[Effect of artificial disk nucleus implant on mobility and intervertebral disk high of an L4/5 segment after nucleotomy].
This study investigated whether after a nucleotomy and implantation of a prosthetic disk nucleus (PDN) the original height and mobility of an L4/L5 disk can be restored. Compared to the intact state (100%), nucleotomy increased the median values of the normalized range of motion (ROM) in flexion/extension to 118%, lateral bending to 112%, and axial rotation to 121%. PDN implantation reduced ROM to 102%, 88%, and 90%. These differences were even more distinct when comparing the neutral zone (NZ) with 210%, 173%, and 107% after nucleotomy and 146%, 149%, and 44% after PDN implantation. With an axial preload of 200 N, disk height after nucleotomy was reduced by about 1.3 mm and could be restored with PDN implantation. PDN implantation can restore disk height and ROM after nucleotomy to normal values and reduce the strong NZ increase. Further biomechanical characterization of this therapy with PDN is necessary.
Wilke
H J
HJ
Institut für Unfallchirurgische Forschung und Biomechanik, Universität Ulm, Helmholtzstrasse 14, 89081 Ulm. hans-joachim.wilke@medizin.uni-ulm.de
Kavanagh
S
S
Neller
S
S
Claes
L
L
D000328:Adult; D000368:Aged; D001696:Biomechanical Phenomena; D001827:Body Height / Q000502:physiology; D017586:Diskectomy; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D019919:Prosthesis Implantation; D016059:Range of Motion, Articular / Q000502:physiology*; D016474:Weight-Bearing / Q000502:physiology*