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Research ArticleFull Length Article
Open Access

Physical capability outcomes after total disc replacement with ProDisc-L

Humbert G. Sullivan, Robert L. Bobenmoyer, Kevin M. Boland, Molly M. Cerniglia, Vicki L. McHugh, Hayley L. Born, Michelle A. Mathiason and Nicholas R. Ladwig
International Journal of Spine Surgery January 2012, 6 43-48; DOI: https://doi.org/10.1016/j.ijsp.2011.11.001
Humbert G. Sullivan
aDepartment of Neurosurgery, Gundersen Lutheran Health System, La Crosse, WI
MD
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Robert L. Bobenmoyer
bDepartment of Industrial Rehabilitation, Gundersen Lutheran Health System, La Crosse, WI
OT
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Kevin M. Boland
cDepartment of Neuropsychology, Gundersen Lutheran Health System, La Crosse, WI
MD
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Molly M. Cerniglia
aDepartment of Neurosurgery, Gundersen Lutheran Health System, La Crosse, WI
PA-C
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Vicki L. McHugh
dDepartment of Medical Research, Gundersen Lutheran Medical Foundation, La Crosse, WI
MS
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  • For correspondence: vlmchugh@gundluth.org
Hayley L. Born
dDepartment of Medical Research, Gundersen Lutheran Medical Foundation, La Crosse, WI
BS
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Michelle A. Mathiason
dDepartment of Medical Research, Gundersen Lutheran Medical Foundation, La Crosse, WI
MS
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Nicholas R. Ladwig
dDepartment of Medical Research, Gundersen Lutheran Medical Foundation, La Crosse, WI
BS
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    Fig. 1

    Overall mean presurgical (Pre) and postsurgical (Post) performance for forward bend and kneeling tasks (A) and floor-to-waist lift, forward 50-yd carry, static push, and static pull tasks (B). Error bars indicate the standard error of the mean.

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    Table 1

    Summary of physical capability testing, ODI, VAS pain score, and pain medication use preoperatively and 12 months postoperatively: Mean data and percent change

    PreoperativePostoperativImprovement
    PCONo. of patientsMeanSDMeanSDMeanSDP value (paired t test)% Improvement
    Squats (maximum, 20 repetitions) (repetitions)1810.77.119.22.08.57.3<.00179*
    Forward bend (maximum, 300 s) (s)18110.268.6243.677.2133.486.5<.001121*
    Kneel (maximum, 600 s) (s)18283.2173.2544.7109.3261.5173.8<.00192*
    Floor-to-waist lift (lb)1816.19.936.720.320.615.0<.001128
    Forward 50-yd carry (lb)17† 19.78.643.218.323.516.3<.001119
    Push (lb)17† 67.719.289.424.421.717.8<.00132
    Pull (lb)17† 57.617.180.926.423.424.4<.00140
    ODI (%)1849.013.215.214.333.817.6<.001
    VAS pain score185.11.71.41.63.71.8<.001
    Morphine equivalency16† 26.143.81.97.324.339.5.031
    • NOTE. Because of rounding when the final calculation was performed, calculations based on preoperative and postoperative mean values may not equal the mean change or percent change values presented.

    • ↵* Percentages are not indicative of total improvement because patients reached the maximum value.

    • ↵† Patients were unable to complete the task because of an unrelated injury or data were missed during collection.

    • View popup
    Table 2

    Summary of physical capability testing, ODI, VAS pain score, and pain medication use for single-level L4-5 versus L5-S1: Mean presurgical versus postsurgical data and percent change

    PreoperativePostoperativeImprovement
    PCONo. of patientsMeanSDMeanSDMeanSD% Improvement
    L4-5
     Squats (maximum, 20 repetitions) (repetitions)611.27.218.82.97.76.568*
     Forward bend (maximum, 300 s) (s)6127.394.2178.3101.751.066.240*
     Kneel (maximum, 600 s) (s)6163.030.2466.8169.9303.8170.6186*
     Floor-to-waist lift (lb)617.511.735.828.418.319.9105
     Forward 50-yd carry (lb)623.312.937.521.914.215.361
     Push (lb)665.320.587.725.222.311.834
     Pull (lb)656.820.888.337.231.535.255
     ODI (%)659.015.618.016.641.023.6
     VAS pain score64.51.21.31.63.22.0
     Morphine equivalency5† 4.08.90.00.04.08.9
    L5-S1
     Squats (maximum, 20 repetitions) (repetitions)912.37.819.22.06.98.256*
     Forward bend (maximum, 300 s) (s)9107.362.3284.133.8176.860.3165*
     Kneel (maximum, 600 s) (s)9335.2199.1578.243.4243.0192.472*
     Floor-to-waist lift (lb)918.98.943.315.224.414.2129
     Forward 50-yd carry (lb)918.96.050.616.331.716.2168
     Push (lb)970.322.494.827.924.422.935
     Pull (lb)959.318.480.923.321.619.136
     ODI (%)944.76.815.215.929.415.0
     VAS pain score95.61.81.62.04.01.9
     Morphine equivalency9† 44.254.33.310.040.948.7
    • NOTE. Because of rounding when the final calculation was performed, calculations based on preoperative and postoperative mean values may not equal the mean change or percent change values presented.

    • ↵* Percentages are not indicative of total improvement because patients reached the maximum value.

    • ↵† Patients were unable to complete the task because of an unrelated injury or data were missed during collection.

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Physical capability outcomes after total disc replacement with ProDisc-L
Humbert G. Sullivan, Robert L. Bobenmoyer, Kevin M. Boland, Molly M. Cerniglia, Vicki L. McHugh, Hayley L. Born, Michelle A. Mathiason, Nicholas R. Ladwig
International Journal of Spine Surgery Jan 2012, 6 43-48; DOI: 10.1016/j.ijsp.2011.11.001

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Physical capability outcomes after total disc replacement with ProDisc-L
Humbert G. Sullivan, Robert L. Bobenmoyer, Kevin M. Boland, Molly M. Cerniglia, Vicki L. McHugh, Hayley L. Born, Michelle A. Mathiason, Nicholas R. Ladwig
International Journal of Spine Surgery Jan 2012, 6 43-48; DOI: 10.1016/j.ijsp.2011.11.001
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