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Device for intervertebral assisted motion: technique and initial results.

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  • 1Clinique de L'Esperance, Nice, France.

Neurosurgical Focus
|July 5, 2007
PubMed
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The DIAM implant, a dynamic stabilization device, effectively manages lumbar disorders with few complications. Patient satisfaction is high, with significant improvements in pain and daily activities post-surgery.

Area of Science:

  • Spine surgery
  • Orthopedic devices
  • Biomaterials

Background:

  • The DIAM is a polyester-encased silicone interspinous dynamic stabilization device.
  • It is designed to unload the anterior column and restore posterior column function.

Purpose of the Study:

  • To evaluate the safety and efficacy of the DIAM implant in patients with lumbar disorders.

Main Methods:

  • A retrospective study of 104 patients who received the DIAM implant between May 2001 and October 2001.
  • Follow-up included chart review and patient questionnaires at a median of 18.1 months.
  • Adverse events, pain levels, analgesic usage, and activities of daily living were assessed.

Main Results:

  • No implant migrations, infections, or neurological injuries were reported.

Related Experiment Videos

  • Physician-assessed pain improved in 88.5% of patients.
  • Patient questionnaires showed decreased analgesic use in 63.1% and improved daily activities in 46.2% at 18 months.

    • Conclusions:

    • The DIAM implant is a useful and effective alternative for surgical management of various lumbar disorders.
    • Complications associated with the DIAM implant are minimal.
    • High patient satisfaction was observed following implantation.