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Artificial disc replacement: the new solution for discogenic low back pain?
1Department of Orthopedic Surgery, Virginia Commonwealth University Health Systems, Richmond, Virginia 23298-0153, USA. ceshuff@yahoo.com
American Journal of Orthopedics (Belle Mead, N.J.)
|February 15, 2005
Summary
Understanding degenerative disc disease (DDD) and artificial disc replacement (ADR) is crucial for effective patient care. Further research is needed to fully endorse this evolving surgical technique.
Area of Science:
- Spine surgery
- Biomaterials
- Degenerative disc disease research
Background:
- Degenerative disc disease (DDD) is a significant cause of back pain.
- Artificial disc replacement (ADR) is an evolving treatment option for DDD.
- Understanding pain generators and natural history of DDD is advancing.
Purpose of the Study:
- To discuss the current understanding and future directions in managing degenerative disc disease.
- To evaluate the clinical considerations for artificial disc replacement (ADR).
- To highlight areas requiring further scientific investigation for ADR.
Main Methods:
- Review of current literature on DDD and ADR.
- Analysis of factors influencing ADR success.
- Discussion of ongoing research and clinical challenges.
Main Results:
- Increased understanding of DDD pathophysiology is improving treatment strategies.
- ADR shows promise but requires careful patient selection and consideration of implant factors.
- Several key issues require further scientific scrutiny.
Conclusions:
- Cautious optimism is warranted for surgeons using ADR.
- Implant design, wear debris, osteoporosis, and revision strategies are critical for ADR success.
- Further research is essential before widespread adoption of ADR.