TY  - BOOK
AU  - Dowlati, Ehsan
TI  - Lumbar Arthroplasty: Past, Present, and Future. [Review]
SN  - 0148-396X
PY  - 2020///
KW  - *Arthroplasty/td [Trends]
KW  - *Intervertebral Disc Degeneration/dg [Diagnostic Imaging]
KW  - *Intervertebral Disc Degeneration/su [Surgery]
KW  - *Lumbar Vertebrae/dg [Diagnostic Imaging]
KW  - *Lumbar Vertebrae/su [Surgery]
KW  - *Prostheses and Implants/td [Trends]
KW  - Adult
KW  - Aged
KW  - Arthroplasty/is [Instrumentation]
KW  - Biomechanical Phenomena
KW  - Female
KW  - Forecasting
KW  - Humans
KW  - Intervertebral Disc/dg [Diagnostic Imaging]
KW  - Intervertebral Disc/su [Surgery]
KW  - Male
KW  - Prosthesis Design/is [Instrumentation]
KW  - Prosthesis Design/td [Trends]
KW  - Spinal Fusion/mt [Methods]
KW  - MedStar Washington Hospital Center
KW  - Neurosurgery
KW  - Journal Article
N2  - Lumbar degenerative disc disease is a pathologic process that affects a large portion of our aging population. In the recent past, surgical treatment has involved fusion procedures. However, lumbar disc arthroplasty and replacement provides an alternative for carefully selected patients. It provides the major advantage of motion preservation and thus keeps adjacent segments from significantly progressive degeneration. The history of lumbar disc replacement has roots that start in the 1960s with the implantation of stainless-steel balls. Decades later, multiple implants with different material design and biomechanical properties were introduced to the market. New third-generation implants have made great strides in improved biomechanics and clinical outcomes. Although there is room for further advancement and studies are warranted to assess the long-term durability and sustainability of lumbar disc arthroplasty, it has certainly proven to be a very acceptable alternative within the surgical armamentarium that should be offered to patients who meet indications. In this review we present an overview of lumbar disc arthroplasty including its history, indications, biomechanics, challenges, and future directions. Copyright (c) 2019 by the Congress of Neurological Surgeons
UR  - https://dx.doi.org/10.1093/neuros/nyz439
ER  -