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Updated: Jun 30, 2026

Treatment of Ligament Constructs with Exercise-conditioned Serum: A Translational Tissue Engineering Model
Published on: June 11, 2017
Changes in basic metabolic elements associated with the degeneration and ossification of ligamenta flava
Zhe Wang1, Xiang-Dong Li, Ming-Quan Li
1Institute of Orthopaedics, Xi-Jing Hospital, Fourth Military Medical University, Xi'an, Shannxi 710032, People's Republic of China.
Basic metabolic elements are associated with ligamentum flavum degeneration and ossification. Changes in calcium, magnesium, zinc, copper, manganese, molybdenum, and fluoride levels may play a role in these spinal conditions.
Area of Science:
- Biochemistry
- Orthopedics
- Spinal Surgery
Background:
- Ligamentum flavum (LF) degeneration and ossification are common in degenerative lumbar stenosis.
- The role of basic metabolic elements in LF pathology is not well understood.
Purpose of the Study:
- To investigate the association between basic metabolic element levels and the degeneration and ossification of the ligamentum flavum.
Main Methods:
- Analyzed calcium (Ca), phosphorus (P), magnesium (Mg), zinc (Zn), copper (Cu), manganese (Mn), molybdenum (Mo), and fluoride (F) in LF specimens from patients with degenerative lumbar stenosis, ossified thoracic ligamenta flava, and controls.
- Utilized atomic absorption spectrometry, phosphomolybdic blue method, and fluoride-selected electrode for element measurement.
Main Results:
- Ca content and Ca/Mg ratio increased significantly from control to degeneration to ossification groups.
- Zn, Mn, and Mo levels were lower, while Cu levels were higher in degeneration and ossification groups compared to controls.
- Fluoride content was significantly elevated in ossification and fluorosis groups, and also in LF specimens from non-fluorosis patients.
Conclusions:
- Distinct trends in basic metabolic elements are observed in degenerated and ossified ligamentum flavum.
- These elements likely play a significant role in the pathogenesis of ligamentum flavum ossification and degeneration.
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