Total Disc Arthroplasty for Treating Lumbar Degenerative Disc Disease

Study DesignLumber disc arthroplasty is a technological advancement that has occurred in the last decade to treat lumbar degenerative disk diseases.PurposeThe aim of this retrospective study was to establish the impact and outcomes of managing patients with lumbar degenerative disk disease who have...

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Main Author: Keyvan Mostofi
Format: Article
Language:English
Published: Korean Spine Society 2015-02-01
Series:Asian Spine Journal
Subjects:
Online Access:http://www.asianspinejournal.org/upload/pdf/asj-9-59.pdf
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author Keyvan Mostofi
author_facet Keyvan Mostofi
author_sort Keyvan Mostofi
collection DOAJ
description Study DesignLumber disc arthroplasty is a technological advancement that has occurred in the last decade to treat lumbar degenerative disk diseases.PurposeThe aim of this retrospective study was to establish the impact and outcomes of managing patients with lumbar degenerative disk disease who have been treated with lumbar total disc arthroplasty (TDA).Overview of LiteratureSeveral studies have shown promising results following this surgery.MethodsWe reviewed the files of 104 patients at the Department of Neurosurgery in Colmar (France) who had been operated on by lumbar spine arthroplasty (Prodisc) between April 2002 and October 2008.ResultsAmong the 104 patients, 67 were female and 37 were male with an average age of 33.1 years. We followed the cases for a mean of 20 months. The most frequent level of discopathy was L4-L5 with 62 patients (59.6%) followed by L5-S1 level with 52 patients (50%). Eighty-three patients suffered from low back pain, 21 of which were associated with radiculopathy. The status of 82 patients improved after surgery according to the Oswestry Disability Index score, and 92 patients returned to work.ConclusionsThe results indicate that TDA is a good alternative treatment for lumbar spine disk disease, particularly for patients with disabling and chronic low back pain. This technique contributes to improve living conditions with correct patient selection for surgery.
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spelling doaj.art-68fb1aed74aa4a15a8be021ab573134d2022-12-22T02:55:55ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462015-02-0191596410.4184/asj.2015.9.1.59809Total Disc Arthroplasty for Treating Lumbar Degenerative Disc DiseaseKeyvan Mostofi0Department of Neurosurgery, Centre de Chirurgie Endoscopique de Rachis, Clinique Bel Air, Bordeaux, France.Study DesignLumber disc arthroplasty is a technological advancement that has occurred in the last decade to treat lumbar degenerative disk diseases.PurposeThe aim of this retrospective study was to establish the impact and outcomes of managing patients with lumbar degenerative disk disease who have been treated with lumbar total disc arthroplasty (TDA).Overview of LiteratureSeveral studies have shown promising results following this surgery.MethodsWe reviewed the files of 104 patients at the Department of Neurosurgery in Colmar (France) who had been operated on by lumbar spine arthroplasty (Prodisc) between April 2002 and October 2008.ResultsAmong the 104 patients, 67 were female and 37 were male with an average age of 33.1 years. We followed the cases for a mean of 20 months. The most frequent level of discopathy was L4-L5 with 62 patients (59.6%) followed by L5-S1 level with 52 patients (50%). Eighty-three patients suffered from low back pain, 21 of which were associated with radiculopathy. The status of 82 patients improved after surgery according to the Oswestry Disability Index score, and 92 patients returned to work.ConclusionsThe results indicate that TDA is a good alternative treatment for lumbar spine disk disease, particularly for patients with disabling and chronic low back pain. This technique contributes to improve living conditions with correct patient selection for surgery.http://www.asianspinejournal.org/upload/pdf/asj-9-59.pdfLow back painLumbar vertebraeIntervertebral disk degeneration
spellingShingle Keyvan Mostofi
Total Disc Arthroplasty for Treating Lumbar Degenerative Disc Disease
Asian Spine Journal
Low back pain
Lumbar vertebrae
Intervertebral disk degeneration
title Total Disc Arthroplasty for Treating Lumbar Degenerative Disc Disease
title_full Total Disc Arthroplasty for Treating Lumbar Degenerative Disc Disease
title_fullStr Total Disc Arthroplasty for Treating Lumbar Degenerative Disc Disease
title_full_unstemmed Total Disc Arthroplasty for Treating Lumbar Degenerative Disc Disease
title_short Total Disc Arthroplasty for Treating Lumbar Degenerative Disc Disease
title_sort total disc arthroplasty for treating lumbar degenerative disc disease
topic Low back pain
Lumbar vertebrae
Intervertebral disk degeneration
url http://www.asianspinejournal.org/upload/pdf/asj-9-59.pdf
work_keys_str_mv AT keyvanmostofi totaldiscarthroplastyfortreatinglumbardegenerativediscdisease