Expert’s comment concerning Grand Rounds case entitled “Staged surgical treatment for infection of total disc arthroplasty: three cases and a narrative review of the literature” by Christoph-Heinrich Hoffmann, Jens Castein, Frank Kandziora (Eur Spine J; 2018: doi:10.1007/s00586-018-5648-3)

2018 ◽  
Vol 29 (7) ◽  
pp. 1474-1475
Author(s):  
Scott L. Blumenthal
2005 ◽  
Vol 2 (5) ◽  
pp. 515-520 ◽  
Author(s):  
Markus Wenger ◽  
Thomas-Marc Markwalder

Object. In patients with long-standing lumbar degenerative disc disease (DDD) conventional surgical therapy of a herniated disc may worsen back pain due to further destabilization of the affected motion segment. In recent years, total-disc arthroplasty has been introduced to treat DDD while maintaining segmental mobility. To the best of the authors' knowledge, this is the first report involving lumbar disc herniation and long-standing DDD submitted to combined anterior microdiscectomy with sequestrectomy and total-disc arthroplasty. Methods. Fourteen patients with long-standing DDD and a recently herniated disc underwent total anterior lumbar microdiscectomy, with removal of the herniated disc, and total-disc arthroplasty. There were nine women and five men whose mean age was 39.6 years (range 22–56 years) in whom back and leg pain had been present for a mean of 75.4 (range 9–360) and 9.4 (range 0.33–36) months, respectively. Thirteen patients underwent L5—S1 and one underwent L4–5 surgery. In all cases the procedure and the postoperative courses were uneventful. After a mean follow-up period of 12.5 months (range 3.9–21.1 months), outcome was excellent in 11 and good in three patients. Conclusions. The aforementioned surgical treatment of a recently herniated lumbar disc in patients with long-standing DDD yielded very favorable early results.


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George Skarpas ◽  
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...  

Author(s):  
Vieri Grandi ◽  
Silvia Alberti Violetti ◽  
Roberta La Selva ◽  
Stefano Cicchelli ◽  
Chiara Delfino ◽  
...  

The Foot ◽  
2021 ◽  
pp. 101796
Author(s):  
Elias S. Vasiliadis ◽  
Christos Vlachos ◽  
Angelos Antoniades ◽  
Eftychios Papagrigorakis ◽  
Matthaios Bakalakos ◽  
...  

ESMO Open ◽  
2021 ◽  
Vol 6 (3) ◽  
pp. 100125
Author(s):  
K. Hodroj ◽  
D. Barthelemy ◽  
J.-C. Lega ◽  
G. Grenet ◽  
M.-C. Gagnieu ◽  
...  

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