Skip to main content
Log in

The ProDisc-L lumbar prosthesis

  • Original Article
  • Published:
Interactive Surgery

Abstract

Degenerative disc disease at some stage requires surgical treatment to improve the pain situation. As opposed to fusion technologies, which bring immediate pain relief but that will again develop over the next years due to adjacent level disease, motion-sparing devices appear to avoid this condition. The ProDisc-L is a ball and socket design with a semi-constrained biomechanical concept implanted to replace the intervertebral disc. The surgical procedure has a minimal learning curve and a low complication rate, in treatment of low back pain. Long-term results in terms of radiological data, clinical data, and subjective scores like VAS, ODI, SF-36 show high patient satisfaction and indicate an equal or sometimes superior treatment option over fusion procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Szpalski M, Gunzburg R, Mayer M (2002) Spine arthroplasty: a historical review. Eur Spine J 11(Suppl 2):S65–S84

    PubMed  Google Scholar 

  2. Bono CM, Garfin SR (2004) History and evolution of disc replacement. Spine J 4: 145S–50S

    Article  PubMed  Google Scholar 

  3. Marnay T (2001) Lumbar disc arthroplasty: 8-10-year results using titanium plates with a polyethylene inlay component. American Academy of orthopaedic surgeons annual meeting. San Francisco, CA

  4. Tropiano P, Huang RC, Girardi FP, et al. (2005) Lumbar total disc replacement: seven to eleven year follow-up. J Bone Joint Surg Am 87: 490–496

    Article  PubMed  Google Scholar 

  5. Zigler J, Delamarter R, Spivak JM, et al. (2007) Results of the prospective, randomized, multicenter food and drug administration investigational device exemption study of the ProDisc-L total disc replacement versus circumferential fusion for the treatment of 1-level degenerative disc disease. Spine 32(11): 1155–1162

    Article  PubMed  Google Scholar 

  6. Auerbach JD, Yoder JH, Maurer PM, et al. (2007) Vertebral body augmentation with cortoss improves compression biomechanics for lumbar disc arthroplasty. Spine: affiliated society meeting abstracts. Scoliosis Res Soc, p. 239

  7. Patel AA, Brodke DS, Pimenta L, et al. (2008) Revision strategies in lumbar total disc arthroplasty. Spine 33(11):1276–1283

    Article  PubMed  Google Scholar 

  8. Huang RC, Girardi FP, Cammisa FP Jr., et al. (2005) Correlation between range of motion and outcome after lumbar total disc replacement: 8.6 years follow-up. Spine 30(12): 1407–1411

    Article  PubMed  Google Scholar 

  9. Huang RC, Tropiano P, Marnay T, et al. (2006) Range of motion and adjacent level degeneration after lumbar total disc replacement. Spine J 6: 242–247

    Article  PubMed  Google Scholar 

  10. Bertagnoli R, Kumar S (2002) Indications for full prosthetic disc arthroplasty: a correlation of clinical outcome against a variety of indications. Eur Spine J 11(Suppl 2): S131–S136

    PubMed  Google Scholar 

  11. Bertagnoli R, Yue JJ, Shah RV, et al. (2005) The treatment of disabling single-level lumbar discogenic low back pain with total disc arthroplasty utilizing the ProDisc prosthesis: a prospective study with 2-year minimum follow-up. Spine 30(19): 2230–2236

    Article  PubMed  Google Scholar 

  12. Bertagnoli R, Yue J, Shah RV, et al. (2005) The treatment of disabling multilevel lumbar discogenic low back pain with total disc arthroplasty utilizing the ProDisc prosthesis: a prospective study with 2 year minimum follow-up. Spine 30(19): 2192–2199

    Article  PubMed  Google Scholar 

  13. Anouble S, Donkersloot P, Le Huec JC (2004) Dislocations with intervertebral disc prosthesis: two case reports. Eur Spine J 13: 464–467

    Google Scholar 

  14. Bertagnoli R, Yue J (2007) Motion preservation in lumbar DDD with the ProDisc L prosthesis, 2-5-year results. Spine J 6: 42S–43S

    Article  Google Scholar 

  15. Malter AD, McNeney B, Loeser JD, Deyo RA (1998) 5-year reoperation rates after different types of lumbar spine surgery. Spine 23(7): 814–820

    Article  PubMed  CAS  Google Scholar 

  16. Siepe CJ, Mayer HM, Heinz-Leisenheimer M, Korge A (2007) Total lumbar disc replacement-different results for different levels. Spine 32(7): 782–790

    Article  PubMed  Google Scholar 

  17. Siepe CJ, Mayer HM, Wiechert K, Korge A (2006) Clinical results of total lumbar disc replacement with ProDisc II. Three-year results for different indications. Spine 31(17): 1923–1932

    Article  PubMed  Google Scholar 

  18. Bertagnoli R, Yue JJ, Nanieva R, et al. (2006) Lumbar total disc arthroplasty in patients older than 60 years of age: a prospective study of the ProDisc prosthesis with 2-year minimum follow-up period. J Neurosurg Spine 4: 85–90

    Article  PubMed  Google Scholar 

  19. Panjabi M, Henderson G, Abjornson C, Yue J (2007) Multidirectional testing of one- and two-level ProDisc-L versus simulated fusions. Spine 32(12): 1311–1319

    Article  PubMed  Google Scholar 

  20. Bertagnoli R, Tropiano R, Zigler J, et al. (2005) Hybrid constructs. Orthop Clin N Am 36(3): 379–388

    Article  Google Scholar 

  21. Bertagnoli R, Zigler J, Karg A, Voigt S (2005) Complications and strategies for revision surgery in total disc replacement. Orthop Clin N Am 36(3): 389–395

    Article  Google Scholar 

  22. Yue J, Bertagnoli R, Fenk-Mayer A, et al. (2006) The concurrent use of lumbar total disc arthroplasty and adjacent level lumbar fusion: hybrid lumbar disc arthroplasty: a prospective study. Spine J 6(5): 152S

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. Bertagnoli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bertagnoli, R., Habbicht, H. The ProDisc-L lumbar prosthesis. Interact Surg 3, 209–213 (2008). https://doi.org/10.1007/s11610-007-0042-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11610-007-0042-6

Keywords

Navigation