Publication: Posterior transpedicular dynamic stabilization versus total disc replacement in the treatment of lumbar painful degenerative disc disease: a comparison of clinical results
Program
KU-Authors
KU Authors
Co-Authors
Oktenoglu, Tunc
Sasani, Mehdi
Ataker, Yaprak
Gomleksiz, Cengiz
Celebi, Irfan
Publication Date
Language
Type
Embargo Status
Journal Title
Journal ISSN
Volume Title
Alternative Title
Abstract
Study Design. Prospective clinical study. Objective.. is study compares the clinical results of anterior lumbar total disc replacement and posterior transpedicular dynamic stabilization in the treatment of degenerative disc disease. Summary and Background Data. Over the last two decades, both techniques have emerged as alternative treatment options to fusion surgery. Methods.. is study was conducted between 2004 and 2010 with a total of 50 patients (25 in each group). The mean age of the patients in total disc prosthesis group was 37,32 years. The mean age of the patients in posterior dynamic transpedicular stabilization was 43,08. Clinical (VAS and Oswestry) and radiological evaluations (lumbar lordosis and segmental lordosis angles) of the patients were carried out prior to the operation and 3, 12, and 24 months a. er the operation. We compared the average duration of surgery, blood loss during the surgery and the length of hospital stay of both groups. Results. Both techniques offered significant improvements in clinical parameters. There was no significant change in radiologic evaluations after the surgery for both techniques. Conclusion. Both dynamic systems provided spine stability. However, the posterior dynamic system had a slight advantage over anterior disc prosthesis because of its convenient application and fewer possible complications.
Source
Publisher
Hindawi Ltd
Subject
Orthopedics
Citation
Has Part
Source
Advances In Orthopedics
Book Series Title
Edition
DOI
10.1155/2013/874090