Treatment of symptomatic adjacent-segment degeneration after lumbar fusion with total disc arthroplasty by using the prodisc prosthesis: a prospective study with 2-year minimum follow up

Journal of Neurosurgery. Spine
Rudolf BertagnoliJohn W Emerson

Abstract

The authors conducted a prospective longitudinal study to assess the efficacy of ProDisc arthroplasty in patients in whom symptomatic adjacent-segment degeneration has developed after remote lumbar fusion. The follow-up period was a minimum of 2 years. The 20 patients in this study ranged in age from 18 to 67 years. They presented with disabling adjacent-level discogenic low-back pain with or without L1-S1 radicular pain. Patients with radiographic evidence of circumferential spinal stenosis or facet joint degeneration had been excluded. Patients were assessed preoperatively and postoperatively at 3, 6, 12, and 24 months. Eighteen patients (90%) fulfilled all follow-up criteria. The median age of all patients was 50 years. Statistical improvements in visual analog scale, Oswestry Disability Index, and patient satisfaction scores were documented 3 months after arthroplasty. These improvements remained at the 24-month follow-up examinations. Patient satisfaction rates were 86% at 24 months. Radicular pain was also significantly decreased. No additional surgeries were necessary at affected or unaffected levels. Analysis of early results indicates that ProDisc lumbar total disc arthroplasty is an efficacious treatment for symptomat...Continue Reading

References

Sep 1, 1984·Spine·C K Lee, N A Langrana
Nov 1, 1984·Spine·L G Giles
Sep 2, 1999·Lancet·S P Javedan, C A Dickman
Sep 21, 2001·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·M N KumarH Hall
Sep 21, 2001·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·M N KumarD Chopin
Sep 28, 2001·Medical Engineering & Physics·C S ChenW H Lo
May 9, 2002·Archives of Orthopaedic and Trauma Surgery·Wen-Ying ChouChi-Yin Wong
Oct 18, 2002·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·Stephen H HochschulerScott L Blumenthal
Oct 18, 2002·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·Rudolf Bertagnoli, Selva Kumar
Apr 8, 2003·Journal of Spinal Disorders & Techniques·Fred J MolzJohn S Kirkpatrick
Aug 5, 2003·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Keisuke GotoTakashi Arai
Aug 7, 2003·Journal of Spinal Disorders & Techniques·Patrick TropianoThierry Marnay
Jul 15, 2004·The Journal of Bone and Joint Surgery. American Volume·Gary GhiselliEdgar G Dawson

❮ Previous
Next ❯

Citations

Jul 25, 2006·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·Brian J C Freeman, James Davenport
May 1, 2009·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·Huiren Tao, Hongbin Fan
Apr 26, 2012·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·Qingan ZhuPeter A Cripton
Jul 12, 2013·Journal of Neuroengineering and Rehabilitation·Julie O'ShaughnessyMartin Descarreaux
Apr 23, 2010·Chiropractic & Osteopathy·Julie O'ShaughnessyMartin Descarreaux
Sep 23, 2009·Journal of Neurosurgery. Spine·Oren N Gottfried, Darrel S Brodke
Nov 13, 2012·Journal of Neurosurgery. Spine·Domagoj CoricMargaret O Boltes
Jan 16, 2013·The Spine Journal : Official Journal of the North American Spine Society·Michael C DahlDavid J Nuckley
May 11, 2013·Journal of Biomechanics·Martin Michael WachowskiHans Nägerl
Jun 14, 2005·The Orthopedic Clinics of North America·Rudolf BertagnoliSandra Voigt
Mar 3, 2015·The Spine Journal : Official Journal of the North American Spine Society·Dexter K BatemanAlexander R Vaccaro
Nov 29, 2007·Anesthesia and Analgesia·Steven P Cohen, Robert W Hurley
Nov 6, 2009·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·Stephane AunobleJean-Charles Le Huec
Feb 10, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Luke MadiganR Alden Milam
Nov 15, 2018·International Orthopaedics·Vladimir Kovač
Nov 15, 2019·Neurosurgery·Faheem A SandhuRolando Garica
Jun 21, 2017·Clinical Spine Surgery : a Spine Publication·Kenneth PettineFernando Techy

❮ Previous
Next ❯

Methods Mentioned

BETA
total disc arthroplasty

Software Mentioned

ProDisc
Medimage

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.