30845 Suppl Giot.pdf - Giornale Italiano di Ortopedia e Traumatologia

Le protesi discali lombari
a B C D
BIBLIOGraFIa
1 Pai S, Sundaram LJ. Low back pain: an economic assessment in the United
States. Orthop Clin N Am 2004;35:1-5.
2 Fritzell P, Hägg O, Wessberg P, et al. Swedish Lumbar Spine Study Group. 2001
Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical
treatment for chronic low back pain: a multicenter randomized controlled trial
from the Swedish Lumbar Spine Study Group. Spine 2001;26:2521-32.
S222
Fig. 41. 3 anni follow-up: radiografie
LS in AP, LL, massima flessione e massima
estensione. A 2 anni dall’intervento
è stato necessario nuovo intervento
artrodesi posteriore L6-S1 per patologia
giunzionale inferiore.
Caso clinico 6
Paziente: maschio, 43 anni.
Diagnosi: discopatia degenerativa primitiva L5-S1
Questionari clinici: SF36 pre-op.: 33/100; 3 anni follow-up: 34/100; VAS pre-op.: 85/100; 3 anni follow-up: 80/100; ODI pre-op.: 60/100; 3
anni follow-up: 66/100
a B C
Fig. 42. Pre-op: Rx LS in AP e LL; RMN.
a
B
Fig. 43. 1 anni follow-up: Rx LS in AP, LL, flex-ext. evidente malposizionamento della protesi.
C
D
Fig. 44. 3 anni follow-up: Rx LS in AP e LL.
È stato necessario intervento rimozione protesi
e artrodesi anteriore strumentata.
3 Atlas SJ, Nardin RA. Evaluation and treatment of low back pain: an
evidence-based approach to clinical care. Muscle Nerve 2003;27:265-84.
4 Cherkin DC, Sherman KJ, Deyo RA, et al. A review of the evidence for the
effectiveness, safety, and cost of acupuncture, massage therapy, and spinal
manipulation for back pain. Ann Intern Med 2003;138:898-906.
5 O’Beirne J, O’Neill D, Gallagher J, et al. Spinal fusion for back pain: a
clinical and radiological review. J Spinal Disord 1992;5:32-8.
6 Frelinghuysen P, Huang RC, Girardi FP, et al. Lumbar total disc replacement
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B