Typeset the Manuscript
2026-05-07 02:54
Publish the Manuscript Online
2026-05-18 08:33
ISSN 2218-5836 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Surgery
Manuscript Type Review
Article Title Pathophysiology and current understanding of degenerative disc disease: A brief review
Manuscript Source Invited Manuscript
All Author List Lidija Gradisnik, Borut Prestor, Tilen Zele, Nina Kocivnik, Uros Maver and Tomaz Velnar
ORCID
Author(s) ORCID Number
Lidija Gradisnik http://orcid.org/0000-0003-3492-0297
Borut Prestor http://orcid.org/0000-0002-5464-5424
Tilen Zele http://orcid.org/0000-0002-9355-8702
Uros Maver http://orcid.org/0000-0002-2237-3786
Tomaz Velnar http://orcid.org/0000-0002-6283-4348
Funding Agency and Grant Number
Funding Agency Grant Number
Slovenian Research Agency No. J3-60058
Corresponding Author Tomaz Velnar, Department of Neurosurgery, University Medical Centre Ljubljana, Zaloska 7, Ljubljana 1000, Slovenia. tvelnar@hotmail.com
Key Words Intervertebral disc; Degenerative disc disease; Degeneration; Cytokines; Cellular senescence; Treatment
Core Tip Degenerative disc disease is a multifactorial condition caused by genetic, mechanical, metabolic, and environmental factors that disrupt disc homeostasis, resulting in chronic back pain and disability. Key pathological mechanisms include extracellular matrix degradation, oxidative stress, cellular senescence, and inflammation mediated by cytokines such as interleukin (IL)-1β, tumor necrosis factor-alpha, and IL-6 via NF-κB, MAPK, and Wnt/β-catenin signalling pathways. While current treatments primarily address symptoms, emerging regenerative approaches, including mesenchymal stem cell therapy, biomaterial scaffolds, and gene-based interventions, aim to restore disc structure and function. Integrating molecular, biomechanical, and regenerative insights offers promise for achieving true biological disc repair.
Publish Date 2026-05-18 08:33
Citation

Gradisnik L, Prestor B, Zele T, Kocivnik N, Maver U, Velnar T. Pathophysiology and current understanding of degenerative disc disease: A brief review. World J Orthop 2026; 17(5): 117153

URL https://www.wjgnet.com/2218-5836/full/v17/i5/117153.htm
DOI https://dx.doi.org/10.5312/wjo.v17.i5.117153
Full Article (PDF) WJO-17-117153-with-cover.pdf
Manuscript File 117153_Auto_Edited-0508-YJP.docx
Answering Reviewers 117153-answering-reviewers.pdf
Audio Core Tip 117153-audio.m4a
Conflict-of-Interest Disclosure Form 117153-conflict-of-interest-statement.pdf
Copyright License Agreement 117153-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 117153-non-native-speakers.pdf
Peer-review Report 117153-peer-reviews.pdf
Scientific Misconduct Check 117153-scientific-misconduct-check.png
Scientific Editor Work List 117153-scientific-editor-work-list.pdf
CrossCheck Report 117153-crosscheck-report.pdf