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Lumbar Nucleus Replacement

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Minimally Invasive Surgery of the Lumbar Spine

Abstract

Lumbar disc arthroplasty is gaining popularity in the spinal surgery community for many reasons, the first being to avoid spinal fusion, which, even with evidence of good and solid clinical outcomes, is a surgical procedure that abolishes the physiological movement of the joints of the spine. Spinal fusion has always been accepted as a “surgical gold standard,” but complication rates up to 70 % have been reported, and adjacent segment alterations vary from 31 to 66 % of cases [1, 2].

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References

  1. Gillet P. The fate of the adjacent motion segments alter lumbar fusion. J Spinal Disord Tech. 2003;16:338–45.

    Article  PubMed  Google Scholar 

  2. Park P, Garton HJ, Gala VC. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine. 2004;29:1938–44.

    Article  PubMed  Google Scholar 

  3. Buettner-Janz K, Schellnack K, Zippel H. Biomechanics of the SB Charitè lumbar intervertebral disc endoprosthesis. Int Orthop. 1989;13:173–6.

    Article  Google Scholar 

  4. Nachemson A. The load on lumbar disks in different positions of the body. Clin Orthop. 1965;45:107–22.

    Google Scholar 

  5. Brinckmann P, Grootenboer H. Change of disc height, radial disc bulge, and intradiscal pressure from discectomy. Spine. 1991;16(6):641–6.

    Article  PubMed  CAS  Google Scholar 

  6. Fernstrom U. Arthroplasty with intercorporal endoprothesis in herniated disc and in painful disc. Acta Chir Scand Suppl. 1966;357:154–9.

    PubMed  CAS  Google Scholar 

  7. McKenzie AH. Fernstron intervertebral disc arthroplasty: a long-term evaluation. Orthop Int Ed. 1995;3(4):313–24.

    Google Scholar 

  8. Tan JS, et al. Interbody device shape and size are important to strengthen the vertebra-implant interface. Spine. 2005;30(6):638–44.

    Article  PubMed  Google Scholar 

  9. Lowe TG, et al. A biomechanical study of regional endplate strength and cage morphology as it relates to structural interbody support. Spine. 2004;29(21):2389–94.

    Article  PubMed  Google Scholar 

  10. Wang A. A unified theory of wear for ultra-high molecular weight polyethylene in multi-directional sliding. Wear. 2001;248(1–2):38–47.

    Article  CAS  Google Scholar 

  11. Jahan MS, et al. Combined chemical and mechanical effects on free radicals in UHMWPE joints during implantation. J Biomed Mater Res. 1991;25(8):1005–17, 199.

    Article  PubMed  CAS  Google Scholar 

  12. Klara P, Ray C. Artificial nucleus replacement. Clinical experience. Spine. 2002;27(12):1374–7.

    Article  PubMed  Google Scholar 

  13. Shim CS, et al. Partial disc replacement with the PDN prosthetic disc nucleus device: early clinical results. J Spinal Disord Tech. 2003;16(4):324–30.

    Article  PubMed  Google Scholar 

  14. Bao QB, et al. Pioneer surgical technology: NUBAC artificial nucleus. In: Kim DH, editor. Dynamic reconstruction of the spine. 1st ed. New York: Thieme Medical; 2006. p. 128–36.

    Google Scholar 

  15. Bell GH, et al. Variations in strength of vertebrae with age and their relation to osteoporosis. Calcif Tissue Res. 1967;1(1):75–86.

    Article  PubMed  CAS  Google Scholar 

  16. Perry O. Fracture of the vertebral end-plate in the lumbar spine. Acta Orthop Scand. 1957;25(Suppl):34–9.

    Google Scholar 

  17. Bertagnoli R, Vazquez RJ. The anterolateral transPsoatic approach (ALPA): a new technique for implanting prosthetic disc-nucleus devices. J Spinal Disord Tech. 2003;16(4):398–404.

    Article  PubMed  Google Scholar 

  18. Ozgur BM, Aryan HE, Pimenta L. Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006;6:435–43.

    Article  PubMed  Google Scholar 

  19. Berjano P, Balsano M, Buric J, Petruzzi M, Lamartina C. Direct lateral access lumbar and thoracolumbar fusion: preliminary results. Eur Spine J. 2012;21 Suppl 1:S37–42.

    Article  PubMed  Google Scholar 

  20. Balsano M, Zachos A, Ruggiu A, Barca F, Tranquilli-Leali P, Doria C. Nucleus disc arthroplasty with the NUBAC™ device: 2-year clinical experience. Eur Spine J. 2011;20 Suppl 1:S36–40.

    Article  PubMed  Google Scholar 

  21. Zigler J. Results of the prospective, randomized, multicenter food and drug administration investigational device exemption study of the ProDisc-L total disc replacement versus circumferential fusion for the treatment of 1-level degenerative disease. Spine. 2007;32(11):1155–62; discussion 1163.

    Article  PubMed  Google Scholar 

  22. Blumenthal S, Blumenthal S. A prospective, randomized, multicenter Food and Drug Administration investigational device exemptions study of lumbar total disc replacement with the CHARITE artificial disc versus lumbar fusion: part I: evaluation of clinical outcomes. Spine. 2005;30(14):1565–75; discussion E387–E9.

    Article  PubMed  Google Scholar 

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Correspondence to Massimo Balsano MD .

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© 2014 Springer-Verlag London

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Balsano, M. (2014). Lumbar Nucleus Replacement. In: Menchetti, P. (eds) Minimally Invasive Surgery of the Lumbar Spine. Springer, London. https://doi.org/10.1007/978-1-4471-5280-4_11

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  • DOI: https://doi.org/10.1007/978-1-4471-5280-4_11

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5279-8

  • Online ISBN: 978-1-4471-5280-4

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