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In a very well-performed randomized clinical trial performed in Norway, Dr. Furunes and colleagues have shown that lumbar total disc replacement does not accelerate breakdown of the adjacent level out to 8 years after total disc replacement surgery, compared to the natural history (physical therapy only). Not only does this differ greatly when compared to other studies demonstrating accelerated adjacent segment degeneration after fusion, but the study was not funded by any company, therefore it should be free from any financial bias or influence.
Dr. Zigler and colleagues published a study in the journal Spine reporting that patients have much lower rates of adjacent-segment degeneration 5 years after lumbar artificial disc replacement compared to fusion.
Dr. Cuellar and colleagues Dr. Rasouli and Delamarter published a new study reporting on the results of multi-level lumbar total disc replacement from 2 to 6 years after implantation. The study reports excellent results both clinically and radiographic range of motion maintenance.
A prospective clinical study was published in the The Spine Journal demonstrating long-term preservation of motion after artificial disc replacement at the L5-S1 level.
A study published by Dr. Matthew Scott-Young and colleagues in the journal Spine this month reported great results following the lumbar “hybrid” procedure whereby the L5-S1 level is fused in combination with an artificial disc replacement at the L4-5 level. This was a large study of 617 patients with 8 year follow up.
A study published this month in the journal Spine confirms what we have known for quite some time now - that artificial disc replacement is effective and safe when done in the outpatient surgery center. Here is the link to the abstract: https://www.ncbi.nlm.nih.gov/pubmed/?term=27755491
Dr. Cuéllar and partner Dr. Lanman published a case study titled Spine News Deformity Correction in Ankylosing Spondylitis. You can view the case study by clicking here.
Dr. Cuéllar’s partner Dr. Lanman was the lead author on the most recent and most convincing data demonstrating that two-level artificial disc replacement is better than two-level fusion for cervical disc disease. The 7-year data of the randomized controlled trial using the Medtronic Prestige LP disc was published this month in the Journal of Neurosurgery Spine. Click here for the full article. Click here for news coverage of the article.
Dr. Cuéllar and partner Dr. Lanman published an article about what they called the “text neck” epidemic as a result of modern cell phone use. Click any of the links below for the news coverage of the article:
A2M is effective for the treatment of back pain! Dr. Scuderi presented the study at the American Academy of Orthopaedic Surgeons conference in San Diego.
Recent research published by Drs. Cuéllar, Montesano and Scuderi shows that injection of the super molecule A2M (APIC) may be beneficial for the treatment of back pain from lumbar disk degeneration. Click here for full article.
Also this month Drs. Cuéllar and Montesano published a study demonstrating multiple inflammatory cytokines present within the disk space of patients with back pain compared to normal disks. Click here for full article.
Too much time at your desk in the office? Watch this video of a stretch to improve your spine health from Ted Talks: Video Link
Avoid “Text-Neck”! My partner Dr. Todd Lanman was recently featured on the news describing how the bent-forward neck position that is commonly used while texting can be dangerous to your spine: Video Link
Texting on mobile phones recently shown to be associated with neck and upper back pain. This well-done, 5-year cohort study performed in Sweden by Gustafsson et al demonstrates that poor posture during cell phone texting may have both short-term and long-term detrimental effects on your neck and back: Gustafsson et al, 2017
This most recent study supports a study a few years ago that demonstrated increased stresses on the neck while maintaining a flexed posture while looking down at your cell phone, nicely summarized in the following article on SpineUniverse.com: “Is your cell phone killing your back”?
Research published by Drs. Cuéllar et al provides strong evidence that discography may be cause more harm than good. Click here for the news coverage of the research by the North American Spine Society (NASS). Click here for the research clinical and radiographic study article abstracts.
450 N. Roxbury Drive
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Phone: (310) 803-9407
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The Mark Goodson Building
Cedars-Sinai Medical Center
444 S. San Vicente Blvd, Suite 800
Los Angeles, CA 90048
Phone: (310) 423-9987
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Disclaimer: Dr. Cuellar is here to help with your medical condition. However, any medical advice dispensed on this website is not an official medical opinion because the doctor has not performed an in-person history and examination. If you need specific medical advice, please make an office appointment.
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