alexa Abstract | Multi-Level Lumbar Disc Replacements: Review of the Specificities and Difficulties of the Surgical Technique

Spine Research
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article Open Access

Abstract

Purpose: Lumbar disc replacement is a seducing therapeutic option to address the isolated discogenic disc disease in young patients. While of relatively recent creation, the technique of implantation of a single-level disc replacement is now widely disseminated. Because of promising results, it is now frequent to observe an increase of the number of lumbar discs replaced during a single procedure. Hence, several publications reported cases of lumbar disc replacements at two or three levels. However, we feel that multi-level lumbar disc replacements should not be approached as the sum of several one-level lumbar disc replacements. Methods: It seems interesting to highlight some aspects of the surgical technique of multi-level lumbar disc replacements in order to improve their implantation. In this study, we aimed to present the specificities and difficulties of the surgical technique for multi-level lumbar disc replacements. Results: First, we reviewed the common aspects of any lumbar disc replacement, then the specific points of the multi-level ones. Specific caution must be taken during the necessary wide surgical approach, especially with the vascular components, and with the sequence used to implant the different arthroplasties. Finally, a specific care must be taken to choose the adequate type of arthroplasty in order to equilibrate the lumbar lordosis, which will not be adjusted by the adjacent native discs. We illustrated these descriptions with clinical examples from our practice. Conclusion: multi-level lumbar disc replacements necessitate a specific surgical technique in order to optimize the implantation, to improve the results, and to reduce complications.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Raphal PiettonJeanCharles AurganPhilippe Cottin and Thierry Begue

Keywords

Multilevel lumbar disc replacement, Surgical technique, Anterior retroperitoneal approach, Lumbar lordosis, Arthroplasty, Spine Research,spine

 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords