SynthesisJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2017
Lumbar total disc arthroplasty: outdated surgery or here to stay procedure? A systematic review of current literature.
Synthesis in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Advanced meta-analyses comparing the three surgical techniques total disc replacement, anterior stand-alone fusion and circumferential fusion regarding pain, function and complications up to 3 years to treat lumbar degenerative disc disease.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Pooled it
- Incidence, diagnosis and management of sacroiliitis after spinal surgery: a systematic review of the literature.Musculoskeletal surgery · 2020Pooled it
- Dynesys system vs posterior decompression and fusion for the treatment of lumbar degenerative diseases.Medicine · 2020Pooled it
- Fusion rate and influence of surgery-related factors in lumbar interbody arthrodesis for degenerative spine diseases: a meta-analysis and systematic review.Musculoskeletal surgery · 2020Pooled it
- Clinical Efficacy and Safety of a Modified Moxibustion Therapy for Low Back Pain in Lumbar Disc Herniation: A Two-Center, Randomized, Controlled, Non-Inferiority Trial.Journal of pain research · 2024Trial
- Prediction of primary admission total charges following lumbar disc arthroplasty utilizing machine learning.Journal of spine surgery (Hong Kong) · 2025Article
- The Future of Arthroplasty in the Spine.International journal of spine surgery · 2025Article
- A single straight expandable cage via a hybrid posterior-transforaminal approach with rhBMP-2 or allograft provides high fusion rates with low risk of subsidence.Journal of spine surgery (Hong Kong) · 2025Article
- Innovative Approaches for the Treatment of Spinal Disorders: A Comprehensive Review.Journal of orthopaedics and sports medicine · 2025Article
- Evaluation of Load on Cervical Disc Prosthesis by Imposing Complex Motion: Multiplanar Motion and Combined Rotational-Translational Motion.Bioengineering (Basel, Switzerland) · 2024Article
- Presentation and management of infection in total disc replacement: A review.North American Spine Society journal · 2024Review
- Prioritizing biomaterials for spinal disc implants by a fuzzy AHP and TOPSIS decision making method.Scientific reports · 2023Article
- Adhesive Hydrogel Building Blocks to Reconstruct Complex Cartilage Tissues.ACS biomaterials science & engineering · 2023Article
- The influence of total disc arthroplasty with Mobidisc prosthesis on lumbar spine and pelvic parameters: a prospective in vivo biomechanical study with a minimum 3 year of follow-up.Journal of orthopaedic surgery and research · 2022Article
- Long-term outcomes following lumbar total disc replacement with M6-L.Journal of spine surgery (Hong Kong) · 2022Article
- Analysis of Lumbar Fusion and Lumbar Arthroplasty Videos on YouTube.International journal of spine surgery · 2022Article
- Comparative Analysis of 30-Day Readmission, Reoperation, and Morbidity Between Lumbar Disc Arthroplasty Performed in the Inpatient and Outpatient Settings Utilizing the ACS-NSQIP Dataset.Global spine journal · 2021Article
- Comparison of total disc arthroplasty and fusion in treatment of lumbar disc disease: A cohort study protocol.Medicine · 2020Article
- Lumbar and cervical viscoelastic disc replacement: Concepts and current experience.World journal of orthopedics · 2020Review
- Systematic Review: Is Intradiscal Injection of Bone Marrow Concentrate for Lumbar Disc Degeneration Effective?Cureus · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to summarize the available evidence about total lumbar disc replacement (TDR), focusing our attention on four main topics: clinical and functional outcomes, comparison with fusion surgery results, rate of complications and influence on sagittal balance. MATERIALS AND
methodsWe systematically searched Pubmed, Embase, Medline, Medscape, Google Scholar and Cochrane library databases in order to answer our four main research questions. Effective data were extracted after the assessment of methodological quality of the trials.
resultsFifty-nine pertinent papers were included. Clinical and functional scores show statistically significant improvements, and they last at all time points compared to baseline. The majority of the articles show there is no significant difference between TDR groups and fusion groups. The literature shows similar rates of complications between the two surgical procedures.
conclusionsTDR showed significant safety and efficacy, comparable to lumbar fusion. The major advantages of a lumbar TDR over fusion include maintenance of segmental motion and the restoration of the disc height, allowing patients to find their own spinal balance. Disc arthroplasty could be a reliable option in the treatment of degenerative disc disease in years to come. LEVEL OF EVIDENCE: II.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.