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Title of Journal: Eur Spine J

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Abbravation: European Spine Journal

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Springer-Verlag

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10.1016/0022-0981(86)90134-6

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1432-0932

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Nucleus disc arthroplasty with the NUBAC™ device

Authors: M Balsano A Zachos A Ruggiu F Barca P TranquilliLeali C Doria
Publish Date: 2011/03/18
Volume: 20, Issue: 1, Pages: 36-40
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Abstract

Low back pain LBP due to degenerative disc disease DDD is a common condition that can be treated along a continuum of care from conservative therapies to several surgical choices Nucleus arthroplasty is an emerging technology that could potentially fill part of the gap in the spine continuum of care The introduction of recent technologies that allow the replacement of the degenerated disc nucleus using prosthetic devices may be considered an additional therapeutic tool that can be used by the surgeon in selected cases of LBP due to DDD Nucleus arthroplasties are designed to treat early stages of DDD which are one of the most common spinal disorders in the population under 65 years of age NUBAC™ is the first articulating nucleus disc prosthesis designed to optimally respect the lumbar anatomy kinematics and biomechanics constructed in unique twopiece manufactured from polyetheretherketone PEEK with an inner ball/socket articulation The optimal indications for NUBAC™ implantation are disc height 5 mm degenerative disc changes at an early stage Pfirmann 2 3 single level affection integrity of posterior facet joints lack of local anatomical contraindication failure of conservative treatment for at least 6 months From December 2006 to January 2009 a total of 39 patients underwent nucleus disc arthroplasty with NUBAC™ device 22 cases have 2year follow up There have been no major intraoperative or postoperative vascular or neurological complications in this series The data showed that there were significant decreases in both Visual Analogue Scale VAS and Oswestry Disability Index ODI after the procedure with a meaningful improvement of symptoms in all patients Although preliminary the initial results are encouraging The absence of any major intraoperative and postoperative complications supports the design rationale of the NUBAC™ being less invasive comparing to total disc replacement TDA and with a low rate of surgical risk The effectiveness of data as seen in 2year followup on both VAS and ODI have also suggested that the NUBAC™ could be considered a viable treatment option for patients with LBP caused by DDD

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