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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
ADVANCED SPINE TECHNIQUES
Minerva Ortopedica e Traumatologica 2011 October;62(5):373-83
Lumbar total disk replacement: indications, techniques, results and outcomes
Blondel B., Tropiano P.
Orthopedic and Vertebral Department, Université Aix-Marseille, Marseille, France
Low back pain is a very common complaint, and its management is still both controversial and challenging for physicians. While intervertebral fusion has been considered to be the gold-standard for decades, non-fusion techniques have been developed to attempt to resolve fusion-related complications. Many authors have reported satisfactory outcomes with total disk replacement for the management of low back pain related to degenerative disk disease, but there is still a lack of high-level evidence studies in order to prove superiority of disk replacement over fusion. The aim of this review was to propose a global overview of recent knowledge in the field of total disk replacement in terms of indications, techniques, results and outcomes.