Lumbar artificial intervertebral discs
Institute for Clinical Systems Improvement
Record ID 32006000039
English
Authors' objectives:
The aim of this report is to assess the use of lumbar artificial intervertebral discs.
Authors' recommendations:
With regard to lumbar artificial intervertebral discs, the ICSI Technology Assessment Committee finds the following:
1. There are no well-designed controlled trials concerning the long-term (greater than 2 years post-surgery) safety of the lumbar artificial intervertebral disc. Therefore, the long-term safety of the device is unknown at this time.
2. Only a few randomized controlled trials comparing lumbar artificial disk implantation with spinal fusion surgery have been performed. Short follow-up periods, small sample sizes, and outdated surgical techniques were also noted in the studies. Consequently, lumbar artificial intervertebral disc implantation failed to show a clear advantage over other surgical procedures, in particular spinal fusion.
3. No trials were found that compared lumbar artificial disc replacement to intensive multidisciplinary or aggressive non-surgical rehabilitation. Thus, comprehensive comparison of the lumbar artificial intervertebral disc to other treatments has not yet been performed.
4. Overall, the long-term efficacy of the lumbar artificial disc in terms of improving pain rates, disability, range of motion, and quality of life is unknown. As a result, the use of the lumbar artificial intervertebral disc outside the investigational setting is not yet well supported. (Conclusion Grade II).
Authors' methods:
Review
Details
Project Status:
Completed
URL for project:
http://www.icsi.org/knowledge/detail.asp?catID=107&itemID=2372
Year Published:
2005
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
United States
MeSH Terms
- Lumbar Vertebrae
- Prostheses and Implants
Contact
Organisation Name:
Institute for Clinical Systems Improvement
Contact Address:
8009 34th Avenue South, Suite 1200, Bloomington, MN, USA. Tel: +1 952 814 7060; Fax: +1 952 858 9675
Contact Name:
icsi.info@icsi.org
Contact Email:
icsi.info@icsi.org
Copyright:
Institute for Clinical Systems Improvement (ICSI)
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.