Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical Results

Öktenoğlu, Tunç; Özer, Ali Fahir; Sasani, Mehdi; Ataker, Yaprak; Gömleksiz, Cengiz; Çelebi, İrfan

doi:10.1155/2013/874090

Cited by 8 publications

(8 citation statements)

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“…In another study which applied the Maverick prosthesis (Spine-Health), the severity of pain according to VAS decreased from 8.4 cm to 2.8 cm, and quality of life on the ODI increased from 69 to 35 points. 19 In the study of Abakirov et al, 20 using the IVD M6 prosthesis, the following clinical results were obtained: reduction in severity of pain according to VAS from 5.5 cm to 3.4 cm, and in quality of life on the ODI from increased 56 to 27 points.…”

Section: Discussionmentioning

confidence: 94%

Results of Total Lumbar Intervertebral Disk Replacement With M6-L: A Multicenter Study

et al. 2017

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Objective: In this paper we report the clinical and radiological results of lumbar intervertebral disk (IVD) replacement with M6-L for the treatment of patients with IVD degeneration. Methods: One hundred and fifty-six patients with IVD degeneration were operated with the one level implantation of an M6-L prosthesis at three neurosurgical departments, in Irkutsk, Krasnoyarsk and Vladivostok. We assessed pain intensity (VAS), the Oswestry disability index (ODI) and outcomes by the Macnab scale up to 36 months after surgery. Instrumental data were used to assess range of motion in the operated segment and heterotopic ossification by the McAfee-Suchomel classification. Results: The average VAS before surgery was 6.9 ± 1.6 cm. After surgery, this value reduced significantly, to an average of 1.3 ± 1.2 cm (p<0.001). The average ODI before surgery was 40.2 ± 6.9%, and after IVD arthroplasty, this indictor improved to 12.3 ± 6.1% (p <0.001). Range of motion in the operated segment at baseline averaged 36.8 ± 2.6 o , and within 36 months after the operation, this had increased to 41.2 ± 2. McAfee-Suchomel. Resultados: El valor promedio de la EVA para el dolor antes de la cirugía fue de 6,9 ± 1,6 cm. Después de la cirugía, ese valor tuvo una reducción significativa, en promedio de 1,3 ± 1,2 cm (p < 0,001). El ODI promedio antes de la cirugía fue de 40,2 ± 6,9% y después de la artroplastia del IVD ese índice mejoró para 12,3 ± 6,1% (p < 0,001). El rango de movimiento del segmento operado al inicio del estudio fue en promedio 36,8 ± 2,6 o y 36 meses después de la cirugía, aumentó a 41,2 ± 2,9 o . Durante toda el seguimiento se observaron signos de osificación heterotópica grave (13,4%, n = 21) o moderada (10,2%, n = 16 RESUMEN Objetivo: En este trabajo, relatamos los resultados clínicos y radiológicos de la sustitución de disco intervertebral lumbar (IVD) con M6-L para tratamiento de pacientes con degeneración de IVD. Métodos: Ciento cincuenta y seis pacientes con degeneración de IVD fueron operados con la implantación de prótesis M6-L en un nivel, en tres departamentos de neurocirugía de Irkutsk, Krasnoyarsk y Vladivostok. Se evaluó la intensidad del dolor (EVA), el Índice de Discapacidad de Oswestry (ODI) y los resultados por escala de Macnab hasta 36 meses después de la cirugía. Los datos de instrumentación se utilizaron para evaluar el rango de movimiento en el segmento operado y la osificación heterotópica mediante la clasificación de

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Section: Discussionmentioning

confidence: 94%

Results of Total Lumbar Intervertebral Disk Replacement With M6-L: A Multicenter Study

et al. 2017

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“…Oktenoglu et al [ 23 ] showed comparable results in postoperative radiographic evaluation for both techniques (TDR and PTDS). Both dynamic systems provided spine stability.…”

Section: Resultsmentioning

confidence: 99%

“…Oktenoglu et al [ 23 ] showed that there was a statistically significant difference between the levels of blood loss in the two groups: the level of blood loss was significantly higher in the TDR group compared to the PTDS (posterior transpedicular dynamic stabilization) group. Furthermore, operation time and length of hospital stay were significantly longer in the TDR group compared to the posterior dynamic stabilization group.…”

Section: Resultsmentioning

confidence: 99%

Lumbar total disc arthroplasty: outdated surgery or here to stay procedure? A systematic review of current literature

et al. 2017

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BackgroundThe purpose of this study was to summarize the available evidence about total lumbar disc replacement (TDR), focusing our attention on four main topics: clinical and functional outcomes, comparison with fusion surgery results, rate of complications and influence on sagittal balance.Materials and methodsWe systematically searched Pubmed, Embase, Medline, Medscape, Google Scholar and Cochrane library databases in order to answer our four main research questions. Effective data were extracted after the assessment of methodological quality of the trials.ResultsFifty-nine pertinent papers were included. Clinical and functional scores show statistically significant improvements, and they last at all time points compared to baseline. The majority of the articles show there is no significant difference between TDR groups and fusion groups. The literature shows similar rates of complications between the two surgical procedures.ConclusionsTDR showed significant safety and efficacy, comparable to lumbar fusion. The major advantages of a lumbar TDR over fusion include maintenance of segmental motion and the restoration of the disc height, allowing patients to find their own spinal balance. Disc arthroplasty could be a reliable option in the treatment of degenerative disc disease in years to come.Level of evidenceII.

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“…TDR is another motion preservation surgery and meta -analyses revealed beneficial outcomes at patient with degenerative disc diseases [29]. However the results are similar for TDR, posterior transpedicular dynamic stabilization, and fusion surgery, posterior stabilization has slight advantage due to easier surgical practicability and lesser complication rates [29,30].…”

Section: Discussionmentioning

confidence: 99%

Perspective of Lumbar Segmental Instability for Surgical Evalua tion of Lumbar Disc Herniation

Egemen¹,

Süzer²,

Yaman³

et al. 2017

J Spine

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Surgery of lumbar disc herniation is most common procedure in neurosurgical practice. However poor outcomes, recurrent disc herniation and recurrence of low back and leg pain which affect quality of life, are still challenging. Lumbar spine instability develops as a result of a gradual degenerative process and lumbar segmental instability is one of main reason of failed back surgery. Presence of lumbar segmental instability or potential secondary instability after surgery should not be overlooked. Accurate preoperative evaluation of patients with lumbar disc herniation needs to understand biomechanics of spinal stability and predict possible result of postoperative instability. Thus failure of treatment modalities can be avoided.

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Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical Results

Cited by 8 publications

References 56 publications

Results of Total Lumbar Intervertebral Disk Replacement With M6-L: A Multicenter Study

Results of Total Lumbar Intervertebral Disk Replacement With M6-L: A Multicenter Study

Lumbar total disc arthroplasty: outdated surgery or here to stay procedure? A systematic review of current literature

Perspective of Lumbar Segmental Instability for Surgical Evalua tion of Lumbar Disc Herniation

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