Lazennec JY. Lumbar and cervical viscoelastic disc replacement: Concepts and current experience. World J Orthop 2020; 11(8): 345-356 [PMID: 32904082 DOI: 10.5312/wjo.v11.i8.345]
Corresponding Author of This Article
Jean Yves Lazennec, MD, PhD, Professor, Department of Orthopaedic and Trauma Surgery, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, 47 Blvd Hop, Paris F-75013, France. lazennec.jy@wanadoo.fr
Research Domain of This Article
Orthopedics
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Aug 18, 2020; 11(8): 345-356 Published online Aug 18, 2020. doi: 10.5312/wjo.v11.i8.345
Lumbar and cervical viscoelastic disc replacement: Concepts and current experience
Jean Yves Lazennec
Jean Yves Lazennec, Department of Orthopaedic and Trauma Surgery, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris F-75013, France
Author contributions: Lazennec JY solely completed this manuscript.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jean Yves Lazennec, MD, PhD, Professor, Department of Orthopaedic and Trauma Surgery, Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, 47 Blvd Hop, Paris F-75013, France. lazennec.jy@wanadoo.fr
Received: April 3, 2020 Peer-review started: April 3, 2020 First decision: April 22, 2020 Revised: May 23, 2020 Accepted: July 19, 2020 Article in press: July 19, 2020 Published online: August 18, 2020 Processing time: 132 Days and 11.2 Hours
Core Tip
Core tip: Although all artificial discs are intended to achieve the same aims, there is considerable heterogeneity in the design of lumbar and cervical implants. The “second generation total disc replacements” are non-articulating viscoelastic implants aiming at the reconstruction of physiologic levels of shock absorption and flexural stiffness. This review aims to give an overview of the available implants. We herein discuss the new challenges concerning the choice of materials, the connection between the components of the internal structure and the metal endplates and even the bone anchoring mode. We discuss the consequences of the different technological choices and we emphasize the special features to watch out for when monitoring these implants in the future.
