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Research ArticleTDR

Long-Term Results of Charité Lumbar Disc Replacement: A 17-Year Follow-Up in a Workers’ Compensation Cohort

Jack Carlson and Matthew Giblin
International Journal of Spine Surgery October 2022, 16 (5) 831-836; DOI: https://doi.org/10.14444/8345
Jack Carlson
1 Western Sydney University School of Medicine, Campelltown, Australia
MBBS (Hᴏɴs I)
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Matthew Giblin
1 Western Sydney University School of Medicine, Campelltown, Australia
MBBS, FRACS, FAOʀᴛhᴏA
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Article Figures & Data

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    Table 1

    Mann-Whitney U test (lost vs found preoperative VAS and age at surgery) and Fisher exact test (lost vs found gender).

    Patient CharacteristicsPatients Followed Up
    (n = 16)
    Patients Lost to Follow Up (n = 10) P Value
    Preoperative VAS scores, mean9.57.50.001
    Age at surgery, mean42.037.40.16
    Gender, male:female8:87:30.28
    Workers’ compensation, n 1610
    • Abbreviations: VAS, visual analog scale.

    • Note: Boldface indicates statistically significant findings.

    • View popup
    Table 2

    Mann-Whitney U test (further surgery vs no further surgery age, VAS preoperative, VAS postoperative, EQ-5D-5L) and Fisher exact test (further surgery vs no further surgery gender and opioid use).

    Patient CharacteristicsNo Further Surgery (n = 10)Further Surgery
    (n = 6)
    P Value
    Gender, male:female4:64:20.94
    Age at surgery, y, mean41440.91
    VAS preoperative, mean9.69.51.0
    VAS postoperative, mean1.85.30.004
    Postoperative opioid use, %0%83%0.042
    Quality of life, mean0.810.450.002
    • Abbreviations: EQ-5D-5L, EuroQol 5-Dimension 5-level instument; VAS, visual analog scale.

    • Note: Boldface indicates statistically significant findings.

    • View popup
    Table 3

    Further surgeries required after TDR.

    Index TDR SiteReoperationDuration Between Surgeries
    L5-S1 TDR (2003)L4-L5 fusion (2016)
    L3-L4 TDR (2016)
    13 y
    L5-S1 TDR (2004)L3-L4 fusion (2009)5 y
    L3-L4-L5 TDR (2003)L5-S1 fusion (2016)13 y
    L5-S1 TDR (2002)Foraminotomy (2003)1 y
    L4-L5-S1 TDR (2003)L3-L4 fusion (2010)
    L4-L5 fusion (2018)a
    L5-S1 fusion (2019)a
    7 y
    L4-L5 TDR (2003)Discectomy (2004)
    L4-L5-S1 fusion (2005)a
    1 y
    • Abbreviations: TDR, total disc replacement.

    • ↵a Denotes further surgery at the index (operated) level.

    • View popup
    Table 4

    Wilcoxon signed rank test (preoperative vs postoperative VAS).

    Patient populationVAS PreoperativeVAS 17.2 y P Value
    Total patients8.8 (n = 26)3.1 (n = 16)
    Followed up9.5 (n = 16)3.1 (n = 16)<0.001
    Lost to follow-up7.5 (n = 10)N/A
    • Abbreviations: N/A, not applicable; VAS, visual analog scale.

    • Note: Boldface indicates statistically significant findings.

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International Journal of Spine Surgery
Vol. 16, Issue 5
1 Oct 2022
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Long-Term Results of Charité Lumbar Disc Replacement: A 17-Year Follow-Up in a Workers’ Compensation Cohort
Jack Carlson, Matthew Giblin
International Journal of Spine Surgery Oct 2022, 16 (5) 831-836; DOI: 10.14444/8345

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Long-Term Results of Charité Lumbar Disc Replacement: A 17-Year Follow-Up in a Workers’ Compensation Cohort
Jack Carlson, Matthew Giblin
International Journal of Spine Surgery Oct 2022, 16 (5) 831-836; DOI: 10.14444/8345
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