0
The Orthopaedic Forum   |    
An AOA Critical IssueDisc Replacements: This Time Will We Really Cure Low-Back and Neck Pain?*
Scott D. Boden, MD1; Richard A. Balderston, MD2; John G. Heller, MD1; Edward N. HanleyJr., MD3; Jack E. Zigler, MD4
1 The Emory Spine Center, 2165 North Decatur Road, Decatur, GA 30033
2 Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA 19107
3 Department of Orthopaedics, Carolinas Medical Center, P.O. Box 32861, Charlotte, NC 28232
4 Texas Back Institute, 6300 West Parker Road, Plano, TX 75093
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. One or more of the authors received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity (consultants to Medtronic). In addition, a commercial entity (Spine Solutions) paid or directed, or agreed to pay or direct, benefits to a research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
This report is based on a symposium presented at the Annual Meeting of the American Orthopaedic Association on June 13, 2003, in Charleston, South Carolina.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Feb 01;86(2):411-422
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

Intervertebral disc replacements have been under design for over three decades but are now receiving increased attention. This is largely due to several devices that have received Investigational Device Exemption status from the United States Food and Drug Administration, resulting in clinical trials in the United States. There is tremendous early enthusiasm for the concept of disc replacement and motion preservation as an alternative to arthrodesis, with the hope that adjacent segment degenerative changes can be averted. Skeptics hold the position that adjacent segment changes are due more to the individual's genetic predisposition and normal aging than to the mechanical changes resulting from a spinal arthrodesis. In addition, there are potential long-term consequences to disc replacement that remain unknown. These issues include failure, wear debris, and the effects of stress-risers as patients age and become osteopenic. The two basic categories of disc replacements are nuclear replacements and total disc replacements. The critical issues pertaining to total disc replacements were recently explored in a symposium at the 2003 Annual Meeting of the American Orthopaedic Association in Charleston, South Carolina, and are summarized in this review.
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    01/22/2014
    Pennsylvania - Penn State Milton S. Hershey Medical Center
    03/05/2014
    Oklahoma - The University of Oklahoma
    05/03/2012
    California - UCLA/OH Department of Orthopaedic Surgery
    11/15/2013
    Louisiana - Ochsner Health System