Skip to main content

Advertisement

Log in

Degenerative Erkrankungen der Lendenwirbelsäule

Bandscheibenersatz als Alternative zur Spondylodese?

Degenerative disorders of the lumbar spine

Total disc replacement as an alternative to lumbar fusion?

  • Leitthema
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Lumbale Spondylodesen bei degenerativen Erkrankungen haben einen festen Platz im „chirurgischen Portfolio“ von Wirbelsäulenzentren. Der klinische Nutzen und das Risikopotential sind jedoch seit Jahren Gegenstand kontroverser Diskussionen, da bis heute evidenzbasierte Daten hierzu spärlich sind.

In den letzten Jahren ist der künstliche Bandscheibenersatz zu einer möglichen chirurgischen Alternative herangereift. Da zu dieser Technologie weder verlässliche Langzeitergebnisse vorliegen noch ausreichend theoretisches Wissen vorhanden ist, erhebt der vorliegend Artikel eine kritische Bestandsaufnahme. Die 5 zurzeit weltweit verfügbaren oder bereits zugelassenen Implantatsysteme (SB Charité, Prodisc II L, Maverick; Flexicore, Mobidisc) sind als „Erstgenerationsimplantate“ zu betrachten. Die bisher publizierten, überwiegend guten klinischen Frühergebnisse sind fast ausschließlich in empirischen und unkontrollierten Studien erhoben. Die morphologischen und klinischen Auswirkungen der sehr unterschiedlichen sowohl biomechanischen als auch Design- und Materialkonzepte sind bisher ungenügend untersucht. Über ein sinnvolles Indikationsspektrum besteht gegenwärtig kein internationaler Konsensus. Gleiches gilt für die optimale (möglichst minimal-invasive) Zugangsstrategie. Die Komplikationsraten sind tendenziell etwas niedriger als bei Spondylodesen, reproduzierbare Revisionsstrategien sind bisher nicht publiziert.

Der lumbale Bandscheibenersatz hat eine neue Ära der Wirbelsäulenchirurgie eröffnet deren Nutzen für den Patienten bisher unbewiesen ist. Die Technologie sollte daher nur von entsprechend ausgebildeten Chirurgen durchgeführt werden. Bis zum Vorliegen evidenzbasierter Daten sollte eine, über die derzeitige klinische Routine hinausgehende, engmaschige und kritische postoperative Ergebniskontrolle erfolgen.

Abstract

Spinal fusion is accepted worldwide as a therapeutic option for the treatment of degenerative disorders of the lumbar spine. Because there are only few evidence-based data available supporting the usefulness of lumbar spinal fusion, its questionable benefit as well as the potential for complications are the reasons for an ongoing discussion.

In recent years, total disc replacement with implants has emerged as an alternative treatment. Although early results are promising, there is still a lack of evidence-based data as well as of long-term results for this technology. This article gives a critical update on the implant systems currently in use (SB Charité, Prodisc II L, Maverick, Flexicore, Mobidisc), which all have to be considered as “first-generation” implants. Morphological and clinical sequelae of the different biomechanical properties, designs, and materials have not yet been sufficiently investigated. There is no international consensus on the indication spectrum and on the preoperative diagnosis of discogenic low back pain. The same is true for the (minimally invasive) surgical access strategies. Complication rates seem to be somewhat lower compared to spinal fusion techniques. There are no standardized revision concepts in cases of implant failure.

Lumbar disc replacement has opened a new era in spinal surgery with a still unproven benefit for the patient. It is strongly recommended that these techniques should only be applied by experienced and well-trained spine surgeons. Until evidence-based data are available, all patients should be treated under scientific study conditions with close postoperative follow-up.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Literatur

  1. Adams MSA, Hutto WC, Scottt JRR (1980) The resistance to flexion of the lumbar intervertebral joint. Spine 5: 245–253

    PubMed  Google Scholar 

  2. Ahrens J, Franklin TD (1997) An average 6-year evaluation of the Link SB Charité intervertebral prosthesis. Link Company Brochure, Hamburg

  3. Ahrens J, Shekolov AP, Carver JL (1998) Normal joint mobilities maintained with an artificial disc prosthesis. Lecture at the Annual Meeting of the International Society for the Study of the lumbar Spine, Brussels

  4. Allen MJ, Myer BJ, Millett PJ, Rushton N (1997) The effects of particulate cobalt chromium and cobalt-chromium alloy on human osteoblast-like cells in vitro. J Bone Joint Surg Br 79: 475–482

    Article  PubMed  Google Scholar 

  5. Beaurain et al. Patent Nrs. WO 02/089701 A2 (LDR) ; FR 2 824 261 A1

  6. Bertagnoli R, Kumar S (2004) Indications for full prosthetic disc arthroplasty: a correlation of clinical outcome against a variety of indications. In: Gunzburg R, Mayer HM, Szpalski M, Aebi M (eds) Arthroplasty of the spine. Springer, Berlin Heidelberg New York, pp 75–80

  7. Block A, Vanharanta H, Ohmeiss D, Guyer RD (1996) Discography Pain report: influence of psychological factors. Spine 21: 334–338

    Article  PubMed  Google Scholar 

  8. Blumenthal SL, Baker J, Dossett A (1988) The role of anterior lumbar fusion for internal disc disruption. Spine 13: 566–569

    PubMed  Google Scholar 

  9. Bogduk N (1999) Clinical anatomy of the lumbar spine and the sacrum. Churchill Livingstone, London

  10. Bohlman HH, Eismont FJ (1981) Surgical techniques of anterior decompression and fusion for spinal cord injuries. Clin Orthop 154: 57–67

    PubMed  Google Scholar 

  11. Brau SA (2002) Mini-open approach to the spine for anterior lumbar interbody fusion: description of the procedure, results and complications. The Spine J 2: 216–223

    Article  Google Scholar 

  12. Brodsky AE (1976) Post-laminectomy and post-fusion stenosis of the lumbar spine. Clin Orthop 115: 130–135

    PubMed  Google Scholar 

  13. Buckwalter JA, Einhorn TA, Simon SR (eds) (2000) Orthopaedic Basic Sience . Am Acad Orthop Surg 2000: 769–771

    Google Scholar 

  14. Büttner-Janz K (1992) The development of the artificial disc: SB Charité. Huntley & Associates, Dallas

    Google Scholar 

  15. Cakir B, Schmidt R, Huch K, Puhl W, Richter M (2004) Sagittal Alignment and segmental range of motion after total disc replacement of the lumbar spine. Z Orthop 142: 150–165

    Google Scholar 

  16. Capener N (1932) Spondylolisthesis. Br J Surg 19: 374–86

    Google Scholar 

  17. Crock HV (1982) Anterior lumbar interbody fusion. Clin Orthop 165: 157–63

    PubMed  Google Scholar 

  18. Carragee EJ, Tanner CM; Yang B, Brito JL, Truong T (1999) False-positive findings on lumbar discography. Spine 24: 2542–2551

    Article  PubMed  Google Scholar 

  19. Carragee EJ, Chen Y, Tanner CM; Hayward C, Rossi M, Hagle C (2000) Can discography cause long-term back symptoms in previously asymptomatic subjects ? Spine 25: 1803–1808

    Article  PubMed  Google Scholar 

  20. Cavanaugh JM (1996) Lumbar facet pain: biomechanics, neuroanatomy and neurophysiology. J Biomech 29: 1117–1129

    Article  PubMed  Google Scholar 

  21. Chiba J, Maloney WJ, Inoue K, Rubash HE (2001) Biomechanical analysis of human macrophages activated by polyethylene particles retrieved from interface membranes after failed total hip arthroplasty. J Arthroplasty 16(Suppl 1): 101–105

    Google Scholar 

  22. Chow DHK, Luk KDK, Evans JH, Leong JCY (1996) Effects of short anterior lumbar interbody fusion on biomechanics of neighboring unfused segments. Spine 21: 540–555

    Google Scholar 

  23. Cinotti G, David T, Postacchini F (1996) Results of disc prosthesis after a minimum follow-up period of 2 years. Spine 21: 995–1000

    Article  PubMed  Google Scholar 

  24. David TJ (2000) Lumbar disc prosthesis: Five year follow-up study on 96 patients. Presented at the annual meeting of the North American Spine Society, New Orleans, October 2000

    Google Scholar 

  25. Dekutoski MB, Schendel MJ, Ogilvie JW, Olsewski JM, Wallace LJ, Lewis JL (1994) Comparison of in-vivo and in-vitro adjacent segment motion after lumbar fusion. Spine 19: 1745–1751

    PubMed  Google Scholar 

  26. Delamater RB, Fribourg DM, Kanim LEA, Bae H (2003) Prodisc artificial total lumbar disc replacement: introduction and early results from the US clinical trial. Spine 28: 167–175

    Article  PubMed  Google Scholar 

  27. Derby R, Howard MW, Grant JM, Lettice JJ, van Peteghem PK, Ryan DP (1999) The ability of pressure-controlled discography to predict surgical and nonsurgical outcomes. Spine 24: 364–371

    PubMed  Google Scholar 

  28. Dick W (1987) The ‚fixateur interne‘ as a versatile implant for spine surgery. Spine 12: 882–900

    PubMed  Google Scholar 

  29. Dooris AP, Goel VK, Grosland NM, Gilbertson LG, Wilder DG (2001) Load-shearing between anterior and posterior elements in a lumbar motion segment implanted with an artificial disc. Spine 26: 122–129

    Article  Google Scholar 

  30. Dreyer SJ, Dreyfuss PH (1996) Low back pain and the zygapophyseal (facet) joints. Arch Phys Med Rehabil 77: 290–300

    Article  PubMed  Google Scholar 

  31. Enker P, Steffee A, McMillin C et al. (1993) Artificial disc replacement : preliminary report with a 3-year minimum follow-up. Spine 18: 1061–1070

    PubMed  Google Scholar 

  32. Eschbach L (2003) Magnetic resonance imaging in patients with metal implants. AO International, AO ASIF materials Expert Group, 2003

  33. Es-Souni M (1999) Testing of the polyethylene core; Charité Modell III. Test Report. Fachhochschule, Kiel

  34. Etebar S, Cahill DW (1999) Risk factors for adjacent segment failure following lumbar fixation with rigid instrumentation for degenerative instability. J Neurosurg 90: 163–169

    PubMed  Google Scholar 

  35. Feymore JW, Hanley EN, Howe J, Kuhlmann D, Matteri RE (1979) A comparison on radiographic findings in fusion and non-fusion patients 10 or more years following lumbar discal surgery. Spine 4: 435–440

    PubMed  Google Scholar 

  36. Frei H (2001) The effect of nucleotomy on lumbar spine mechanics in compression and shear loading. Spine 26: 2080–2089

    Article  PubMed  Google Scholar 

  37. Fritzell P, Hägg O et al. (2001) Lumbar fusion versus non-surgical treatment for chronic low back pain. Spine 26: 2521–2534

    Article  PubMed  Google Scholar 

  38. Frymoyer JW, Hanley EN, Howe J (1979) A comparison of radiographic findings in fusion and non-fusion patients 10 or more years following lumbar disc surgery. Spine 4: 435–440

    PubMed  Google Scholar 

  39. Fung YC (1981) Biomechanics, mechanical properties of living tissues. Springer, Berlin Heidelberg New York

  40. George AL, Konstandinos S, Paul GK, George S, Dimitrios SK, George H (1999) Seven to 20-year outcome of lumbar discectomy. Spine 24: 2313–2317

    Article  PubMed  Google Scholar 

  41. Gertzbein SD (1984) Determination of a locus of instantaneous centers of rotation of the lumbar disc by Moiré fringes. Spine 9: 409–413

    PubMed  Google Scholar 

  42. Gertzbein SD, Seligman J, Holtby R, Chan KW, Ogston N, Kapasouri A, Tuile M (1986) Centrode characteristics of the lumbar spine as a function of segmental instability. Clin Orthop 208: 48–51

    PubMed  Google Scholar 

  43. Gertzbein SD, Court-Brown CM, Jacobs RR et al. (1988) Decompression and circumferential stabilization of unstable spinal fractures. Spine 13: 892–895

    PubMed  Google Scholar 

  44. Gertzbein SD (ed) (1992) Fractures of the thoracic and lumbar spine. Williams & Wilkins, Baltimore

  45. Gillet P (2003) The fate of the adjacent motion segments after lumbar fusion. Spine 28: 338–345

    Google Scholar 

  46. Goel A, Sharp DJ (1991) Heterotopic bone formation after total hip replacement. The influence of the type of osteoarthritis. J Bone Joint Surg Br 73: 255–257

    PubMed  Google Scholar 

  47. Greenough CG, Taylor LJ, Fraser RD (1994) Anterior lumbar fusion. A comparison of noncompensation patients with compensation patients. Clin Orthop 300: 30–37

    PubMed  Google Scholar 

  48. Greenough CG, Taylor LJ, Fraser RD (1994) Anterior lumbar fusion: results, assessment techniques and prognostic Factors. Eur Spine J 3: 225–230

    PubMed  Google Scholar 

  49. Griffith SL, Shekolov AP, Buettner-Janz K (1994) A multicenter retrospective study of the clinical results of the Link SB Charité intervertebral prosthesis. The initial European experience. Spine 19: 1842–1849

    PubMed  Google Scholar 

  50. Grob D, Scheier HJG, Dvorak J, Siegrist H, Rubeli M, Joller R (1991) Circumferential fusion of the lumbar and lumbosacral spine. Arch Orthop Trauma Surg 111: 20–25

    Article  PubMed  Google Scholar 

  51. Grobler LJ, Wiltse LL (1991) Classification, Non-operative, and operative treatment of spondylolisthesis. In: Frymoyer JW (ed) The adult spine. Raven Press, New York, pp 1655–1704

  52. Gunzburg R, Mayer HM, Szpalski M, Aebi M (2004) Arthroplasty of the spine: the long quest for mobility. In: Gunzburg R, Mayer HM, Szpalski M, Aebi M (eds) Arthroplasty of the spine. Springer, Berlin Heidelberg New York Tokio, S 1–2

  53. Guyer RD, Ohmeiss DD (2003) Intervertebral disc prostheses. Spine 28: 15–23

    Article  Google Scholar 

  54. Hallab N, Link HD, McAfee PC (2003) Biomaterial optimization in total disc arthroplasty. Spine 28: 139–152

    Article  Google Scholar 

  55. Hansson T (2004) Disc degeneration and segmental instability. In: Gunzburg R, Szpalski M, Andersson G (eds) Degenerative Disc Disease. Lippincott, Williams & Wilkins, Philadelphia, pp 53–62

  56. Harmon PH (1960) Anterior extraperitoneal disc excision and interbody fusion. Clin Orthop 18: 169–182

    Google Scholar 

  57. Harris RI, Wiley JJ (1963) Acquired spondylolysis as a sequel to spine fusion. J Bone Joint Surg Am 45: 1159–1164

    PubMed  Google Scholar 

  58. Hedman TP, Kostuik JP, Fernie GR et al. (1991) Design of an intervertebral disc prosthesis. Spine 16: 256–260

    Google Scholar 

  59. Heim CS, Postak PD, Plaxton NA, Greenwald AS (2001) Classification of mobile bearing knee design: mobility and constraint. Monogr Orthop Res Labs, Cleveland, OH, USA

    Google Scholar 

  60. Hochschuler SH, Ohmeiss, Guyer RD, Blumenthal SL (2004) Artificial disc: preliminary results of a prospective study in the United States. In: Gunzburg R, Mayer HM, Szpalski M, Aebi M (eds) Arthroplasty of the spine. Springer, Berlin Heidelberg New York Tokio, pp 44–48

  61. Hodgson AR, Wong AK (1968) A description of a technique and evaluation of results in anterior fusion for deranged intervertebral disc and Spondylolisthesis. Clin Orthop 56: 133–161

    PubMed  Google Scholar 

  62. Holt E (1967) The question of discography. J Bone Joint Surg Am 50: 720–726

    Google Scholar 

  63. http://www.ldrmedical.fr/mobidisc_uk.htm

  64. http://www.spinecore.com/clinicaltrials/flexicoreclinicaltrial.html Flexicore

  65. http://www.spine-health.com/research/trials/spinecore/spinecore01.html Flexicor

  66. http://www.spineuniverse.com/displayarticle.php/article2190.html Maverick

  67. http://www.fda.gov/ohrms/dockets/ac/04/briefing/4049b1_03_Clinical%20Review%20Memo%20MAY.pdf

  68. Huang TC (2002) Long-term flexion-extension range of motion of the ProDisc I disc prosthesis. Spine J 2(Suppl 5): 93

    Google Scholar 

  69. Huang, RC, Girardi P, Cammisa FP jr, Wright TM (2003) The implications of constrain in lumbar total disc replacement. Spine 28: 412–417

    Google Scholar 

  70. Huber J (2000) Zwischenwirbel-Endoprothese Modell SB Charité; Simulatorprüfung. Test Report. Labor für Biomechanik und Experimentelle Orthopädie; Prüfstelle für Implantate. Ludwigs-Maximilians-Universität, München

  71. Ito M, Incorvaia KM, Yu SF, Fredrickson BE, Yuan HA, Rosenbaum AE (1998) Predictive signs of discogenic lumbar pain on magnetic resonance imaging with discography correlation. Spine 23: 1252–1258

    Article  PubMed  Google Scholar 

  72. Jackson RP, McManus AC (1994) Radiographic analysis of sagittal plane alignment and balance in standing volunteers and patients with low back pain matched for age, sex and size. A prospective controlled clinical study. Spine 19: 1611–1618

    PubMed  Google Scholar 

  73. Jakobs JJ, Skipor AK, Doorn PF (1996) Cobalt and Chromium concentrations in patients with metal on metal total hip replacements. Clin Orthop 329(Suppl): 256–263

    Article  Google Scholar 

  74. Kostuik JP (1979) Decision making in adult scoliosis. Spine 4: 520–525

    Google Scholar 

  75. Kostuik JP, Weinstein JN (1991) Differential diagnosis and surgical treatment of metastatic spine tumors. In: Frymoyer JW (ed) The adult spine. Raven Press, New York, pp 861–888

  76. Kostuik JP, Frymoyer JW (1991) Failures after spinal fusion: Causes and surgical treatment. In: Frymoyer JW (ed) The adult spine. Raven Press, New York, pp 2027–2068

  77. Kozak JA, Heilman AE, O’Brien JP (1994) Anterior lumbar fusion options. Clin Orthop 300: 45–51

    PubMed  Google Scholar 

  78. Krag MH,Seroussi RE, Wilder DG, Pope MH (1987) Internal displacement from in-vitro loading of human thoracic and lumbar spinal motion segments. Experimental results and theoretical predictions. Spine 10: 1001–1007

    Google Scholar 

  79. Kumar MN, Baklanov A, Chopin D (2001) Correlation between sagittal plane changes and adjacent segment degeneration following lumbar spine fusion. Eur Spine J 10: 314–319

    Article  PubMed  Google Scholar 

  80. Lee CK (1988) Accelerated degeneration of the segment adjacent to a lumbar fusion. Spine 13: 375–377

    PubMed  Google Scholar 

  81. Lehman TR, Spratt KF, Tozzi JE et al. (1987) Long-term follow-up of lumbar fusion patients. Spine 12: 97–104

    PubMed  Google Scholar 

  82. Le Huec JC, Kiaer T, Friesem T, Mathews H, Liu M, Eiermann L (2003) Shock Absorption in lumbar disc prosthesis : a preliminary mechanical study. Spine 28: 346–351

    Article  Google Scholar 

  83. Le Huec, JC, Aunoble S, Zdeblick TA (2004) Anterior lumbar interbody fusion versus posterior lumbar interbody fusion for degenerative disc disease. In: Gunzburg R, Szplaski M, Andersson G (eds) Degenerative disc disease. Lippincott, Williams & Wilkins, Philadelphia, USA, pp 169–180

  84. Le Huec JC, Aunoble S, Friesem T, Mathews H, Zdeblick T (1994) Maverick total lumbar disk prosthesis: biomechanics and preliminary clinical results. In: Gunzburg R, Mayer HM, Szpalski M, Aebi M (eds) Arthroplasty of the spine. Springer, Berlin Heidelberg New York, pp 53–58

  85. Lemaire JP, Skalli, W, Lavaste F (2000) Intervertebral disc prosthesis. Results and prospects for the year 2000. Clin Orthop 337: 64–76

    Google Scholar 

  86. Leong JCY, Hoper G, Fang D, Chun SY (1982) Disc excision and anterior spinal fusion for lumbar disc protrusion in the adolescent. Spine 7: 623–626

    PubMed  Google Scholar 

  87. Link HD (2004) History, design and biomechanics of the Link SB Charité artificial disc. In: Gunzburg R, Mayer HM, Szpalski M, Aebi M (eds) Arthroplasty of the spine. Springer, Berlin Heidelberg New York Tokio, pp 36–43

  88. Linovitz R (2001) Prodisc retrospective clinical study: 7 to 11 year follow-up. Spine Solutions Company Brochure, New York, NY, USA

    Google Scholar 

  89. Loeser JD (1972) Dorsal rhizotomy for the relief of chronic pain. J Neurosurg 36: 745–751

    PubMed  Google Scholar 

  90. Magerl FP (1984) Stabilization of the lower thoracic and lumbar spine with external skeletal fixation. Clin Orthop 189: 125–141

    PubMed  Google Scholar 

  91. Magora A (1973) Investigation of the relation between low back pain and occupation. Physical requirements. Bending, rotation, reaching and sudden maximal effort. Scand J Rehabil Med 5: 186–190

    PubMed  Google Scholar 

  92. Maigne JY, Aivaliklis A, Pfefer F (1996) Results of sacroiliac joint double block and valu of sacroiliac pain provocation test in 54 patients with low back pain. Spine 21: 1889–1892

    Article  PubMed  Google Scholar 

  93. Marnay T (2002) The ProDisc: clinical analysis of an intervertebral disc implant. In: Kaech DL, Jinkins JR (eds) Spinal restabilization procedures. Elsevier Science BV, Amsterdam, pp 317–331

  94. Marnay T, US Patent Nr. 5 314 477, EP Nr. 0 471 821, 1990, 1999

  95. Mayer HM, Korge A (2002) Non-fusion technology in degenerative lumbar spinal disorders: facts, questions, challenges. Eur Spine J 11(Suppl 2): 85–91

    Google Scholar 

  96. Mayer HM, Wiechert K, Korge A, Qose I (2002) Minimally invasive total disc replacement: surgical technique and preliminary clinical results. Eur Spine J 11(Suppl 2): 124–130

    Google Scholar 

  97. Mayer HM, Wiechert K (2002) Microsurgical anterior approaches to the lumbar spine for interbody fusion and total disc replacement. Neurosurgery 51(5): 159–165

    Google Scholar 

  98. Mayer HM, Wiechert K, Korge A (2004) Total disc replacement for low back pain of discogenic origin. In: Gunzburg R, Szpalski M, Andersson G (eds) Degenerative disc disease. Lippincott, Williams & Wilkins, Philadelphia, pp 249–256

  99. McAfee PC, Cunnungham BW, Devine J, Williams E, Yu-Yahiro J (2003) Classification of heterotopic ossification (HO) in artificial disc replacement. J Spinal Disord Techn 16: 384–389

    Google Scholar 

  100. McAfee PC, Fedder IL, Saiedy S, Shucosky EM, Cunnungham BW (2003) SB-Charité-Disc-Replacement: Report of 60 prospective randomised cases in a US center. J Spinal Disord Techn 16: 424–433

    Google Scholar 

  101. Merritt K, Brown SA (1996) Distribution of cobalt chromium wear and corrosion products and biologic reactions. Clin Orthop 329(Suppl): 233–243

    Article  PubMed  Google Scholar 

  102. Milette P, Fontaine S, Lepanto L (1999) Differentiating lumbar disc protrusions, disc bulges and discs with normal contour but normal signal intensity: Magnetic resonance imaging with discography correlations. Spine 24: 44–53

    Article  PubMed  Google Scholar 

  103. Mooney V (1997) Injection studies: Role of pain definition. In: Frymoyer JW (ed) The adult spine, 2nd edn. Raven Press, New York, pp 527–540

  104. Müller-Ladner U, Gay RE, Gay S (1997) Structure and function of synoviocytes. In Koopman WJ (ed) Arthritis and allied conditions: a textbook of rheumatology. Williams & Wilkins, Philadelphia, pp 243–254

    Google Scholar 

  105. Nachemson A, Boden SD, McLain RF (1996) Lumbar disc disease with discogenic pain. What surgical treatment is most effective? Spine 21: 1835–1836

    PubMed  Google Scholar 

  106. Nachemson A (2004) The evidence base for the treatment of not degenerative disc disease — but back pain. In: Gunzburg R, Szplaski M, Andersson G (eds) Degenerative disc disease. Lippincott, Williams & Wilkins, Philadelphia, pp 263–271

  107. Nagata H, Schendel MJ, Transfeldt EE, Lewis JL (1993) The effect of immobilisation of long segments of the spine on the adjacent and distal facet force and lumbosacral motion. Spine 18: 2471–2479

    PubMed  Google Scholar 

  108. O’Brien JP, Dawson MHO, Heard CW (1986) Simultaneous combined anterior and posterior fusion: a surgical solution for failed spinal surgery with a brief review of the first 150 patients. Clin Orthop 203: 191–195

    PubMed  Google Scholar 

  109. Passutti N, Delecrin J, Romih M, Brossard D (2004) Posterolateral fusion. In: Gunzburg R, Szplaski M, Andersson G (eds) Degenerative disc disease. Lippincott, Williams & Wilkins, Philadelphia, PP 181–187

  110. Pearcy MJ, Bogduk N (1988) Instantaneous axes of rotation of the lumbar intervertebral joints. Spine 13: 1033–1041

    PubMed  Google Scholar 

  111. Postak DP (1999) Evaluation of time-dependent displacement o the SB Charité UHMWPE sliding core. Test Report 04-0900-0399, Orthopedic research Laboratories, Mount Sinai Medical Center, Cleveland, OH, USA

  112. Putzier M, Schneider SV, Disch AC, Tautz H, Funk JF (2004) Clinical and radiological results after artificial disc replacement — 17 year long-term follow-up. Presented at Spine Week; Combined Meeting of Leading Scientific Spine Societies, Porto, Portugal, May 30–June 2, 2004

  113. Ralph et al. US Patents Nr.: 6 648 310 B1, 2002/111681–687 A1, 2003/014111 A1/ 2003/014112 A1

  114. Ray CD (1992) The artificial disc: introduction, history and socioeconomics. In: Weinstein JN (ed) Clinical efficacy and outcome in the diagnosis and treatment of low back pain. Raven Press, New York, pp 205–225

  115. Ritter MA, Vaughn RB (1977) Ectopic ossification after total hip arthroplasty — predisposing factors, frequency, and effect on results. J Bone Joint Surg Br 59: 345–351

    Google Scholar 

  116. Ross ERS, Asker Z, Hughes DG (2004) Ten years on. In: Gunzburg R, Szplaski M, Andersson GBJ (eds) Degenerative disc disease. Lippincott, Williams & Wilkins, Philadelphia, pp 245–248

  117. Roy-Camille R, Saillant G, Berteaux D, Marie-Anne S, Mamoudy P (1979) Vertebral osteosynthesis using metal plates. Chirurgie 105(7): 597–603

    PubMed  Google Scholar 

  118. Saal JS (2002) General principles of diagnostic testing as related to painful lumbar spine disorders: a critical appraisal of current diagnostic techniques. Spine 27: 2538–2545

    Article  PubMed  Google Scholar 

  119. Salib 1992; Boyd 1994: European Patent Nr. 0 754 018; 1 188 423; US Patent Nrs. 5 425 773; 5 562 738; 5 258 031

  120. SB Charité Total Disc. US Patents 5 556431 ;5 401 269, 4 759766 Link

  121. Schendel MJ (1993) Experimental measurement of ligament force, facet force and segment motion in human lumbar spine. J Biomech 26: 427–438

    Article  PubMed  Google Scholar 

  122. Schmalzried TP, Jasty M, Harris WH (1992) Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg Am 74: 849–863

    PubMed  Google Scholar 

  123. Sharma M, Langrana NA, Rodriguez J (1995) Role of ligaments and facets in lumbar spinal stability. Spine 20: 887–900

    PubMed  Google Scholar 

  124. Sharma m, Langrana NA, Rodriguez J (1998) Modelling if facet articulation as a nonlinear moving contact problem: sensitivity study on lumbar facet responses. J Biomech Eng 120: 118–125

    PubMed  Google Scholar 

  125. Sott AH, Harrison DJ (2000) Increasing age does not affect good outcome after lumbar disc replacement. Int Orthop 24: 50–53

    Article  PubMed  Google Scholar 

  126. Splithoff C (1953) Lumbosacral junction, roentgenographic comparison of patients with and without backaches. JAMA 152: 1610–1613

    Google Scholar 

  127. Stauffer RN, Coventry MB (1972) Anterior Interbody Lumbar Spine Fusion. J Bone Joint Surg Am 54: 756–768

    PubMed  Google Scholar 

  128. Szpalski M, Gunzburg R, Mayer HM (2004) Spine arthroplasty: a historical review. In: Gunzburg R, Mayer HM, Szpalski M, Aebi M (Eds): Arthroplasty of the spine. Springer, Berlin Heidelberg New York Tokio, pp 3–22

  129. The Prodisc Book (2003) Total disc replacement for degenerative disease in the lumbar spine. Spine Solutions GmbH, Tuttlingen

  130. Tropiano P, Huang RC, Girardi FP, Marnay T (2003) Lumbar disc replacement: preliminary results with ProDisc II after a minimum follow-up period of 1 year. Spine 28: 362–368

    Google Scholar 

  131. Umehara S, Zindrick M, Patwardhan AG et al. (2000) The biomechanical effect of postoperative hypolordosis in instrumented lumbar fusion on instrumented and adjacent spinal segments. Spine 25: 1617–1624

    Article  PubMed  Google Scholar 

  132. Vanharanta H, Guyer R, Ohmeiss D (1988) Disc deterioration in low back syndromes: a prospective multicenter CT/discography study. Spine 13: 1349–1351

    PubMed  Google Scholar 

  133. Van Ooij A, Oner FC, Verbout AJ (2003) Complications of artificial disc replacement: a report of 27 patients with the SB Charité Disc. Spine 28: 369–383

    Google Scholar 

  134. Viscogliosi Bros LLC (2000) Spine industry analysis series: artificial disc. Market potential and technology Update, Feb 2000

    Google Scholar 

  135. Von Lackum H (1924) The lumbosacral region. JAMA 82: 1109

    Google Scholar 

  136. Walsh T, Weinstein S, Spratt K et al. (1990) Lumbar Discography in normal subjects. A controlled prospective study. J Bone Joint Surg Am 72: 1081–1088

    PubMed  Google Scholar 

  137. Weinstein JN (1991) Differential diagnosis and surgical treatement of primary benign and malignant spine tumors. In: Frymoyer JW (ed) The adult spine. Raven Press, New York, pp 829–886

  138. Weiss S, Davis D (1998) The significance of the afferent impulses from the skin in the mechanism of visceral pain: skin infiltration as a useful diagnostic measure. Am J Med Sci 176: 517–525

    Google Scholar 

  139. Wetzel FT, Phillips F, Bernard TN, Aprill CN, LaRocca SLL (1997) Extradural sensory rhizotomy in the management of chronic lumbar radiculopathy: A minimu two year follow-up study. Spine 22: 2283–2292

    Article  PubMed  Google Scholar 

  140. Wetzel FT (1998) The use of selective nerve blocks: diagnostic, therapeutic, or placebo? Spine 23: 2254–2256

    Article  Google Scholar 

  141. Wisleder D, Smith MB, Misher TJ, Zatsiorski V (2001) Lumbar spine mechanical response to axial compression load in-vivo. Spine 26: 403–409

    Article  PubMed  Google Scholar 

  142. Yoshioka T (1990) Motion characteristic of the normal lumbar spine in young adults: instantaneous axis of rotation and vertebral center motion analysis. J Spinal Dosrd 3: 103–113

    Google Scholar 

  143. Zeegers WS, Bohnen LM, Laaper M (1998) Artificial disc replacement with the modular type SB Charité III: 2-years results form 50 prospectively studied patients. Eur Spine J 8: 210–217

    Article  Google Scholar 

  144. Zigler JE, Burd TA, Vialle EN, Sachs BL, Rashbaum RF, Ohmeiss D (2003) Lumbar spine arthroplasty: early results using the prodisc II: a prospective randomized trial of arthroplasty versus fusion. Spine 28: 352–361

    Google Scholar 

Download references

Interessenkonflikt:

Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to H. M. Mayer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mayer, H.M. Degenerative Erkrankungen der Lendenwirbelsäule. Orthopäde 34, 1007–1020 (2005). https://doi.org/10.1007/s00132-005-0836-3

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-005-0836-3

Schlüsselwörter

Keywords

Navigation