Artificial disc replacement: the new solution for discogenic low back pain?
As we develop an increased understanding of DDD (e.g., pain generators, natural history, associated facet disease), so too will our ability to provide patients with effective care increase. Cautious optimism should be the attitude of surgeons treating patients with ADR. Issues such as implant design, wear debris, the role of ADR in osteoporosis, revision strategies, the patient selection will play important roles in the clinical success of ADR. the various topics discussed in this text will require careful additional scientific scrutiny prior to unconstrained endorsement of this evolving technique.
Shuff
Charles
C
Department of Orthopedic Surgery, Virginia Commonwealth University Health Systems, Richmond, Virginia 23298-0153, USA. ceshuff@yahoo.com
An
Howard S
HS
D019643:Arthroplasty, Replacement / Q000295:instrumentation* / Q000639:trends; D006801:Humans; D007403:Intervertebral Disc / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery*; D007595:Joint Prosthesis; D017116:Low Back Pain / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D012307:Risk Factors; D016896:Treatment Outcome