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Research ArticleTotal Disc Replacement

Single and Multilevel Lumbar Total Disc Replacement Adjacent to L5-S1 ALIF (Lumbar Hybrid): 6 Years of Follow-up

Jason M. Cuellar, Alexandre Rasouli, Todd H. Lanman, Lea Kanim and Rick Delamarter
International Journal of Spine Surgery October 2021, 15 (5) 971-977; DOI: https://doi.org/10.14444/8127
Jason M. Cuellar
1Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California
MD, PHD
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Alexandre Rasouli
1Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California
MD
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Todd H. Lanman
2Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California
MD
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Lea Kanim
1Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California
MS
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Rick Delamarter
1Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California
MD
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    Figure 1

    Radiographic motion (degrees) measured on the lateral view of flexion and extension radiographs preoperative and at last follow-up. Comparison between the L5-S1 fusion level, the total disc replacement, and adjacent level. Error bars are standard deviation. TDR, total disc replacement, one, two, or three signifies levels replaced above the L5-S1 fused level.

  • Figure 2
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    Figure 2

    Average Oswestry disability index before surgery and at the latest follow-up period in patients receiving one-, two-, or three-level TDR above the L5-S1 fused level.

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    Figure 3

    Visual analog pain score before surgery and at the latest follow-up period in patients receiving one-, two-, or three-level TDR above the L5-S1 fused level.

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    Figure 4

    Visual analog satisfaction score before surgery and at the latest follow-up period in patients receiving one-, two-, or three-level TDR above the L5-S1 fused level.

  • Figure 5
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    Figure 5

    (a) Preoperative sagittal magnetic resonance image cut (left) and postoperative anterior-posterior radiograph (right) in a patient that underwent a three-level total disc replacement above an L5-S1 anterior lumbar interbody fusion. (b) Postoperative flexion (left) and extension (right) lateral radiographs in the same patient as in panel a.

  • Figure 6
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    Figure 6

    (a) Preoperative sagittal magnetic resonance image cut (left) and postoperative anterior-posterior radiograph (right) in a patient that underwent a two-level total disc replacement above an L5-S1 anterior lumbar interbody fusion. (b) Postoperative flexion (left) and extension (right) lateral radiographs in the same patient as in panel a.

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International Journal of Spine Surgery
Vol. 15, Issue 5
1 Oct 2021
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Single and Multilevel Lumbar Total Disc Replacement Adjacent to L5-S1 ALIF (Lumbar Hybrid): 6 Years of Follow-up
Jason M. Cuellar, Alexandre Rasouli, Todd H. Lanman, Lea Kanim, Rick Delamarter
International Journal of Spine Surgery Oct 2021, 15 (5) 971-977; DOI: 10.14444/8127

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Single and Multilevel Lumbar Total Disc Replacement Adjacent to L5-S1 ALIF (Lumbar Hybrid): 6 Years of Follow-up
Jason M. Cuellar, Alexandre Rasouli, Todd H. Lanman, Lea Kanim, Rick Delamarter
International Journal of Spine Surgery Oct 2021, 15 (5) 971-977; DOI: 10.14444/8127
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More in this TOC Section

  • Single-Level Total Disc Replacement: Mid- to Long-Term Outcomes
  • Single-Level Total Disc Replacement: Index-Level and Adjacent-Level Revision Surgery Incidence, Characteristics, and Outcomes
  • Anterior Cervical Foraminotomy for Radiculopathy After Cervical Artificial Disc Replacement: Technique Description and Case Report
Show more Total Disc Replacement

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Keywords

  • lumbar hybrid
  • multilevel lumbar disc replacement
  • total disc replacement
  • lumbar disc arthroplasty
  • spine
  • low back pain
  • lumbar

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