The Spine Journal
Volume 10, Issue 4 , Pages 333-340 , April 2010

The effect of implant size and device keel on vertebral compression properties in lumbar total disc replacement

  • Joshua D. Auerbach, MD

      Affiliations

    • Department of Orthopaedics, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY 10457, USA
    • Department of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA 19104, USA
    • Corresponding Author InformationCorresponding author. Department of Orthopaedics, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, 1650 Grand Concourse, 7th Floor, Bronx, NY 10457, USA. Tel.: (609)-202 6173.
    • ,
  • Carrie M. Ballester, MSE

      Affiliations

    • Department of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA 19104, USA
    • ,
  • Frank Hammond, MSE

      Affiliations

    • Department of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA 19104, USA
    • ,
  • Ehren T. Carine, BS

      Affiliations

    • Department of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA 19104, USA
    • ,
  • Richard A. Balderston, MD

      Affiliations

    • Booth, Bartolozzi, and Balderston Orthopaedics, Pennsylvania Hospital, Philadelphia, PA 19104, USA
    • ,
  • Dawn M. Elliott, PhD

      Affiliations

    • Department of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, PA 19104, USA

Received 22 July 2009 ,Accepted 13 January 2010.

References 

  1. McAfee PC, Fedder IL, Saiedy S, et al. SB Charite disc replacement: report of 60 prospective randomized cases in a US center. J Spinal Disord Tech. 2003;16:424–433
  2. McAfee PC, Cunningham B, Holsapple G, et al. A prospective, randomized, multicenter Food and Drug Administration investigational device exemption study of lumbar total disc replacement with the CHARITE artificial disc versus lumbar fusion: part II: evaluation of radiographic outcomes and correlation of surgical technique accuracy with clinical outcomes. Spine. 2005;30:1576–1583
  3. Zeller JL. Artificial spinal disk superior to fusion for treating degenerative disk disease. JAMA. 2006;296:2665–2667
  4. Zigler J, Delamarter R, Spivak JM, et al. Results of the prospective, randomized, multicenter Food and Drug Administration investigational device exemption study of the ProDisc-L total disc replacement versus circumferential fusion for the treatment of 1-level degenerative disc disease. Spine. 2007;32:1155–1162
  5. Zigler JE, Burd TA, Vialle EN, et al. Lumbar spine arthroplasty: early results using the ProDisc II: a prospective randomized trial of arthroplasty versus fusion. J Spinal Disord Tech. 2003;16:352–361
  6. Leary SP, Regan JJ, Lanman TH, et al. Revision and explantation strategies involving the CHARITE lumbar artificial disc replacement. Spine. 2007;32:1001–1011
  7. Shim CS, Lee S, Maeng DH, et al. Vertical split fracture of the vertebral body following total disc replacement using ProDisc: report of two cases. J Spinal Disord Tech. 2005;18:465–469
  8. van OA, Oner FC, Verbout AJ. Complications of artificial disc replacement: a report of 27 patients with the SB Charite disc. J Spinal Disord Tech. 2003;16:369–383
  9. van OA, Schurink GW, Oner FC, et al. Findings in 67 patients with recurrent or persistent symptoms after implantation of a disc prosthesis for low back pain, Ned Tijdschr Geneeskd. 2007;151:1577–1584
  10. van OA, Kurtz SM, Stessels F, et al. Polyethylene wear debris and long-term clinical failure of the Charite disc prosthesis: a study of 4 patients. Spine. 2007;32:223–229
  11. Wagner WH, Regan JJ, Leary SP, et al. Access strategies for revision or explantation of the Charite lumbar artificial disc replacement. J Vasc Surg. 2006;44:1266–1272
  12. Cinotti G, David T, Postacchini F. Results of disc prosthesis after a minimum follow-up period of 2 years. Spine. 1996;21:995–1000
  13. Zeegers WS, Bohnen LM, Laaper M, et al. Artificial disc replacement with the modular type SB Charite III: 2-year results in 50 prospectively studied patients. Eur Spine J. 1999;8:210–217
  14. Kurtz SM, van OA, Ross R, et al. Polyethylene wear and rim fracture in total disc arthroplasty. Spine J. 2007;7:12–21
  15. Oxland TR, Grant JP, Dvorak MF, et al. Effects of endplate removal on the structural properties of the lower lumbar vertebral bodies. Spine. 2003;28:771–777
  16. Hasegawa K, Abe M, Washio T, et al. An experimental study on the interface strength between titanium mesh cage and vertebra in reference to vertebral bone mineral density. Spine. 2001;26:957–963
  17. Lowe TG, Hashim S, Wilson LA, et al. A biomechanical study of regional endplate strength and cage morphology as it relates to structural interbody support. Spine. 2004;29:2389–2394
  18. Tan JS, Bailey CS, Dvorak MF, et al. Interbody device shape and size are important to strengthen the vertebra-implant interface. Spine. 2005;30:638–644
  19. Stieber JR, Donald GD. Early failure of lumbar disc replacement: case report and review of the literature. J Spinal Disord Tech. 2006;19:55–60
  20. Higgins KB, Harten RD, Langrana NA, et al. Biomechanical effects of unipedicular vertebroplasty on intact vertebrae. Spine. 2003;28:1540–1547
  21. O'Connell GD, Vresilovic EJ, Elliott DM. Comparison of animals used in disc research to human lumbar disc geometry. Spine. 2007;32:328–333
  22. Panjabi MM, Goel V, Oxland T, et al. Human lumbar vertebrae. Quantitative three-dimensional anatomy. Spine. 1992;17:299–306
  23. Auerbach JD, Yoder HY, Maurer PM, et al. Vertebral body augmentation with Cortoss improves compression biomechanics for lumbar disc arthroplasty. Proceedings of the 34th International Society for the Study of the Lumbar Spine Annual Meeting, Hong Kong, 151. 2007. [Ref Type: Abstract].
  24. Delamarter RB, Bae HW, Pradhan BB. Clinical results of ProDisc-II lumbar total disc replacement: report from the United States clinical trial. Orthop Clin North Am. 2005;36:301–313
  25. Auerbach JD, Wills BP, McIntosh TC, et al. Evaluation of spinal kinematics following lumbar total disc replacement and circumferential fusion using in vivo fluoroscopy. Spine. 2007;32:527–536
  26. Cunningham BW, Gordon JD, Dmitriev AE, et al. Biomechanical evaluation of total disc replacement arthroplasty: an in vitro human cadaveric model. Spine. 2003;28:S110–S117
  27. Dmitriev AE, Cunningham BW, Hu N, et al. Adjacent level intradiscal pressure and segmental kinematics following a cervical total disc arthroplasty: an in vitro human cadaveric model. Spine. 2005;30:1165–1172
  28. Ghiselli G, Wang JC, Bhatia NN, et al. Adjacent segment degeneration in the lumbar spine. J Bone Joint Surg Am. 2004;86-A:1497–1503
  29. Gillet P. The fate of the adjacent motion segments after lumbar fusion. J Spinal Disord Tech. 2003;16:338–345
  30. Lai PL, Chen LH, Niu CC, et al. Relation between laminectomy and development of adjacent segment instability after lumbar fusion with pedicle fixation. Spine. 2004;29:2527–2532
  31. Lee CK. Accelerated degeneration of the segment adjacent to a lumbar fusion. Spine. 1988;13:375–377
  32. Park P, Garton HJ, Gala VC, et al. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine. 2004;29:1938–1944
  33. Quinnell RC, Stockdale HR. Some experimental observations of the influence of a single lumbar floating fusion on the remaining lumbar spine. Spine. 1981;6:263–267
  34. Shono Y, Kaneda K, Abumi K, et al. Stability of posterior spinal instrumentation and its effects on adjacent motion segments in the lumbosacral spine. Spine. 1998;23:1550–1558
  35. Weinhoffer SL, Guyer RD, Herbert M, et al. Intradiscal pressure measurements above an instrumented fusion. A cadaveric study. Spine. 1995;20:526–531
  36. Huang RC, Lim MR, Girardi FP, et al. The prevalence of contraindications to total disc replacement in a cohort of lumbar surgical patients. Spine. 2004;29:2538–2541
  37. Wong DA, Annesser B, Birney T, et al. Incidence of contraindications to total disc arthroplasty: a retrospective review of 100 consecutive fusion patients with a specific analysis of facet arthrosis. Spine J. 2007;7:5–11
  38. David T. Long-term results of one-level lumbar arthroplasty: minimum 10-year follow-up of the CHARITE artificial disc in 106 patients. Spine. 2007;32:661–666
  39. Labrom RD, Tan JS, Reilly CW, et al. The effect of interbody cage positioning on lumbosacral vertebral endplate failure in compression. Spine. 2005;30:E556–E561
  40. Polikeit A, Ferguson SJ, Nolte LP, et al. Factors influencing stresses in the lumbar spine after the insertion of intervertebral cages: finite element analysis. Eur Spine J. 2003;12:413–420
  41. Siepe CJ, Wiechert K, Khattab MF, et al. Total lumbar disc replacement in athletes: clinical results, return to sport and athletic performance. Eur Spine J. 2007;16:1001–1013
  42. Kayanja MM, Schlenk R, Togawa D, et al. The biomechanics of 1, 2, and 3 levels of vertebral augmentation with polymethylmethacrylate in multilevel spinal segments. Spine. 2006;31:769–774
  43. Ochia RS, Tencer AF, Ching RP. Effect of loading rate on endplate and vertebral body strength in human lumbar vertebrae. J Biomech. 2003;36:1875–1881
  44. Caspi I, Levinkopf M, Nerubay J. Results of lumbar disk prosthesis after a follow-up period of 48 months. Isr Med Assoc J. 2003;5:9–11
  45. Griffith SL, Shelokov AP, Buttner-Janz K, et al. A multicenter retrospective study of the clinical results of the LINK SB Charite intervertebral prosthesis. The initial European experience. Spine. 1994;19:1842–1849
  46. Tropiano P, Huang RC, Girardi FP, et al. Lumbar total disc replacement. Seven to eleven-year follow-up. J Bone Joint Surg Am. 2005;87:490–496

 FDA device/drug status: not applicable.

 Author disclosures: JDA (consulting, Synthes Spine, DePuy Spine, Paradigm Spine, LLC, research support: staff and/or materials, Synthes Spine, Fonar, Inc.; grants, DePuy Spine); RAB (consulting, Synthes; speaking and/or teaching arrangements, Synthes; trips/travel, Synthes); DME (grants, AO Spine Foundation).

PII: S1529-9430(10)00044-6

doi: 10.1016/j.spinee.2010.01.008

The Spine Journal
Volume 10, Issue 4 , Pages 333-340 , April 2010

Article Tools

* Image Usage & Resolution