Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical Results
Study Design. Prospective clinical study. Objective. This 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 techn...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/874090 |
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| author | Tunc Oktenoglu Ali Fahir Ozer Mehdi Sasani Yaprak Ataker Cengiz Gomleksiz Irfan Celebi |
| author_facet | Tunc Oktenoglu Ali Fahir Ozer Mehdi Sasani Yaprak Ataker Cengiz Gomleksiz Irfan Celebi |
| author_sort | Tunc Oktenoglu |
| collection | DOAJ |
| description | Study Design. Prospective clinical study. Objective. This 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. This 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 after 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. |
| format | Article |
| id | doaj-art-9ba31709c550430ab66fecffe3a9763e |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-9ba31709c550430ab66fecffe3a9763e2025-02-03T06:45:57ZengWileyAdvances in Orthopedics2090-34642090-34722013-01-01201310.1155/2013/874090874090Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical ResultsTunc Oktenoglu0Ali Fahir Ozer1Mehdi Sasani2Yaprak Ataker3Cengiz Gomleksiz4Irfan Celebi5Neurosurgery Department, American Hospital, 34365 Istanbul, TurkeyNeurosurgery Department, Koc University School of Medicine, 34450 Istanbul, TurkeyNeurosurgery Department, American Hospital, 34365 Istanbul, TurkeyPhysical Therapy and Rehabilitation Department, American Hospital, 34365 Istanbul, TurkeyNeurosurgery Department, Mengücek Gazi Training and Research Hospital,School of Medicine, Erzincan University, 2400 Erzincan, TurkeyRadiology Department, Sisli Etfal Hospital, 34360 Istanbul, TurkeyStudy Design. Prospective clinical study. Objective. This 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. This 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 after 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.http://dx.doi.org/10.1155/2013/874090 |
| spellingShingle | Tunc Oktenoglu Ali Fahir Ozer Mehdi Sasani Yaprak Ataker Cengiz Gomleksiz Irfan Celebi Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical Results Advances in Orthopedics |
| title | Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical Results |
| title_full | Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical Results |
| title_fullStr | Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical Results |
| title_full_unstemmed | Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical Results |
| title_short | Posterior Transpedicular Dynamic Stabilization versus Total Disc Replacement in the Treatment of Lumbar Painful Degenerative Disc Disease: A Comparison of Clinical Results |
| title_sort | posterior transpedicular dynamic stabilization versus total disc replacement in the treatment of lumbar painful degenerative disc disease a comparison of clinical results |
| url | http://dx.doi.org/10.1155/2013/874090 |
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