Work

Effect of total lumbar disc replacement on the treatment of discogenic low lumbar pain: preliminary outcomes

Year: 2013

Type: article

Abstract: BACKGROUND: Lumbar pedicle screw fixation and fusion are major procedures for treating discogenic low back pain (DLBP). However, due to its advantages of preserving the segmental motion and biomechanical simulation, artificial total lumbar disc replacement (TDR) is increasingly popular. METHODS: From 2007 to 2010, 68 DLBP patients were enrolled. TDR were performed on 34 patients and the other 34 controls underwent the traditional fixation procedure. Qualitative and quantitative evaluations were followed including the changes in range of motion (ROM) and interpedicle height (IPH) at the posterior intervertebral body of operated level, in 6 and 12 months, and 3 years, postoperatively. RESULTS: Qualitative results showed satisfying improvement in the two groups after 6 and 12 months, respectively, and the inter-group differences were significant (P > 0.05). The results of ROM and IPH have shown significant differences between the TDR and spinal fusion groups (P < 0.05). CONCLUSION: With similar clinical improvements as the traditional spinal fusion method, TDR offered significantly better ROM and intervertebral foramen height.

Source: Chinese Medical Journal

DOI: 10.3760/cma.j.issn.0366-6999.20122786

Authors: Zhi-yu LI, Xiao HAN, Sai MA, Wei TIAN

Institution: Beijing Jishuitan Hospital

Language: English

Topic: Spine and Intervertebral Disc Pathology

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,000