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Related Experiment Video

Updated: Jan 1, 2026

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
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Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability

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We Need to Talk about Lumbar Total Disc Replacement.

Stephen Beatty1

  • 1Institute of Health Sciences, Waterford Institute of Technology, Waterford, Republic of Ireland.

International Journal of Spine Surgery
|October 3, 2018
PubMed
Summary

Lumbar total disc replacement (LTDR) is a safe and effective alternative to spinal fusion for treating degenerative disc disease. This motion-preserving procedure may reduce the risk of adjacent segment disease.

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Area of Science:

  • Spinal surgery
  • Orthopedics
  • Neurosurgery

Background:

  • Lumbar total disc replacement (LTDR) has been performed since the 1980s.
  • It involves replacing diseased intervertebral discs with artificial devices.

Purpose of the Study:

  • To evaluate the efficacy and safety of LTDR.
  • To assess its role as an alternative to lumbar fusion.

Main Methods:

  • A comprehensive literature review was conducted.
  • The review focused on high-quality evidence for lumbar artificial discs available for at least 15 years.

Main Results:

  • LTDR is noninferior, and sometimes superior, to lumbar fusion for discogenic low back pain and radicular pain.
  • LTDR is a motion-preserving procedure with emerging evidence of reduced adjacent segment disease risk.
Keywords:
informed consentlumbar artificial disc replacementlumbar disc arthroplastylumbar disc degenerative diseaselumbar discectomylumbar fusionlumbar total disc replacement

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Related Experiment Videos

Last Updated: Jan 1, 2026

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Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability

Published on: July 25, 2025

996
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Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Published on: September 8, 2023

907
Full Endoscopic Interlaminar Approach for Paracentral L5-S1 Disc Herniation
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Full Endoscopic Interlaminar Approach for Paracentral L5-S1 Disc Herniation

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Conclusions:

  • Despite logistical challenges, LTDR is gaining acceptance in healthcare facilities.
  • Informed patient consent requires awareness of LTDR as a valid surgical option for lumbar disc degenerative disease.