abstract   background: far lateral discal herniation is an uncommon disorder and is difficult to assess by physical examination alone. this study is designed to define clinical and epidemiological findings and to establish the indications of surgical and medical treatment for flldh.   methods: between 2000 and 2005, a total of 2035 patients with lumbar disc herniation underwent surgical discect...

Sixty patients with one-level discogenic pain confirmed by plain radiography, magnetic resonance imaging, and provocative discography for degenerative disc disease were randomized: one-third BAK anterior interbody fusion and two-thirds anterior SB Charité artificial disc replacement. The mean age was 40.3 years (range 21–56 years). Nineteen cases were at L4–L5 and 41 cases were at L5–S1. Ninete...

Implantation of intervertebral disc (IVD) allograft or tissue engineered disc constructs in the spine has emerged as an alternative to artificial disc replacement for the treatment of severe degenerative disc disease (DDD). Establishment of a bank of cryopreserved IVD allografts enables size matching and facilitates logistics for effective clinical management. However, the biomechanical propert...

STUDY DESIGN Multicenter prospective randomized study of artificial disc replacement (ProDisc) versus circumferential fusion (standard of care) for one- and two-level degenerative disc disease. This is an interim analysis on patients seen at the Spine Institute Saint John's Health Center, Santa Monica, California. OBJECTIVES To evaluate early pain and functional outcomes of patients treated w...

background: cervical spine sustains most of thevertebral column injuries, among other injuries, the disc degeneration and damage that lead to replacement of the damaged disc with cage or artificial disc. methods: the c4 to c6 vertebrae of a normal subject and a person with interbody fusion cage were 3d modelled and then analyzed using finite element method. the results of maximum stress and str...

conclusions in this study, we found that in spite of previous beliefs, discopathies were not common etiologies of lbp. thus, even in patients with proven ldh by imaging studies, the physician should perform a thorough evaluation for other causes of lbp to avoid unnecessary lumbar surgeries. results in our study, among 1250 patients with proven ldh by mri, 500 patients (40%) had chronic lbp and ...

To tackle the challenge in artificial spinal disc (ASD) design of restoring mechanics a natural disc, this study proposes an innovative lattice-based ASD for reproducing patient-specific anisotropic rotational response, inspired by freedom provided lattice structures. Motivated great potential machine learning to improve computational processes, method is proposed computationally efficient topo...