Lumbar total disc replacement effectiveness and safety in chronic low back pain.
Baños-Álvarez E, Martín-López JE, Isabel-Gómez R, Romero-Tabares A, Beltrán-Calvo C, Molina-López T.
Record ID 32018000434
Spanish
Original Title:
Efectividad y seguridad de la artroplastia total discal en lumbalgia crónica. Revisión sistemática y metaanálisis
Authors' objectives:
To asses the effectiveness in terms of clinical severity, general improvement, functional status, quality of life and patient satisfaction, and safety in terms of mortality and complications, of the total disc arthroplasty in patients with chronic low back pain associated with degenerative disc disease.
Authors' results and conclusions:
With the scientific evidence identified we can not conclude that the benefits of surgery with total disc replacement outweigh the spinal fusion in the treatment of chronic low back pain associated with disc degeneration disease, obtaining comparable results between the two techniques. Regarding the safety, the total disc arthroplasty is presented as a relatively safe procedure in a short to medium term, not associated with serious adverse events. However, since it is possible that damage and complications might occur in a longer period of time, the adoption of this intervention on a large scale must be cautious. Recommendations For treatment of patients with chronic low back pain associated with degenerative disc disease between L4-S1 levels, which do not respond to conservative medical treatment, should be considered individually the benefits and risks of performing a total disc arthroplasty versus an spinal fusion.
Details
Project Status:
Completed
Year Published:
2014
URL for published report:
https://www.aetsa.org/publicacion/efectividad-y-seguridad-de-la-artroplastia-total-discal-en-lumbalgia-cronica-revision-sistematica-y-metaanalisis/
English language abstract:
An English language summary is available
Publication Type:
Full HTA
Country:
Spain
MeSH Terms
- Low Back Pain
- Spinal Fusion
- Intervertebral Disc Degeneration
- Chronic Pain
- Total Disc Replacement
Contact
Organisation Name:
Andalusian Health Technology Assessment Area
Contact Address:
Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name:
aetsa.csalud@juntadeandalucia.es
Contact Email:
aetsa.csalud@juntadeandalucia.es
Copyright:
Andalusian Agency for Health Technology Assessment (AETSA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.