Total Lumbar Disc Replacement

  • Christoph J. Siepe


Fusion of lumbar motion segments for the treatment of intractable low-back pain (LBP) has been associated with a variety of negative side effects. Perceived disadvantages such as accelerated adjacent level morbidities, iatrogenic superior segment facet joint violation, symptomatic complaints from facet, and sacroiliac joints or facet joint hypertrophy with consecutive narrowing of the spinal canal have previously been reported (Gillet, J Spinal Disord Tech 16:338–345, 2003; Goulet et al., Clin Orthop Relat Res:76–81, 1997; Kumar et al., Eur Spine J 10:309–313, 2001; Lee, Spine 13:375–377, 1988; Park et al., Spine 29:1938–1944, 2004; Umehara et al., Spine 25:1617–1624, 2000; Katz et al., J Spinal Disord Tech 16:96–99, 2003; Maigne and Planchon, Eur Spine J 14:654–658, 2005; Ha et al., Spine 33:1192–1198, 2008; Moshirfar et al., Spine 31:2624–2629, 2006; Shah et al., Spine 28:272–275, 2003; Cardoso et al., Spine 33:2868–2873, 2008). In an attempt to avoid these previously published and fusion-related negative side effects, a variety of new motion preserving technologies including total lumbar disc replacement procedures (TDR) have been introduced. This chapter outlines the technique of TDR with ProDisc II (Synthes, Paoli, PA).


Disc Space Ultra High Molecular Weight Polyethylene Retroperitoneal Approach Insertion Device Adjacent Vertebral Body 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Degenerative disc disease


Low-back pain


Posterior longitudinal ligament


Total lumbar disc replacement


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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Schön Klinik München Harlaching, Spine CenterMunichGermany

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