Failures of Lumbar Disc Replacement

P. Justin Tortolani, Paul C. McAfee, Samer Saiedy

Research output: Contribution to journalArticlepeer-review

Abstract

The objective of the current investigation was to review the reported failures of lumbar total disc replacement (TDR) and to categorize the types of failures to assist preoperative planning for revision surgery. We found that the complications associated with lumbar TDR are infrequent and can often be traced to either inappropriate indications or technical errors on the part of the surgeon. Anterior revision approaches can be safely undertaken within 2 weeks of the index procedure; however, after that time, adhesion formation increases the risk of major vascular injury and thus should be reserved for compelling clinical circumstances. Most failures can be managed effectively with posterior instrumented fusion.

Original languageEnglish (US)
Pages (from-to)78-86
Number of pages9
JournalSeminars in Spine Surgery
Volume18
Issue number2
DOIs
StatePublished - Jun 1 2006
Externally publishedYes

Keywords

  • complications
  • disc replacement
  • lumbar spine
  • revisions

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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