Lumbar Total Disc Replacement

  • Jeffrey H. Weinreb


Lumbar total disc replacement (TDR) is a method to treat degenerative disc disease in the lumbar spine in skeletally mature patients without high-grade spondylolisthesis who have failed conservative treatment. Although decompression and fusion for degenerative disc disease is considered the gold standard, potential drawbacks of arthrodesis include pseudarthrosis and adjacent segment disease. The purpose of TDR is to restore and maintain motion segment mobility which is intended to prevent adjacent segment disease and relieve pain. This chapter discusses the background, indications/contraindications, technique including preparation and positioning, approach, and implant placement, along with postoperative care, and outcomes.


Lumbar total disc replacement Degenerative disc disease Adjacent segment disease Low back pain 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Jeffrey H. Weinreb
    • 1
  1. 1.Department of Orthopaedic SurgeryThe George Washington University HospitalWashington, DCUSA

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