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Artificial disc replacement in spine surgery.

Yahya A Othman1, Ravi Verma1, Sheeraz A Qureshi1

  • 1Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.

Annals of Translational Medicine
|October 19, 2019
PubMed
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Total disc replacement (TDR) offers promising short-term results, with recent long-term data suggesting it may outperform fusion surgery. This review synthesizes current evidence on TDR outcomes and challenges.

Area of Science:

  • Spine surgery innovations
  • Biomechanical engineering in orthopedics
  • Degenerative disc disease treatments

Background:

  • Total disc replacement (TDR) is an evolving surgical technique for degenerative disc disease.
  • While short-term outcomes are favorable, surgeon hesitancy persists due to limited long-term data.
  • Fusion surgery remains a common alternative, but TDR is gaining traction.

Purpose of the Study:

  • To review and synthesize recent long-term outcome data for TDR surgery.
  • To provide clinical context for the latest TDR research.
  • To discuss current challenges and solutions in disc arthroplasty.

Main Methods:

  • Systematic literature review of recent studies on TDR.
  • Analysis of comparative outcomes between TDR and fusion surgery.
Keywords:
Arthroplastycervicallumbarspine

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  • Synthesis of clinical data and expert opinion on TDR challenges.

    • Main Results:

    • Emerging long-term data indicates TDR may offer superior outcomes compared to fusion.
    • Recent studies provide evidence supporting the efficacy and durability of TDR.
    • Ongoing research addresses challenges in disc arthroplasty design and application.

    Conclusions:

    • Long-term data increasingly supports TDR as a viable alternative to fusion.
    • Addressing current challenges is crucial for wider adoption of TDR.
    • Continued research will refine TDR techniques and patient selection.