5 key points on long-term results for total lumbar disc replacement

Written by Laura Dyrda | October 30, 2017 | Print  |

A new study published in Spine examines the long-term outcomes for lumbar disc replacement patients.


The study included 57 patients who underwent total disc replacement from 2003 to 2008. Each patient had at least 10 years of follow-up. Study authors found:


1. Patients reported significant improvement from the preoperative to final follow-up in the Visual Analog Scale and Dallas Pain Questionnaire. The VAS improved from 6.8 to 3.2 while the DPG improved from 63.2 to 45.6.


2. One-third of the patients underwent revision fusion after the initial total disc replacement.


3. The revision patients reported worse outcomes at the 10-year follow-up than the patients who didn't have revision procedures.


4. Around half — 52.6 percent — of the patients reported they would choose TDR again if they had the same problem.


5. Study authors concluded their work "demonstrated significant improvement in long-term clinical outcomes, similar to previously published studies, and two-thirds of the discus prostheses were still functioning at follow-up."

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