The artificial disc: theory, design and materials.

Abstract:

:Low back pain is one of the most common medical conditions in the Western world. Disc degeneration, an inevitable process of aging, of variable rate and degree, is one of the major causes of low back pain. Currently, there are two major surgical interventions for treating conditions related to the degenerative disc: discectomy and fusion. Although discectomy and fusion produce a relatively good short-term clinical result in relieving pain, both these surgical treatments alter the biomechanics of the spine, possibly leading to further degeneration of the surrounding tissues and the discs at adjacent levels. Over the past 35 years, a tremendous effort has been made to develop an artificial disc to replace the degenerated disc. The goal is the restoration of the natural biomechanics of the segment after disc excision, thus relieving pain and preventing further degeneration at adjacent segments. However, the artificial disc faces a complex biomechanical environment which makes replication of the biomechanics difficult and long-term survival challenging to designs and materials. The purpose of this article is to examine the factors of importance in designing a disc replacement. Topics covered include the structure and function of the natural disc, the changes that occur with disc degeneration and existing methods of treatment for the degenerative spine. The progress in achieving a functional, long-lasting disc replacement is outlined.

journal_name

Biomaterials

journal_title

Biomaterials

authors

Bao QB,McCullen GM,Higham PA,Dumbleton JH,Yuan HA

doi

10.1016/0142-9612(96)84936-2

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

1157-67

issue

12

eissn

0142-9612

issn

1878-5905

pii

0142961296849362

journal_volume

17

pub_type

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