Total Disc Replacement
Long-term data are now available to support the safety and
efficacy of lumbar total disc replacement (TDR). Five-year
randomized and controlled trials, meta-analyses, and observational
studies support a similar or lower risk of complications
with lumbar TDR compared with fusion. The panel concluded
that published data on commercially available lumbar TDR
devices demonstrate minimal concerns with late-onset complications,
and that the risk of adjacent segment degeneration and
reoperations can be reduced with lumbar TDR versus fusion.
Survey results of surgeon practice experiences supported the
evidence, revealing a low rate of complications with TDR.
Panelists acknowledged the importance of adhering to selection
criteria to help minimize patient complications.
See the full artical at Total Disc Replacement Review in 2017