Article

Lumbar total disc replacement.

Brooke Army Medical Center, San Antonio, TX, USA.
Journal of Orthopaedic and Sports Physical Therapy (impact factor: 3). 03/2011; 41(3):200. DOI:10.2519/jospt.2011.0405 pp.200
Source: PubMed

ABSTRACT The patient was a 27-year-old woman with an 18-month history of low back pain that was insidious in onset. She worked as a military pilot, and her pain was unresponsive to all nonsurgical measures. Magnetic resonance imaging revealed a L4-5 herniated nucleus pulposus, and 6 months later the patient underwent an L4-5 microdiscectomy. However, due to continued debilitating pain, she was medically removed from flight status and was pending discharge from the military. The patient underwent an L4-5 total disc replacement using the Maverick disc prosthesis. The patient began treatment with a physical therapist 1 month after total disc replacement surgery. At 6 months, 1 year, and 2 years following total disc replacement, Oswestry Disability Index scores were 0%. Additionally, the patient returned to flight status and full recreational activities. J Orthop Sports Phys Ther 2011;41(3):200. doi:10.2519/jospt.2011.0405.

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Keywords

1 year
 
18-month history
 
2 years
 
27-year-old woman
 
6 months
 
flight status
 
full recreational activities
 
L4-5 herniated nucleus pulposus
 
L4-5 microdiscectomy
 
L4-5 total disc replacement
 
Magnetic resonance imaging
 
Maverick disc prosthesis
 
military
 
military pilot
 
nonsurgical measures
 
Oswestry Disability Index scores
 
physical therapist 1 month
 
total disc replacement
 
total disc replacement surgery
 

Norman W Gill