Total Spinal Disc Replacement: 6 Findings on 5-10 Year Outcomes

Laura Dyrda -  

A new article published in The Spine Journal examines the five to 10 year data for patients who underwent total disc replacement for intractable low back pain.


The researchers examined outcomes from a single center where surgeons used the ProDisc II from Synthes and followed patients for a minimum of five years. There were 181 patients who were included in the study. The researchers found:


•    Highly significant improvements in baseline visual analog scale and Oswestry disability index scores at all levels postoperatively.
•    VAS scores had a slight deterioration from 48 months onward
•    Patient satisfaction remained stable, with 63.6 percent reporting highly satisfied and 22.7 percent reporting satisfactory outcomes.
•    There was a complication rate of 14.4 percent.
•    Incidence of revision for general or device-related complications was 7.2 percent.
•    Two-level replacements also demonstrated significant VAS and ODI scores over baseline, but those results were significantly inferior to one-level cases.


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