The Orthobullets Podcast Podiums⎪Spine⎪Lumbar Total Disc Arthroplasty
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Jun 19, 2025 Christopher Koebbe, an expert speaker at the upcoming Castellvi Spine Symposium, shares his extensive knowledge on Lumbar Total Disc Arthroplasty. He dives into patient selection criteria, discussing the essential conditions that make individuals suitable for this procedure. Koebbe compares the Active L and ProDisc L devices, analyzing their clinical outcomes, pain relief, and functional improvements. He also touches on the risks of different surgical approaches, emphasizing the importance of thorough evaluations to reduce complications in spinal surgery.
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Military Experience with Disc Arthroplasty
- Dr. Christopher Koebbe gained extensive lumbar disc arthroplasty experience treating active military patients from 2007-2015.
- His practice later shifted to older patients with multi-level pathology in Florida, reducing such surgeries.
Patient Selection Criteria
- Only consider lumbar total disc arthroplasty for patients with symptomatic degenerative disc disease after failing six months of conservative care.
- Suitable candidates should have minimal spondylolisthesis (grade 1 or less) and single or two-level disease.
Similar Long-Term Outcomes
- Clinical outcomes for lumbar disc arthroplasty and fusion are similar at five years post-op.
- Early advantages of disc replacement on function and pain diminish over time, balancing results with fusion.