Clinical outcomes of two revision strategies for failed total disc replacements.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Ilona M PuntAndré van Ooij

Abstract

To compare mid-term clinical outcomes of two revision strategies for patients with failed SB Charité III total disc replacements (TDRs). Eighteen patients with a failed TDR underwent posterolateral instrumented fusion (fusion group); in 21 patients, the TDR was removed and the intervertebral defect was filled with a bone strut graft, followed by an instrumented posterolateral fusion (removal group). Visual analogue scale (VAS) for pain and Oswestry Disability Index (ODI) were completed pre- and post-revision surgery. Intra- and post-operative complications of both revision strategies were assessed. Mean follow-up was 3.7 years (range 1.0-6.4) in the removal group and 4.4 years (range 0.7-11.0) in the fusion group. Although the removal group showed a significantly lower VAS and ODI score post-revision surgery as compared to preoperative (P < 0.01 and P = 0.01, respectively), no significant differences were found between the removal and fusion groups before and after revision surgery in VAS and ODI. A clinical relevant improvement in VAS and ODI was found in 47 and 21 % respectively in the removal group, and in 22 and 27 % respectively in the fusion group. Substantial complications were observed only in the removal group. Both pr...Continue Reading

References

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Citations

Mar 13, 2014·Journal of Tissue Engineering and Regenerative Medicine·Shahriar SharifiRoel Kuijer
Jun 7, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Thomas M GruppWilhelm Blömer
May 20, 2016·Journal of Ophthalmic & Vision Research·Sasan Mahmoudi, Arghavan Almony
Jan 10, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·R CecchinatoI Obeid
Oct 31, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·J KitzenP C P H Willems
Apr 3, 2021·Clinical Spine Surgery : a Spine Publication·Arthur SchmitzJean-Paul Steib

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