Mechanical low back pain is a disabling condition often associated with degenerative disc disease (DDD). Treatment for DDD includes non-operative pain management, total disc arthroplasty and nucleus pulposus (NP) replacement. A thiol-modified hyaluronan elastin-like polypeptide (TMHA/EP) composite has been under consideration as a NP replacement and has shown promise in vitro. This thesis aims to determine the effects of TMHA/EP composite augmentation on spinal motion segment mechanics in healthy and induced early stage DDD porcine intervertebral discs (IVD). Healthy IVD augmentation on average increased axial compressive stiffness, while bending and rotational stability decreased. Early stage DDD porcine IVD had compromised mechanical integrity in comparison to healthy controls. TMHA/EP augmentation of the mechanically compromised IVDs through two injection techniques worked to restore spinal stability, exhibiting mechanical properties similar to healthy IVDs. This work demonstrates the potential of the injectable TMHA/EP composite in providing initial structural stabilization in early stages of DDD.

Mechanical low back pain is a disabling condition often associated with degenerative disc disease (DDD). Treatment for DDD includes non-operative pain management, total disc arthroplasty and nucleus pulposus (NP) replacement. A thiol-modified hyaluronan elastin-like polypeptide (TMHA/EP) composite has been under consideration as a NP replacement and has shown promise in vitro. This thesis aims to determine the effects of TMHA/EP composite augmentation on spinal motion segment mechanics in healthy and induced early stage DDD porcine intervertebral discs (IVD). Healthy IVD augmentation on average increased axial compressive stiffness, while bending and rotational stability decreased. Early stage DDD porcine IVD had compromised mechanical integrity in comparison to healthy controls. TMHA/EP augmentation of the mechanically compromised IVDs through two injection techniques worked to restore spinal stability, exhibiting mechanical properties similar to healthy IVDs. This work demonstrates the potential of the injectable TMHA/EP composite in providing initial structural stabilization in early stages of DDD.