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Long-Term Outcomes of Lumbar Total Disc Arthroplasty and Hybrid Constructs: A Systematic Review
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DOI：10.1016/j.spinee.2026.06.010.png)
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Abstract
En 中文
Lumbar total disc arthroplasty (TDA) was developed as a motion-preserving alternative to fusion for axial low back pain from disc degeneration (DD) with the theoretical goal of reducing the risk of adjacent segment disease (ASD). While short-term outcomes are well described, the durability of clinical benefit and the long-term impact on reoperation and ASD remain incompletely characterized, particularly for multilevel and hybrid constructs. No systematic review has specifically synthesized long-term outcomes across all configurations of lumbar motion-preserving surgery.
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