Journal Article10.5435/00124635-200612000-00002
Total disk arthroplasty.
Eric L. Lin,Jeffrey C. Wang +1 more
TL;DR: Long-term studies demonstrate similar clinical improvements for both disk replacements and fusion procedures at up to 2-year follow-up, but the long-term benefit of total disk arthroplasty over fusion for the treatment of axial low back or neck pain remains to be determined.
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Abstract: Spinal fusion remains the gold standard for surgical management of instability and mechanical low back or neck pain. However, even in carefully selected patients, successful clinical results can be difficult to achieve. Reasons for failure include pseudarthrosis and adjacent spine segment disease. The theoretic advantages of removing the painful disk while preserving motion have led to increasing interest in total disk arthroplasty. Although disk replacements have been implanted in Europe for decades, the procedure is relatively new in the United States. Recently, two artificial disks for symptomatic lumbar degenerative disk disease have been approved by the US Food and Drug Administration; several others are undergoing clinical trials. Short-term studies demonstrate similar clinical improvements for both disk replacements and fusion procedures at up to 2-year follow-up. Issues requiring further research include optimal design specifications, potential complications, and appropriate patient selection. Consequently, the long-term benefit of total disk arthroplasty over fusion for the treatment of axial low back or neck pain remains to be determined.
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Citations
National trends in the surgical treatment for lumbar degenerative disc disease: United States, 2000 to 2009.
TL;DR: During the last decade, surgical treatment for lumbar DDD has increased 2.4-fold in the United States, and although all fusion procedures significantly increased, TDR did not increase.
280
Comparison of radiographic changes after ACDF versus Bryan disc arthroplasty in single and bi-level cases
Seok Woo Kim,Marc Anthony Limson,Soo-Bum Kim,Jose Joefrey F. Arbatin,Kee-Young Chang,Moon Soo Park,Jae-Hyuk Shin,Yeong-Su Ju +7 more
TL;DR: In this paper, the authors compare radiographic outcomes of anterior cervical decompression and fusion (ACDF) versus cervical disc replacement using the Bryan Cervical Disc Prosthesis (Medtronic Sofamor Danek, Memphis, TN) in terms of range of motion (ROM), functional spinal unit (FSU), overall sagittal alignment (C2-C7), posterior intervertebral height (PIH) and radiographic changes at the implanted and adjacent levels.
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Comparison of radiographic changes after acdf versus bryan disc arthroplasty in single and bi-level cases
Seok Woo Kim,Marc Anthony Limson,Soo Bum Kim,Jose Joefrey F. Arbatin,Moon Soo Park,Jae-Hyuk Shin,Young Su Ju +6 more
- 01 Mar 2010
TL;DR: Overall, ROM and intervertebral height was relatively well maintained during the follow-up in the Bryan group compared to ACDF, and it is surmise that to a certain degree, the maintenance of these parameters could contribute to reduce development of adjacent level change.
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Facetal distraction as treatment for single- and multilevel cervical spondylotic radiculopathy and myelopathy: a preliminary report.
Atul Goel,Abhidha Shah +1 more
TL;DR: The immediate postoperative improvement and lasting recovery from symptoms suggest the validity of the procedure, and facetal distraction using specially designed Goel cervical facet spacers results in reversal of several pathological events related to spondylotic disease.
165
Management of symptomatic lumbar degenerative disk disease.
TL;DR: In most patients with low back pain, symptoms resolve without surgical intervention; physical therapy and nonsteroidal anti‐inflammatory drugs are the cornerstones of nonsurgical treatment.
71
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TL;DR: Although there was a trend toward progression of the arthritic grade at the adjacent disc levels, there was no significant correlation, with the numbers available, between the preoperative arhritic grade and the need for additional surgery.
The fate of the adjacent motion segments after lumbar fusion
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