Why are surgeons reluctant to perform total disc replacements?

RE: TDR, IT’S OBJECTIVE REALITY VS. SUBJECTIVE OPINION (Orthopedics This Week)
A curious researcher from Croatia has dug into 80 studies to uncover some of the reasons spine and neuro surgeons are occasionally reluctant to perform a total disc replacement (TDR). The study, “Failure of lumbar disc surgery: management by fusion or arthroplasty?” appears in the November 13, 2018 edition of International Orthopaedics. 
Dr. Vladimir Kovač, with the Arithera Hospital for Special Diseases in Zagreb and author of the study, explained his research to OTW, “I am a spine surge...


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