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Does Vertebral Endplate Morphology Influence Outcomes in Lumbar Total Disc Arthroplasty? Part II: Clinical and Radiographic Results as Evaluated Utilizing the Vertebral Endplate Yue-Bertagnoli (VEYBR) Classification

STUDY DESIGN: This study was a prospective study with a minimum patient follow-up of 2 years. Objective The purpose of this study was to evaluate the clinical usefulness of a vertebral endplate classification system (VEYBR) in predicting outcomes following lumbar arthroplasty. BACKGROUND: In the pre...

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Autores principales: Oetgen, Matthew E., Yue, James J., la Torre, Jorge J. Jaramillo-de, Bertagnoli, Rudolf
Formato: Online Artículo Texto
Lenguaje:English
Publicado: RRY Publications, LLC 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4365828/
https://www.ncbi.nlm.nih.gov/pubmed/25802609
http://dx.doi.org/10.1016/SASJ-2007-0119-RR
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author Oetgen, Matthew E.
Yue, James J.
la Torre, Jorge J. Jaramillo-de
Bertagnoli, Rudolf
author_facet Oetgen, Matthew E.
Yue, James J.
la Torre, Jorge J. Jaramillo-de
Bertagnoli, Rudolf
author_sort Oetgen, Matthew E.
collection PubMed
description STUDY DESIGN: This study was a prospective study with a minimum patient follow-up of 2 years. Objective The purpose of this study was to evaluate the clinical usefulness of a vertebral endplate classification system (VEYBR) in predicting outcomes following lumbar arthroplasty. BACKGROUND: In the present study, our previously described endplate classification system was evaluated to determine its clinical usefulness in patients undergoing lumbar arthroplasty. METHODS: The patient cohort in this study consisted of 80 patients who had been enrolled in the US FDA ProDisc clinical trial. Radiographs were classified using the VEYBR classification. The preoperative categories (Types I to V) were then correlated with the patients’ visual analogue scores (VAS) and Oswestry Disability Index (ODI) scores and radiographic outcomes at an average follow-up point of 28 months. RESULTS: The rank order of total change in VAS based on preoperative VEYBR classification was Type IV, III, I II, and V, with Type IV having the greatest improvement in VAS and Type V having the least improvement. The rank order of total change in ODI was Type IV, II, III, I, and V. We found no differences in clinical outcomes among the 5 vertebral endplate types. Type II endplates had least optimal sagittal positioning. CONCLUSIONS: Although not statistically significant, there was a strong trend for Type V endplates to have the least improvements in VAS and Oswestry clinical outcome scores. Knowledge and use of the endplate classification system did lead to consistent implant placement across endplate classes which may indicate the usefulness of this classification system in preoperative planning, especially for physicians in the “learning curve” phase of this procedure. LEVEL OF EVIDENCE: Case series (Level IV).
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spelling pubmed-43658282015-03-23 Does Vertebral Endplate Morphology Influence Outcomes in Lumbar Total Disc Arthroplasty? Part II: Clinical and Radiographic Results as Evaluated Utilizing the Vertebral Endplate Yue-Bertagnoli (VEYBR) Classification Oetgen, Matthew E. Yue, James J. la Torre, Jorge J. Jaramillo-de Bertagnoli, Rudolf SAS J Lumbar Arthroplasty STUDY DESIGN: This study was a prospective study with a minimum patient follow-up of 2 years. Objective The purpose of this study was to evaluate the clinical usefulness of a vertebral endplate classification system (VEYBR) in predicting outcomes following lumbar arthroplasty. BACKGROUND: In the present study, our previously described endplate classification system was evaluated to determine its clinical usefulness in patients undergoing lumbar arthroplasty. METHODS: The patient cohort in this study consisted of 80 patients who had been enrolled in the US FDA ProDisc clinical trial. Radiographs were classified using the VEYBR classification. The preoperative categories (Types I to V) were then correlated with the patients’ visual analogue scores (VAS) and Oswestry Disability Index (ODI) scores and radiographic outcomes at an average follow-up point of 28 months. RESULTS: The rank order of total change in VAS based on preoperative VEYBR classification was Type IV, III, I II, and V, with Type IV having the greatest improvement in VAS and Type V having the least improvement. The rank order of total change in ODI was Type IV, II, III, I, and V. We found no differences in clinical outcomes among the 5 vertebral endplate types. Type II endplates had least optimal sagittal positioning. CONCLUSIONS: Although not statistically significant, there was a strong trend for Type V endplates to have the least improvements in VAS and Oswestry clinical outcome scores. Knowledge and use of the endplate classification system did lead to consistent implant placement across endplate classes which may indicate the usefulness of this classification system in preoperative planning, especially for physicians in the “learning curve” phase of this procedure. LEVEL OF EVIDENCE: Case series (Level IV). RRY Publications, LLC 2008-06-01 /pmc/articles/PMC4365828/ /pubmed/25802609 http://dx.doi.org/10.1016/SASJ-2007-0119-RR Text en Copyright SAS - Spine Arthroplasty Society 2008 http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Lumbar Arthroplasty
Oetgen, Matthew E.
Yue, James J.
la Torre, Jorge J. Jaramillo-de
Bertagnoli, Rudolf
Does Vertebral Endplate Morphology Influence Outcomes in Lumbar Total Disc Arthroplasty? Part II: Clinical and Radiographic Results as Evaluated Utilizing the Vertebral Endplate Yue-Bertagnoli (VEYBR) Classification
title Does Vertebral Endplate Morphology Influence Outcomes in Lumbar Total Disc Arthroplasty? Part II: Clinical and Radiographic Results as Evaluated Utilizing the Vertebral Endplate Yue-Bertagnoli (VEYBR) Classification
title_full Does Vertebral Endplate Morphology Influence Outcomes in Lumbar Total Disc Arthroplasty? Part II: Clinical and Radiographic Results as Evaluated Utilizing the Vertebral Endplate Yue-Bertagnoli (VEYBR) Classification
title_fullStr Does Vertebral Endplate Morphology Influence Outcomes in Lumbar Total Disc Arthroplasty? Part II: Clinical and Radiographic Results as Evaluated Utilizing the Vertebral Endplate Yue-Bertagnoli (VEYBR) Classification
title_full_unstemmed Does Vertebral Endplate Morphology Influence Outcomes in Lumbar Total Disc Arthroplasty? Part II: Clinical and Radiographic Results as Evaluated Utilizing the Vertebral Endplate Yue-Bertagnoli (VEYBR) Classification
title_short Does Vertebral Endplate Morphology Influence Outcomes in Lumbar Total Disc Arthroplasty? Part II: Clinical and Radiographic Results as Evaluated Utilizing the Vertebral Endplate Yue-Bertagnoli (VEYBR) Classification
title_sort does vertebral endplate morphology influence outcomes in lumbar total disc arthroplasty? part ii: clinical and radiographic results as evaluated utilizing the vertebral endplate yue-bertagnoli (veybr) classification
topic Lumbar Arthroplasty
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4365828/
https://www.ncbi.nlm.nih.gov/pubmed/25802609
http://dx.doi.org/10.1016/SASJ-2007-0119-RR
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