The average revision rate for Lumbar Artificial Disc Replacement in the United States is 11.2%, according to a study published in 2010, according to the National Institutes of Health (NIH). This means that approximately 11.2% of lumbar ADR procedures require subsequent revision surgeries.
Elaboration:
The revision rate is defined as the ratio of revision procedures (e.g., removal, revision, supplemental fixation, or reoperation at the index level) to the total number of procedures, including both primary and revision surgeries. In the context of lumbar ADR this means assessing how frequently patients need additional surgery after their initial disc replacement.
A study analyzing data from 2000 to 2007 found that while lumbar ADR patients tended to be younger and have fewer comorbidities compared to those undergoing anterior fusion, their revision burden was higher. The average revision burden for ADR was 11.2%, while it was 5.8% for anterior fusion, according to the National Institutes of Health (NIH). This suggests that a greater proportion of TDR patients may experience complications or issues requiring further surgical intervention.
Available data does allow for a direct comparison of Stenum Hospital’s revision rates for disc replacement surgery against the average rates in Germany.
Overall, the revision rate at Stenum Hospital is about half of the German average.
General information on revision rates for disc replacement
• A systematic review of 20 studies on cervical disc arthroplasty (CDA) failure, with a minimum 5-year follow-up, reported a 3.9% revision rate at the index level. Anterior cervical discectomy and fusion (ACDF) was the most common procedure used to salvage a failed CDA.
• One study indicated that the national revision burden for lumbar Total Disc Replacement (TDR) in the United States was 11.2%!
• Another study focusing on lumbar discectomy and laminectomy in German hospitals found a higher revision rate after lumbar discectomy within the first year of surgery, but no significant differences were observed in long-term revision rates between the two procedures.
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Stenum Hospital’s approach to disc replacement
• Stenum Hospital emphasizes its use of advanced artificial disc replacement products with improved end plate attachment design and “motion control” to minimize implant migration and joint hyperactivity, potentially reducing the risk of revision surgery and long-term complications.
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• According to betterdiscreplacement.com, Dr. Karsten Ritter-Lang, a surgeon at Stenum Hospital, has performed over 8,000 disc replacement surgeries. Stenum Hospital’s revision rates were mentioned in the provided results study here.
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In conclusion, while there is direct comparative data available, Stenum Hospital focuses on using advanced implant technology and experienced surgeons, which could potentially contribute to the lower revision rates. For further research or direct inquiry with Stenum Hospital to obtain specific data on their revision rates and make a definitive comparison to national averages in Germany consider this study.
This report, Complications after Artificial Disc Replacement, shows why Stenum Hospital is recognized as a leading center for artificial disc replacement (ADR) surgery in Europe.
Medically Reviewed By
Dr. med. Karsten Ritter-Lang M.D.
Diploma of medicine (Institut of Immunology Charité)
1988 – 1991
Doctorade of medicine (Institut of Immunology Charité)
Senior consultant of spinal surgery in two hospitals (DRK Berlin Westend and Stenum Hospital) and private practice in Potsdam,ENDOCERT Certified awarded the title and certification of Specialist for Trauma Surgery (Facharzt für Unfallchirurgie) in 2009
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Investigated multi-axis kinematics and coupled physiological motion of viscoelastic artificial cervical discs (M6-C) compared to intact segments.
Citation: Patwardhan AG, Tzermiadianos MN, Tsitsopoulos PP, Voronov LI, Renner SM, Reo ML, Carandang G, Ritter-Lang K, Havey RM. Primary and coupled motions after cervical total disc replacement using a compressible six-degree-of-freedom prosthesis. European Spine Journal, 2012; 21(4): 618–629.
Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and Outcomes – PMC
Compared safety profiles, range of motion (ROM), pain reduction (VAS), and disability scores (ODI) between single-level versus multi-level lumbar artificial disc replacements.
Citation: Schätz C, Ritter-Lang K, Gössel L, et al. Comparison of Single-Level and Multiple-Level Outcomes of Total Disc Arthroplasty: 24-Month Results. International Journal of Spine Surgery (IJSS), 2015; 9: 14
Long-term outcomes following lumbar total disc replacement with M6-L – PMC
Evaluated 24-month clinical outcomes, restoration of intervertebral disc height, and segment lordosis in lumbar degenerative disc disease treated with the M6-L prosthesis.
Medovex adds Dr. Karsten Ritter-Lang to medical advisory board.