Viscoelastic Disc Arthroplasty Provides Superior Back and Leg Pain Relief in Patients with Lumbar Disc Degeneration Compared to Anterior Lumbar Interbody Fusion

Rischke, B.; Zimmers, Kari B.; Smith, Eric

doi:10.14444/2026

Cited by 6 publications

(2 citation statements)

References 21 publications

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“…The parts lost approximately 1/4 of a millimeter in height over 30 million cycles, while the periphery dimension increased by about 3/4 of a millimeter. FLD was first implanted in 2009[ 8 ].…”

Section: Lumbar Disc Arthroplastiesmentioning

confidence: 99%

Lumbar and cervical viscoelastic disc replacement: Concepts and current experience

Lazennec

2020

WJO

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The ideal lumbar and cervical discs should provide six degrees of freedom and tri-planar (three-dimensional) motion. Although all artificial discs are intended to achieve the same goals, there is considerable heterogeneity in the design of lumbar and cervical implants. The “second generation total disc replacements” are non-articulating viscoelastic implants aiming at the reconstruction of physiologic levels of shock absorption and flexural stiffness. This review aims to give an overview of the available implants detailing the concepts and the functional results experimentally and clinically. These monobloc prostheses raise new challenges concerning the choice of materials for the constitution of the viscoelastic cushion, the connection between the components of the internal structure and the metal endplates and even the bone anchoring mode. New objectives concerning the quality of movement and mobility control must be defined.

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Section: Lumbar Disc Arthroplastiesmentioning

confidence: 99%

Lumbar and cervical viscoelastic disc replacement: Concepts and current experience

Lazennec

2020

WJO

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“…Uni-and bi-articulated designs rely on bearing surfaces but do not replicate the elasticity, and the rotation and translation control of the native disc. New generation of elastomeric non-articulating devices has been developed to more effectively mimic the shock absorption and flexural stiffness of a native disc [6]. The LP-ESP (FH ORTHO, Chicago, IL) is a onepiece deformable but cohesive interbody spacer (figure 1).…”

Section: Introductionmentioning

confidence: 99%

Five-year follow-up of clinical and radiological outcomes of LP-ESP elastomeric lumbar total disc replacement in active patients

Lazennec

Rakover²,

Rousseau

2019

The Spine Journal

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Cervical disc replacement surgery: indications, technique, and technical pearls

Leven

Meaike

Radcliff

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of review Cervical disc replacement (CDR) is a surgical option for appropriately indicated patients, and high success rates have been reported in the literature. Complications and failures are often associated with patient indications or technical variables, and the goal of this review is to assist surgeons in understanding these factors. Recent findings Several investigations have been published in the last 5 years supporting the use of CDR in specific patient populations. CDR has been shown to be comparable or favorable to anterior cervical discectomy and fusion in several meta-analyses and mid-term follow-up studies. Summary CDR was developed as a technique to preserve motion following a decompression procedure while minimizing several of the complications associated with fusion and posterior cervical spine procedures. Though success with cervical fusion and posterior foraminotomy has been well documented in the literature, high rates of mid-and long-term complications have been clearly established. CDR has also been associated with several complications and challenges with regard to surgical technique, though improvements in implant design have lead to an increase in utilization. Several devices currently exist and vary in terms of material, design, and outcomes. This review paper discusses indications, surgical technique, and technical pearls and reviews the CDR devices currently available.

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Viscoelastic Disc Arthroplasty Provides Superior Back and Leg Pain Relief in Patients with Lumbar Disc Degeneration Compared to Anterior Lumbar Interbody Fusion

Abstract: Background Lumbar disc degeneration (LDD) is one of the most frequently diagnosed spinal diseases. The symptoms these disorders cause are anticipated to increase as the population in Western countries ages.

Cited by 6 publications

References 21 publications

Lumbar and cervical viscoelastic disc replacement: Concepts and current experience

Lumbar and cervical viscoelastic disc replacement: Concepts and current experience

Five-year follow-up of clinical and radiological outcomes of LP-ESP elastomeric lumbar total disc replacement in active patients

Cervical disc replacement surgery: indications, technique, and technical pearls

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