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Research ArticleLUMBAR ARTHROPLASTY
Open Access

Twelve-Month Follow-up of Lumbar Spine Range of Motion Following Intervertebral Disc Replacement Using Radiostereometric Analysis

Nathaniel R. Ordway, Amir H. Fayyazi, Celeste Abjornson, Jerry Calabrese, Soo-An Park, Bruce Fredrickson, Kenneth Yonemura and Hansen A. Yuan
International Journal of Spine Surgery January 2008, 2 (1) 9-15; DOI: https://doi.org/10.1016/SASJ-2007-0115-RR
Nathaniel R. Ordway
aThe Department of Orthopedic Surgery, SUNY Upstate Medical University
MS, PE
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Amir H. Fayyazi
bVSAS Orthopaedics, Institute for Advanced Healthcare
MD
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Celeste Abjornson
cSynthes Spine
PhD
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Jerry Calabrese
aThe Department of Orthopedic Surgery, SUNY Upstate Medical University
RT(R), CDT
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Soo-An Park
aThe Department of Orthopedic Surgery, SUNY Upstate Medical University
MD
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Bruce Fredrickson
aThe Department of Orthopedic Surgery, SUNY Upstate Medical University
MD
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Kenneth Yonemura
dDepartments of Neurosurgery and Orthopedics, University of Utah
MD
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Hansen A. Yuan
aThe Department of Orthopedic Surgery, SUNY Upstate Medical University
MD
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    AP and lateral standing views of the lumbar spine demonstrating the position of the tantalum beads and the ProDisc-L total disc replacement.

  • Figure 2
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    Figure 2

    Biplanar radiographic examination of a subject with a single-level disc replacement demonstrating the position of the tantalum beads. The amount of radiation exposure was substantially less with these films when compared to routine lumbar films.

  • Figure 3
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    Figure 3

    RSA examination was performed in a specialized radiographic suite with double roentgen tubes directed in 40° diverging lines.

  • Figure 4
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    Figure 4

    Mean ODI and VAS clinical scores at each of the follow-up time points. There was a significant decrease (P < .001) seen in both VAS and ODI following the procedure.

  • Figure 5
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    Figure 5

    Mean lumbar sagittal ROM following total disc replacement demonstrates a gradual increase over the 1-year follow-up period.

  • Figure 6
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    Figure 6

    Mean lumbar coronal ROM following total disc replacement demonstrates similar magnitude during the 1-year follow-up period.

Tables

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    Table 1

    Preoperative Demographics of Recruited Patients

    GenderNAge (yrs)Height (cm)Weight (kg)
    Female543 ± 9163 ± 1167 ± 13
    Male744 ± 7178 ± 582 ± 13
    Total1243 ± 8172 ± 1176 ± 15
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    Table 2

    Three-Dimensional ROM, Extension to Flexion

    Follow-up (Months)Rx Flex/ExtRotations (°) Ry AxialRz Lat BendTx LateralTranslation (mm) Ty VerticalTz AP
    1.52.5-0.10.1-0.2-0.10.3
    35.6-0.60.5-0.2-0.41.5
    66.60.2-0.2-0.1-0.92.6
    126.3-0.40.2-0.1-1.22.4
    • The 3-dimensional ROM results of patients following ProDisc-L total disc replacement while moving from extension to fl exion measured using RSA technique. Rotational motion in the x-axis (Rx) corresponds to the primary motion for the plane of interest (sagittal plane); other rotations (Ry and Rz) are coupled motions.

    • View popup
    Table 3

    Three-Dimensional ROM, Lateral Bending

    Follow-up (Months)Rx Flex/ExtRotations (°) Ry AxialRz Lat BendTx LateralTranslation (mm) Ty VerticalTz AP
    1.5-1.2-1.12.9-1.50.4-0.2
    3-0.3-0.42.9-1.40.10.1
    6-1.5-0.13.2-1.50.2-0.2
    120.6-0.52.7-0.8-0.10.1
    • The 3-dimensional ROM results of patients following ProDisc-L total disc replacement while moving from left to right lateral bending measured using RSA technique. Rotational motion in the Z-axis (Rz) corresponds to the primary motion for the plane of interest (coronal plane); other rotations (Rx and Ry) are coupled motions.

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International Journal of Spine Surgery
Vol. 2, Issue 1
1 Jan 2008
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Twelve-Month Follow-up of Lumbar Spine Range of Motion Following Intervertebral Disc Replacement Using Radiostereometric Analysis
Nathaniel R. Ordway, Amir H. Fayyazi, Celeste Abjornson, Jerry Calabrese, Soo-An Park, Bruce Fredrickson, Kenneth Yonemura, Hansen A. Yuan
International Journal of Spine Surgery Jan 2008, 2 (1) 9-15; DOI: 10.1016/SASJ-2007-0115-RR

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Twelve-Month Follow-up of Lumbar Spine Range of Motion Following Intervertebral Disc Replacement Using Radiostereometric Analysis
Nathaniel R. Ordway, Amir H. Fayyazi, Celeste Abjornson, Jerry Calabrese, Soo-An Park, Bruce Fredrickson, Kenneth Yonemura, Hansen A. Yuan
International Journal of Spine Surgery Jan 2008, 2 (1) 9-15; DOI: 10.1016/SASJ-2007-0115-RR
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Keywords

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  • radiostereometric analysis

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