Skip to main content
. Author manuscript; available in PMC: 2019 Mar 1.
Published in final edited form as: Am J Phys Med Rehabil. 2018 Mar;97(3):170–177. doi: 10.1097/PHM.0000000000000818

Table 1.

Histological Scoring Criteria.

Grade Annulus Fibrosus (AF) Nucleus Pulposus (NP)
0 Discrete and well-opposed lamellae Oval shape, highly hydrated, many notochordal cells
1 Moderately serpentine with rupture Irregular shape; decreased hydration
2 Severely serpentine with rupture; reversed contour Large defects; cell clusters present
3 Indistinct border of NP and AF Minor clefts; cell clusters decrease
4 Clefts formed; fragmentation of lamellae Occupied by connective tissue