Patient-reported Outcomes and Revision Rates at a Mean Follow-up of 10 Years After Lumbar Total Disc Replacement

Autor: Carsten Ernst, Mikkel Østerheden Andersen, Line A. Laugesen, Leah Y. Carreon, Rune Tendal Paulsen
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Male
fusion
Lumbar Vertebrae/surgery
surgical intervention
Intervertebral Disc Degeneration
Cohort Studies
0302 clinical medicine
disc survival
Surveys and Questionnaires
Medicine
Orthopedics and Sports Medicine
Prospective Studies
Pain Measurement/methods
spine arthroplasty
Pain Measurement
030222 orthopedics
Lumbar Vertebrae
Medical record
lumbar spine
Middle Aged
Prosthesis Failure
degenerative disc disease
Cohort
Intervertebral Disc Degeneration/diagnosis
Female
Cohort study
Reoperation
Adult
Total Disc Replacement
Total disc replacement
medicine.medical_specialty
arthrodesis
Reoperation/trends
Visual analogue scale
03 medical and health sciences
Young Adult
Lumbar
Humans
Patient Reported Outcome Measures
Adverse effect
alternative surgical treatment
clinical follow-up
Aged
Prosthesis Failure/trends
business.industry
Evidence-based medicine
Surgery
Total Disc Replacement/methods
chronic low back pain
Neurology (clinical)
total disc replacement
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: Laugesen, L A, Tendal Paulsen, R, Carreon, L, Ernst, C & Andersen, M Ø 2017, ' Patient-reported Outcomes and Revision Rates at a Mean Follow-up of 10 Years After Lumbar Total Disc Replacement ', Spine, vol. 42, no. 21, pp. 1657-1663 . https://doi.org/10.1097/BRS.0000000000002174
Popis: STUDY DESIGN Prospective observational cohort study. OBJECTIVE The aim of this study was to determine the long-term clinical results and prosthesis survival in patients treated with lumbar total disc replacement (TDR). SUMMARY OF BACKGROUND DATA Fusion has become the current standard surgical treatment for lumbar degenerative disease. TDR is an alternative treatment that seeks to avoid fusion-related adverse events, specifically adjacent segment disease. METHODS Sixty-eight consecutive patients treated with TDR from 2003 to 2008 were invited to follow-up and complete a Visual Analog Scale (VAS) for back and leg pain, the Dallas Pain Questionnaire (DPQ), and the Short Form-36. These surveys were also administered to the subjects before their index TDRs. Data on reoperation were collected from the patients' medical records. RESULTS Fifty-seven (84%) patients were available for follow-up at a mean 10.6 years post-operatively (range 8.1-12.6 years). There was a significant improvement from preop to latest follow-up in VAS (6.8 vs. 3.2, P
Databáze: OpenAIRE