A synthetic nucleus pulposus is provided that is useful in treatment of
degenerative disc disease, augmentation of a degenerate disc, and
alleviation of back pain. In an embodiment the synthetic nucleus pulposus
comprises hyaluronan macromolecules that have been cross-linked via
dihydroxyphenyl linkages. The synthetic nucleus pulposus restores or
improves the water-retention capability of the disc. A method of treating
an intervertebral disc with the cross-linked hyaluronan macromolecules is
also provided. A method of regenerative therapy to address loss of cells
of nucleus pulposus of an intervertebral disc based on treatment with the
cross-linked hyaluronan macromolecules and mesenchymal stem cells is also
provided.