title: Prosthetic total disk replacement--can we learn from total hip replacement?
abstract: Total lumbar disk replacement has become a routine procedure in many countries. However, discussions regarding its use are ongoing. Issues focus on patient selection, technical limitations, and avoidance or management of complications or long-term outcomes. A review of the development of this technology, since the development of the first successful implantation of a total lumbar disk prosthesis in 1984, shows an amazing analogy to the history of total hip replacement. This article is a one-to-one comparison of the evolution of total hip and total lumbar disk replacement from "skunk works" to scientific evidence.
authors.affiliation: Paracelsus Medical School, Salzburg, Austria. MMayer@schoen-kliniken.de
authors.forename: H Michael
authors.initials: HM
authors.lastname: Mayer
authors.forename: Christoph J
authors.initials: CJ
authors.lastname: Siepe
mesh_terms: D019643:Arthroplasty, Replacement / Q000592:standards* / Q000639:trends; D019644:Arthroplasty, Replacement, Hip / Q000592:standards / Q000639:trends; D005260:Female; D005544:Forecasting; D006801:Humans; D007403:Intervertebral Disc / Q000601:surgery*; D055959:Intervertebral Disc Degeneration / Q000175:diagnosis / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D020380:Needs Assessment; D011474:Prosthesis Design; D019919:Prosthesis Implantation; D018570:Risk Assessment