Lumbar Disk Replacement Failures: Review of 29 Patients and Rationale for Revision

[Justin]

ORTHOPEDICS 2009; 32:562
Lumbar Disk Replacement Failures: Review of 29 Patients and Rationale for Revision
Charles Rosen, MD; P. Douglas Kiester, MD; Thay Q. Lee, PhD (Copyright ® 2009 SLACK Incorporated. All rights reserved.)

Please see the attachment for the full-text publication with figures and tables.

[Gilbert P]

Hey Justin

Thanks for the Info I am printing the results and reading all that I can.

Looking for a Doctor who is honest will tell it like it is and not sugar coat it.
Has lots of experience,not into sugery just for a buck,and will accept any insurance ,



Thanks

Gil

[Justin]

Hey Justin

Thanks for the Info I am printing the results and reading all that I can.

Looking for a Doctor who is honest will tell it like it is and not sugar coat it.
Has lots of experience,not into sugery just for a buck,and will accept any insurance ,



Thanks

Gil

Sure thing, Gil! Unfortunately, for Spine Patients to be well informed we have to read "the good and the bad" studies and results that are out there. This is not to say that we should take these studies at face value, but, at the very least, we should come away with a realistic picture (and better appreciation) of the inherent risks / complications as well as the successful outcomes that are inherently intertwined in a surgical intervention such as artificial disc replacement surgery.

[Gilbert P]

Hi Justin

I could not agree more, I just think ADR is not their yet ???

I will keeep pushing forward and enjoy life to its fullest.

Thanks For All That You Do

Gilbert P

[Justin]

Hi Justin

I could not agree more, I just think ADR is not their yet ???

I will keeep pushing forward and enjoy life to its fullest.

Thanks For All That You Do

Gilbert P

No problem, Gil. Artificial disc replacement surgery is a promising technology that is nearing "long-term" data with a few devices (if you exclude some of the European studies). The key is proper patient selection and implantation of the device by an experienced surgeon.

Keep pushing forward my friend! :thumpup:

[Keano16]

Great article.

I would personally never go for ADR, not for now.

Maybe in 5 years.

[Justin]

Great article.

I would personally never go for ADR, not for now.

Maybe in 5 years.

Keano,

I understand what you are saying. However, I personally believe that artificial disc replacement (ADR) surgery offers much promise and has been successful in properly selected patients by highly-experienced surgeons. We still need long-term data regarding facet loading, wear debris, etc. Even though new devices are in clinical trials and are currently being developed, Spine Patients have to remember that "new" doesn't always mean better. Many patients, like myself, have no choice but to move forward with surgical intervention and have to do so with the current devices that are available to them. Luckily, there are very smart people working in research & development and hopefully this will result in great advances in devices / interventions that will ultimately benefit Spine Patients in the coming years.

[Keano16]

I also had an option to go for ADR.

My neurosurgeon (who is btw. very qualified, educated, modern...) told me:
"I don't know how much I would have to hate you to implement ADR in you".

It makes sense.

The fact is technologies need to be tested, not on rats and rabbits... On real humans. That is why I respect people like you and other that had ADR, you experience will help us all, looking long-term.

[Justin]

The fact is technologies need to be tested, not on rats and rabbits... On real humans. That is why I respect people like you and other that had ADR, you experience will help us all, looking long-term.

Thanks Keano. After extensive research on artificial disc replacement surgery, it was still a difficult decision to move forward with a 2-level replacement at 23 years old in 2003. I took one for the team.

I wish you the very best, my friend.

[KBear]

The fact is, they have to test it on someone, and many of us are the test subjects. It comes down to deciding what is the best technology, for our bodies, at the time when we need surgical intervention now and not in 5-10 years. I am personally, in a clinical trial for the Activ L and am happy to have received ADR and thrilled that my data will help others determine the safety and effectiveness of this device. I relied heavily on clinical trial data in making my decision and am glad that those before me were in the trials that I studied.