Source:http://linkedlifedata.com/resource/pubmed/id/16254716
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2006-3-20
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pubmed:abstractText |
A retrospective clinical-radiological study to evaluate the long-term outcome after artificial disc replacement was performed. The objective is to investigate long-term results after implantation of a modular type artificial disc prosthesis in patients with degenerative disc disease (DDD). Total disc replacement (TDR) is a surgical procedure intended to save segmental spinal function, and thus replace spondylodesis. Short-term results are promising, whereas long-term results are scarce. The Charité TDR is the oldest existing implant, therefore, the longest possible follow-up is presented here. Seventy-one patients were treated with 84 Charité TDRs types I-III. Indication for TDR was moderate to severe DDD. Fifty-three patients (63 TDRs) were available for long-term follow-up of 17 years. Evaluation included Oswestry disability index, visual analog scale, overall outcome score, plain and extension/flexion radiographs. Implantation of Charité TDR resulted in a 60% rate of spontaneous ankylosis after 17 years. No significant difference between the three types of prostheses was found concerning clinical outcome. Reoperation was necessary in 11% of patients. Although no adjacent segment degeneration was observed in the functional implants (17%), these patients were significantly less satisfied than those with spontaneous ankylosis. TDR, nowadays, is an approved procedure. Proof that long-term results of TDR implantation in DDD are at least as good as fusion results is still missing.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0940-6719
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
183-95
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:16254716-Adult,
pubmed-meshheading:16254716-Arthroplasty, Replacement,
pubmed-meshheading:16254716-Female,
pubmed-meshheading:16254716-Follow-Up Studies,
pubmed-meshheading:16254716-Humans,
pubmed-meshheading:16254716-Intervertebral Disc Displacement,
pubmed-meshheading:16254716-Lumbar Vertebrae,
pubmed-meshheading:16254716-Male,
pubmed-meshheading:16254716-Middle Aged,
pubmed-meshheading:16254716-Retrospective Studies,
pubmed-meshheading:16254716-Treatment Outcome
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pubmed:year |
2006
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pubmed:articleTitle |
Charité total disc replacement--clinical and radiographical results after an average follow-up of 17 years.
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pubmed:affiliation |
Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Schumannstrasse 20/21, 10117 Berlin, Germany. michael.putzier@charite.de
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pubmed:publicationType |
Journal Article
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