Lumbar interbody fusion used to be the most common surgical treatment for painful lumbar disc degeneration. With the technical development of total disc prostheses, replacement of the degenerated disc by a motion preserving implant has become a widely discussed alternative. The advantages of such replacement appear to include the prevention of adjacent segment disease as well as less perioperative morbidity. Three types of total disc prostheses are currently in common use. Although numerous studies have been made, a review of the literature reveals only two multicenter randomized studies comparing the outcome of disc prostheses with a control group of fusion patients. After 2 years, the available results show similar improvement after both types of surgery without significant differences. However, there is a trend towards faster recovery and improvement in disc arthroplasty patients. The long-term results of current and future randomized studies, including studies comparing results after disc arthroplasty, with results of standardized conservative therapies will determine the fate of lumbar disc prostheses
Keywords : Adolescent,Adult,Age Factors,Arthroplasty,Contraindications,diagnosis,diagnostic imaging,Female,Forecasting,Humans,Intervertebral Disc,Lumbar Vertebrae,Male,Middle Aged,Motion,Multicenter Studies as Topic,Patient Selection,Postoperative Care,Prospective Studies,Prostheses and Implants,Prosthesis Design,Prosthesis Failure,Prosthesis Implantation,Radiography,Randomized Controlled Trials as Topic,Range of Motion,Articular,Spinal Diseases,Spinal Fusion,surgery,therapy,Treatment Outcome,, Disc,Arthroplasty,Established,Technique,Or, xyrem uk
Date of Publication : 2005 Aug
Authors : Schulte TL;Bullmann V;Lerner T;Halm HF;Liljenqvist U;Hackenberg L;
Organisation : Klinik und Poliklinik fur Allgemeine Orthopadie, Universitatsklinikum Munster. dr.tobias.schulte@web.de
Journal of Publication : Orthopade
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/16028049
The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery
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