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 surgeon, and besides other pathologies I perform disc arthroplasties. I am satisfied with my results. However, there are a lot of controversies in this procedure, and numerous colleagues are against this procedure. My personal interest was to find out what is objective in these pro- and con- arguments.”
Dr. Kovačfound that issueswith anterior surgery, reimbursement policy, and potential problems with salvage surgery are major reasons for the decline in TDRs.
Dr. Kovačcommented to OTW, “For me the most important information was that we avoid objectively better surgery, because of subjective reason...
