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Updated: Oct 19, 2025

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Lumbar Total Disc Replacement: Current Usage.

Daniel Franco1, Garrett Largoza1, Thiago S Montenegro1

  • 1Department of Neurological Surgery, Thomas Jefferson University Hospitals, 909 Walnut Street, Room 320L, Philadelphia, PA 19107, USA.

Neurosurgery Clinics of North America
|September 20, 2021
PubMed
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Low back pain, a leading cause of disability, can stem from degenerative disc disease. This review explores lumbar total disc arthroplasty as a treatment option, discussing its history, trends, and management.

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spine Surgery

Background:

  • Low back pain is a primary cause of global disability, particularly in industrialized nations.
  • Chronic low back pain involves complex pathology with multiple contributing factors.
  • Lumbar degenerative disc disease is a significant source of chronic low back pain.

Purpose of the Study:

  • To review the historical evolution and current trends in lumbar total disc arthroplasty for degenerative disc disease.
  • To discuss the indications, contraindications, and complication management associated with this surgical procedure.

Main Methods:

  • Literature review of historical and current research on lumbar total disc arthroplasty.
  • Analysis of treatment modalities, including non-surgical options like medication, injections, physical therapy, and lifestyle changes.
Keywords:
Artificial discLumbar disc replacementTotal disc arthroplasty

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  • Examination of surgical indications, contraindications, and complication management strategies.

    • Main Results:

    • The article provides a comprehensive overview of lumbar total disc arthroplasty.
    • It contrasts arthroplasty with other treatment options for degenerative disc disease.
    • Key aspects of surgical decision-making and patient management are highlighted.

    Conclusions:

    • Lumbar total disc arthroplasty is a significant treatment modality for degenerative disc disease.
    • Understanding its history, current applications, and potential complications is crucial for effective patient care.
    • Further research may refine indications and improve outcomes.