De fabrikant is WALDEMAR LINK GMBH & CO te Hamburg

De Link® discusprothese is sinds 1987 meer dan 1600 keer geïmplanteerd, bestaande uit twee parallel liggende sluit- en dekplaatjes van CoCrMo legering en centraal gelegen UHMWPE polyethyleen kern.

Overzicht

Indikaties
Voor-onderzoek
Contra-indicaties
Na-onderzoek
Literatuur

Uitgebreide anamnese en beperkingen-lijst
Blanco staande röntgenfoto's met bewegings-opnames

Uitsluiting van extra-discale problematiek (coxarthrose, osteoporose e.d.)
Eventueel skeletscintigrafie en laboratorium-onderzoek
Discografisch aantonen van reproduceerbare pijn in tussenwervelschijf.

Forse facet-arthrose
Osteopathie
Zenuwwortelprikkeling
Spondylolisthesis > 10% of op L5/S1
Spinale stenose
Status na ontstekingen in de wervelkolom

Lliteratuur

Boek over discusprothese 2003

Büttner-Janz, K., Vivantes Klinikum Hellersdorf, Berlin; Hochschuler, S. H., Texas Back Institute, Plano, USA; McAfee, P. C., Scoliosis and Spine Center, Towson, USA (Eds.)
chapter 15 W.S.Zeegers., Alpha Klinik, Munich, Germany

The Artificial Disc

Springer-Verlag Heidelberg Tiergartenstr. 17 D-69121 Heidelberg Germany
2003 XIV, 195 p. 147 illus. Hardcover
ISBN 3-540-41779-6
EUR 90,90

Spine surgery is evolving much like hip surgery did 30 years ago. It is progressing away from fusion towards mobility retention. The LINK SB Charité Artificial Disc is the only motion-retaining disc replacement for which there is long-term clinical experience with thousands of the devices having been implanted. In this book, the topic of artificial disc replacement is thoroughly discussed by the inventors and top spine specialists. Key features, such as the history of the SB Charité Disc, spinal anatomy, technical background, and clinical results are presented. This provides much valuable information to spinal surgeons interested in the state of the art of this exciting treatment. The SB Charité disc replacement, used in dedicated European centers for more than 10 years, is presently creating much interest in the Americas, too. This book is a must for anyone in the field of medicine interested in the operative treatment of low back pain.
Ahrens, Buttner-Janz, Benini, Cinotti, David, Hommel, Lemaire, Postacini, Ross, Shelekov, Tendon, Zeegers

Zeegers WS; Bohnen LM; Laaper M; Verhaegen MJ
Department of Orthopaedics, Maasland Hospital, Sittard, The Netherlands
Artificial disc replacement with the modular type SB Charite III: 2- year results in 50 prospectively studied patients.
Eur Spine J 1999;8(3):210-7

Griffith SL. Shelokov AP. Buttner-Janz K. LeMaire JP. Zeegers WS.
A multicenter retrospective study of the clinical results of the LINK SB Charite intervertebral prosthesis. The initial European experience.
Spine. 19(16):1842-9, 1994 Aug 15

The Artificial Disc Mario Brock, H.Michael Mayer, Klaus Weigel, Springer 1991

The development of the Artificial Disc Büttner-Janz K. Hundley & Associates, 1992

Intervertebral disc prosthesis: after the year 2000 Lemaire Clin Orthop 1997 337 64-76

Average six years follow-up of patients with artificial discprosthesis A.Shelekov, Buttner-Janz K, Lemaire, David T, W.S.ZeegersNASS meeting New York 1997 A multicenter retrospective study of the clinical results of the LINK SB Charite Intervertebral Prosthesis Griffith S, Shelokov P, Buttner-Janz W.S. Zeegers Spine 19: 1842-1849, 1994


T he lumbosacral disc prosthesis David T SPINE: state of the art reviews vol 11 nr 1 january 1997 261-268 philadelphia, Hanley & Belfus inc

Intervertebral lumbar endoprosthesis "SB Charite" Buttner-Janz K, Schellnack K, Zippel H Experimental Studies And Prelimanry Results Z.Orthop 125:1-6,1987

Biomechanics of intervertebral disc endoprosthesis. Buttner-Janz K, Schellnack K, Zippel H Int Orthop 13: 173-176.1989

Arthrodeses lombaire: resultats apres 10 ans Cuachoix J, David T Rev Chir Orthop 71:263-268, 1985

Isolated lumbar disc resorption as a cause of nerve root canal stenosis Crock HV, chir orthop 115:109-115, 1976

Plan logique d'une prothese de disque intervertebral: conditions biomechaniques et biomateriaux requis Edeland HG Acta Orthop Belgica T47:1-2,1987

Arthroplasty with intercorporal endoprosthesis in herniated and painful discs. Fernstrom H Acta Chir Scand 4: 165-186, 1973

Zur frage des bandscheibensatzes Hoffman-Daimler S: Z.Orthop 112:792-795, 1994

Discogenic pain persisting despite solid posterior fusion Weatherly CR, Pricket CF, O'Brien JP JBJS 68B: 142-143, 1986

Wear studied for development of an intervertebral disc Hellier WG, Hedman TP Kostuik JP Spine 17(6 suppl) 86-96 1992

Lumbar intervertebral disc prosthesis. an experimental study Hou TS e.a. Cinese Medical Journal 104(5) 381-6 1991

Design of an intervertebral disc prosthesis Hedman TP, Kostuik JP, Fernie GR, Hellier WG Spine 16(6 suppl) 256-60, 1991
june Development of a prosthetic intervertebral disc Lee CK e.a. Spine 16(6 suppl) 253-5, 1991 june

Ahrens, Buttner-Janz, Cinotti, David, Hommel, Lemaire, Postacini, Ross, Shelekov, Tendon, Zeegers

artificial disk This article submitted by on 9/20/99.

Email Address:
Lemaire JP; Skalli W; Lavaste F; Templier A; Mendes F; Diop A; Sauty V; Laloux E. Intervertebral disc prosthesis. Results and prospects for the year 2000. Clinical Orthopaedics and Related Research, 1997 Apr(337):64-76.

Pub type: JOURNAL ARTICLE; REVIEW; REVIEW, TUTORIAL.

Abstract: Presently, the kinematic disc prosthesis model (SB Charite) is the best disc replacement compromise, and is the basis of the evolution of the prosthetic concept at the dawning of the year 2000. Clinical results of a homogeneous series of 105 cases with a mean followup of 51 months show 79% of the patients had an excellent result and 87% returned to work, radiologically, these results correlated with restoration of a well balanced lordosis and with segmental mobility. Factors leading to failure are posterior facet arthritis, osteoporosis, structural deformities, and secondary facet pain. Two- and 3-dimensional numeric modeling enables one to study the total facet joint loading and the maximal local loading on the facet. Dissociation of the stiffness in pure rotation and stiffness in translation of the disc are the bases of the technologic improvement