Skip to main content

Nucleus prosthesis: a new concept

  • Conference paper
Arthroplasty of the Spine
  • 183 Accesses

Abstract

In a large number of low-back pain patients, the pain is related to disc herniation or prolapse of the nucleus pulposus. Although the pathogenesis is still the topic of debate, the nucleus seems to play an important role not only in the progression of low-back pain, but also in its treatment. Numerous surgical treatment solutions have been patented or described in the literature; however, only a few seem promising and are in use today. After the development of numerous ideas, for instance metallic implants, the concept of a compressible material encased by a strong, inelastic outer layer emerged as the logical conclusion. Specific requirements during operation and during the entire life of the implant have to be taken into consideration in developing new solutions. In this paper, the development of the nucleus prosthesis will be discussed and a new concept presented.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Aharinejad S, Bertagnoli R, Wicke K, Firbas W, Schneider B (1990) Morphometric analysis of vertebrae and intervertebral discs as a basis of disc replacement. Am J Anat 189:69–76

    Article  PubMed  CAS  Google Scholar 

  2. Akeson WH, Woo SL, Taylor TK, Ghosh P, Bushell GR (1977) Biomechanics and biochemistry of the intervertebral discs: the need for correlation studies. Clin Orthop 129:133–140

    PubMed  CAS  Google Scholar 

  3. Bao QB, McCullen GM, Higham PA, Dumbleton JH, Yuan HA (1996) The artificial disc: theory, design and materials. Biomaterials 17:1157–1167

    Article  PubMed  CAS  Google Scholar 

  4. Baumgartner W (1992) Intervertebral prosthesis. US patent 5,171,280

    Google Scholar 

  5. Brinckmann P, Grootenboer H (1991) Change of disc height, radial disc bulge, and intradiscal pressure from discectomy. An in vitro investigation on human lumbar discs. Spine 16:641–646

    Article  PubMed  CAS  Google Scholar 

  6. Buckwalter JA (1995) Aging and degeneration of the human intervertebral disc. Spine 20:1307–1314

    PubMed  CAS  Google Scholar 

  7. Cleveland DA (1955) The use of methylacrylates for spinal stabilization after disc operations. Marquette Med Rev 20:62–64

    Google Scholar 

  8. Fernstrom U (1966) Arthroplasty with intercorporal endoprosthesis in herniated disc and in painful disc. Acta Chir Scand Suppl 357:154–159

    PubMed  CAS  Google Scholar 

  9. Hamby WB, Glaser HT (1959) Replacement of spinal intervertebral discs with locally polymerizing methyl methacry-late. J Neurosurg 16:311–313

    Article  PubMed  CAS  Google Scholar 

  10. Hart LG, Deyo RA, Cherkin DC (1995) Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national survey. Spine 20:11–19

    CAS  Google Scholar 

  11. Hou TS, Tu KY, Xu YK, Li ZB, Cai AH, Wang HC (1991) Lumbar intervertebral disc prosthesis. An experimental study. Chin Med J (Engl) 104: 381–386

    CAS  Google Scholar 

  12. Humzah MD, Soames, RW (1988) Human intervertebral disc: structure and function. Anat Rec 220:337–356

    Article  PubMed  CAS  Google Scholar 

  13. Kadoya K, Kotani Y, Abumi K, Takada T, Shimamoto N, Shikinami Y, Kadosawa T, Kaneda K (2001) Biomechanical and morphologic evaluation of a three-dimensional fabric sheep artificial intervertebral disc: in vitro and in vivo analysis. Spine 26:1562–1569

    Article  PubMed  CAS  Google Scholar 

  14. Lin C-I (1998) Artificial intervertebral disk and method for implanting the same. US patent 5,716,416

    Google Scholar 

  15. Markolf KL, Morris JM (1974) The structural components of the intervertebral disc. A study of their contributions to the ability of the disc to withstand compressive forces. J Bone Joint Surg Am 56:675–687

    PubMed  CAS  Google Scholar 

  16. Meakin JR, Reid JE, Hukins DW (2001) Replacing the nucleus pulposus of the intervertebral disc. Clin Bio-mech 16:560–565

    Article  CAS  Google Scholar 

  17. Ray CD (1988) Percutaneous discectomy. A new day-surgical method for herniated lumbar discs. Minn Med 71: 485–488

    PubMed  CAS  Google Scholar 

  18. Roy-Camille R, Saillant G, Lavaste F (1978) Experimental study of lumbar disc replacement. Rev Chir Orthop Reparatrice Appar Mot 64[Suppl 2]: 106–107

    PubMed  Google Scholar 

  19. Schneider PG, Oyen R (1974) Plasti-sche Bandscheibenchirurgie. I. Mitteilung: Bandscheibenersatz im lumbalen Bereich mit Silikonkautschuk. Theoretische und experimentelle Untersuchungen. Z Orthop Ihre Grenzgeb 112:1078–1086

    PubMed  CAS  Google Scholar 

  20. Urban RM, Jacobs JJ, Tomlinson MJ, Gavrilovic J, Black J, Peoch M (2000) Dissemination of wear particles to the liver, spleen, and abdominal lymph nodes of patients with hip or knee replacement. J Bone Joint Surg Am 82: 457–476

    Article  PubMed  CAS  Google Scholar 

  21. Weber H (1983) Lumbar disc herniation. A controlled, prospective study with ten years of observation. Spine 8:131–140

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Studer, A. (2004). Nucleus prosthesis: a new concept. In: Gunzburg, R., Mayer, H.M., Szpalski, M., Aebi, M. (eds) Arthroplasty of the Spine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18508-3_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-18508-3_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20295-0

  • Online ISBN: 978-3-642-18508-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics