Lumbar Facet Joint Replacement
Lumbar Facet Joint Replacement
Lumbar Facet Joint Replacement
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<strong>Facet</strong> <strong>Facet</strong> <strong>Joint</strong> <strong>Joint</strong> <strong>Replacement</strong> – – Conclusion and and Questions<br />
1. From clinical point of view the „pain generator“ facet joint is as important as<br />
the intervertebral disc. From anatomical and biomechanical point of view the<br />
lumbar facet joints are to replace. Therefore, carefully diagnostics is needed<br />
before surgery.<br />
2. Surgery: Only a few devices are on market. While the main indication for<br />
total facet joint replacement is a symptomatic spinal canal stenosis, the single<br />
facet joint disease could be the main indication for facet recurfacing. At time of<br />
device implantation thinking on potential revision surgery.<br />
3. Spherical ball and socket type of total discs includes the danger for facet<br />
joint degeneration and disease. Question: Is there an indication for facet<br />
recurfacing preoperatively or postoperatively?<br />
4. Future: At least mid term clinical studies are needed of facet recurfacing and<br />
total facet joint replacement.
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