7.14 Wear: Total Intervertebral Disc Prostheses ☆

Pseudotumor after total disc replacement in the lumbar spine: A case report and review of the literature

“…Low back pain and neck pain are caused by different number of etiologies (degenerative, trauma, tumors, infections, deformities or muscle sprains). Patients with low back pain (LBP) due to degenerative disc disease (DDD) have traditionally been treated by spinal fusion [ 1 , 2 ]. However, Total Disc Replacement (TDR) has emerged as an alternative surgical option and has gained an increasing reputation over the past three decades since it was first described in 1984 [ [1] , [2] , [8] ].…”

“…Patients with low back pain (LBP) due to degenerative disc disease (DDD) have traditionally been treated by spinal fusion [ 1 , 2 ]. However, Total Disc Replacement (TDR) has emerged as an alternative surgical option and has gained an increasing reputation over the past three decades since it was first described in 1984 [ [1] , [2] , [8] ]. TDRs allow continued, as opposed to spinal fusion, which completely blocks motion at the diseased disc level.…”

“…TDRs allow continued, as opposed to spinal fusion, which completely blocks motion at the diseased disc level. The spine has motion in many planes, so traditionally it has been modeled as a ball and socket joint [ 1 , 2 ]. At any given lumbar disc level there can be up to 15 degrees of flexion and extension movement.…”

“…Unlike the hip joint, there are fewer significant spine motions each day [3] , [4] , [5] . Loads on the spine are similar to the loads experienced in the hip and can reach up to three times body weight with normal ambulation [ 1 , 2 ]. It is widely believed that the spine provides a more favorable wear environment than the hip owing to two important features: 1) relatively lower arc of motion in daily use and 2) lower frequency of major movements.…”