2-YEAR RESULTS OF NUBAC™ DISC ARTHROPLASTY SYSTEM IMPLANTED FOR THE TREATMENT OF LUMBAR DİSC HERNIATION
Journal Title: Journal of Turkish Spinal Surgery - Year 2018, Vol 29, Issue 1
Abstract
Purpose: To assess the 2 year results of lumbar disc herniation patients treated with NUBAC™ disc arthroplasty system. Methods: 10 patients (<45 years), with large disc herniation, otherwise relatively well preserved disc who presents with recalcitrant leg pain refractory to conservative treatment were included to the study. NUBAC™ disc arthroplasty was performed via standard posterior approach. Per-operative and 2 year follow-up scores (VAS, ODI) were obtained. Plain X-rays were performed on the postoperative first day and 6, 12 and 24 months after surgery while MRI and dynamic X-Rays were performed on the postoperative 24 months. Furthermore, adjacent disc degeneration were evaluated on the T2-weighted midsagittal MR images according to Pfirrmann classification. Results: 5 of 10 patients were male. Average patient age at the time of surgery was 32,3. Statistically significant difference was observed in the radicular pain group (p<0.05) while the difference was not significant in terms of low back pain (p>0.05) 2 years after surgery. Lumbar MRI’s performed 2 years after surgery did not show any additional degenerative changes on the adjacent discs. Any vascular and/or neurological complication did not occur. Conclusion: NUBAC™ is a promising device which may help surgeons to reduce pain while restoring motion and protect adjacent discs.
Authors and Affiliations
Erkin SONMEZ, Fikret ŞAHINTÜRK, Ümit Akın DERE, Cem YILMAZ, Salih GÜLŞEN, Nur ALTINORS
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