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Foreword: Proceedings From the First Annual Lumbar Total Disc Replacement Summit.

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Area of Science:

  • Spine surgery
  • Orthopedics
  • Biomedical engineering

Background:

  • Degenerative disc disease (DDD) affects a significant patient population.
  • Current treatment options for DDD have limitations.
  • Lumbar total disc replacement (LTDR) is an evolving surgical intervention.

Purpose of the Study:

  • To achieve consensus on the role of LTDR in current spine care.
  • To identify patient subpopulations who may benefit from LTDR.
  • To explore the potential of LTDR as a standard of care.

Main Methods:

  • Proceedings from the First Annual Lumbar Total Disc Replacement Summit.
  • Modified-Delphi method employed.
  • 17 thought-leading spine surgeons participated.

Main Results:

  • Consensus was reached on specific aspects of LTDR utilization.
  • Areas of agreement were identified regarding patient selection for LTDR.
  • The summit provided insights into the current standing of LTDR as a standard of care.

Conclusions:

  • Lumbar total disc replacement (LTDR) shows promise as a standard of care for select DDD patients.
  • Further research and clinical experience are likely to refine LTDR indications.
  • Surgeon consensus is crucial for advancing the adoption of novel spinal procedures.