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International Orthopaedics

Erschienen in:

30.11.2018 | Review

The future of disc surgery and regeneration

verfasst von: Zorica Buser, Andrew S. Chung, Aidin Abedi, Jeffrey C. Wang

Erschienen in: International Orthopaedics | Ausgabe 4/2019

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Abstract

Low back and neck pain are among the top contributors for years lived with disability, causing patients to seek substantial non-operative and operative care. Intervertebral disc herniation is one of the most common spinal pathologies leading to low back pain. Patient comorbidities and other risk factors contribute to the onset and magnitude of disc herniation. Spine fusions have been the treatment of choice for disc herniation, due to the conflicting evidence on conservative treatments. However, re-operation and costs have been among the main challenges. Novel technologies including cage surface modifications, biologics, and 3D printing hold a great promise. Artificial disc replacement has demonstrated reduced rates of adjacent segment degeneration, need for additional surgery, and better outcomes. Non-invasive biological approaches are focused on cell-based therapies, with data primarily from preclinical settings. High-quality comparative studies are needed to evaluate the efficacy and safety of novel technologies and biological therapies.

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Titel: The future of disc surgery and regeneration
verfasst von: Zorica Buser
Andrew S. Chung
Aidin Abedi
Jeffrey C. Wang
Publikationsdatum: 30.11.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 4/2019
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-4254-7

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