Subsidence of SB Charité total disc replacement and the role of undersizing.
Eur Spine J
; 22(10): 2264-70, 2013 Oct.
Article
em En
| MEDLINE
| ID: mdl-23771503
ABSTRACT
PURPOSE:
A possible complication after total disc replacement (TDR) is subsidence, presumably caused by asymmetric implantation, implant undersizing or reduced bone quality. This study aims to quantify the degree of subsidence of an SB Charité TDR, and investigate whether undersizing is related to subsidence.METHODS:
A custom developed software package (Mathworks) reconstructed 3D bone-implant geometry. A threshold for subsidence was determined by comparing penetrated bone volume (PBV) and rotation angles. Inter- and intra-observer reproducibilities were calculated. Subsidence was correlated to undersizing.RESULTS:
High inter- and intra-observer correlation coefficients were found for the method (R > 0.92). Subsidence was quantified as PBV 700 mm(3) combined with a rotation angle >7.5°. A reduced risk of subsidence was correlated to >60 and >62 % of the bony endplate covered by the TDR endplate for L4 and L5, respectively.CONCLUSIONS:
A reproducible method to determine undersizing was developed. Thresholds were determined related to a reduced risk of subsidence.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Falha de Prótese
/
Ajuste de Prótese
/
Degeneração do Disco Intervertebral
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Substituição Total de Disco
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Disco Intervertebral
/
Vértebras Lombares
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article