{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T22:11:45Z","timestamp":1681596705539},"reference-count":37,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:p>Lumbar disc arthroplasty is now a common treatment for lumbar degenerative disc disease. Whereas the immediate and delayed complications in patients with artificial lumbar discs are well reported, the durability of artificial disc hardware after severe spine trauma is unknown. The authors describe the management of a rare case of a traumatic lumbar burst fracture in a patient who had undergone disc arthroplasty. This 31-year-old male contractor had undergone placement of an L4\u20135 Charit\u00e9 artificial disc (DePuy Spine) and L5\u2013S1 anterior lumbar fusion 10 months before he fell from a roof and sustained a traumatic L-3 burst fracture with significant canal compromise and cauda equina injury. Despite the considerable compressive load on his spine, the artificial disc (L4\u20135) remained intact without any radiological signs of hardware failure, and the vertebrae above (L-4) and below (L-5) the artificial disc had no signs of injury. For the L-3 burst fracture the patient underwent an open decompressive laminectomy at L2\u20133 and posterior fusion with instrumentation from L-2 to L-4. At 24 months postinjury, he had returned to full work activities as a contractor with minimal back pain and mild right lower-extremity sensory changes and weakness left over from the trauma. The total disc arthroplasty at L4\u20135 is functional and has preserved motion, and there is a solid fusion at L2\u20134 and L5\u2013S1. This case demonstrates that a lumbar artificial disc can tolerate a significant load from trauma and remain functional without hardware failure even after a traumatic burst fracture at the adjacent lumbar vertebral body and shows the successful treatment of this fracture, with posterior fusion preserving the motion of an artificial disc.<\/jats:p>","DOI":"10.3171\/2009.3.spine08902","type":"journal-article","created":{"date-parts":[[2011,2,23]],"date-time":"2011-02-23T21:41:57Z","timestamp":1298497317000},"page":"353-357","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic burst fracture in a patient with a lumbar artificial disc"],"prefix":"10.3171","volume":"11","author":[{"given":"Oren N.","family":"Gottfried","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darrel S.","family":"Brodke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0110353","series-title":"Spine","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1097\/01.brs.0000256915.90236.17","article-title":"Evaluation of spinal kinematics following lumbar total disc replacement and circumferential fusion using in vivo fluoroscopy","volume":"32","author":"Auerbach","year":"2007"},{"key":"b2-0110353","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"91","DOI":"10.3171\/spi.2006.4.2.91","article-title":"Treatment of symptomatic adjacent-segment degeneration after lumbar fusion with total disc arthroplasty by using the prodisc prosthesis: a prospective study with 2-year minimum follow up","volume":"4","author":"Bertagnoli","year":"2006"},{"key":"b3-0110353","series-title":"Orthop Clin North Am","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1016\/j.ocl.2005.03.003","article-title":"Complications and strategies for revision surgery in total disc replacement","volume":"36","author":"Bertagnoli","year":"2005"},{"key":"b4-0110353","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1565","DOI":"10.1097\/01.brs.0000170587.32676.0e","article-title":"A prospective, randomized, multicenter Food and Drug Administration investigational device exemptions study of lumbar total disc replacement with the CHARITE artificial disc versus lumbar fusion: part I: evaluation of clinical outcomes","volume":"30","author":"Blumenthal","year":"2005"},{"key":"b5-0110353","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"239S","DOI":"10.1016\/j.spinee.2004.07.014","article-title":"Evaluation of the biological response of wear debris","volume":"4","author":"Chang","year":"2004"},{"issue":"Suppl","key":"b6-0110353","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"81S","DOI":"10.1016\/j.spinee.2007.07.201","article-title":"Survivorship analysis of the Charite artificial disc: review of 1,938 patients from eight leading international spine centers","volume":"7","author":"Cunningham","year":"2007"},{"key":"b7-0110353","series-title":"Spine","doi-asserted-by":"publisher","first-page":"S110","DOI":"10.1097\/01.BRS.0000092209.27573.90","article-title":"Biomechanical evaluation of total disc replacement arthroplasty: an in vitro human cadaveric model","volume":"28","author":"Cunningham","year":"2003"},{"key":"b8-0110353","series-title":"Spine","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1097\/01.brs.0000257554.67505.45","article-title":"Long-term results of one-level lumbar arthroplasty: minimum 10-year follow-up of the CHARITE artificial disc in 106 patients","volume":"32","author":"David","year":"2007"},{"key":"b9-0110353","series-title":"J Neurosurg","first-page":"163","article-title":"Risk factors for adjacent-segment failure following lumbar fixation with rigid instrumentation for degenerative instability","volume":"90","author":"Etebar","year":"1999"},{"key":"b10-0110353","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1842","DOI":"10.1097\/00007632-199408150-00009","article-title":"A multicenter retrospective study of the clinical results of the LINK SB Charite intervertebral prosthesis. 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