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A Granulomatous Mass Surrounding a Maverick Total Disc Replacement Causing Iliac Vein Occlusion and Spinal StenosisA Case Report
Michael R. Berry, MD1; Brian G. Peterson, MD1; Dirk H. Alander, MD1
1 Departments of Orthopaedic Surgery (M.R.B. and D.H.A.) and Vascular Surgery (B.G.P.), Saint Louis University School of Medicine, 3635 Vista at Grand Boulevard, St. Louis, MO 63104. E-mail address for D.H. Alander: alanderd@slu.edu
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Saint Louis University School of Medicine, St. Louis, Missouri

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 May 01;92(5):1242-1245. doi: 10.2106/JBJS.H.01625
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Lumbar disc degeneration is a well-known cause of low back pain. The so-called gold standard for definitive operative treatment of discogenic pain is interbody arthrodesis1. Adjacent-level degeneration as well as incomplete pain resolution despite radiographic evidence of fusion has led to dissatisfaction with this technique and became the impetus to develop other surgical options for the treatment of back pain2-5. With the U.S. Food and Drug Administration approval of the CHARITÉ Total Disc (DePuy Spine, Raynham, Massachusetts) in 2004, total disc replacement became a treatment option for the painful degenerative lumbar disc in the United States. Proponents of this procedure believe that the maintenance of disc height and the preservation of segment motion will facilitate the resumption of more normal activities, decrease pain, and prevent adjacent-segment disease.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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