Hannah Spece, Armen Khachatryan, Frank M Phillips, Todd H Lanman, Gunnar B J Andersson, Grant E Garrigues, Hyun Bae, Joshua J Jacobs, Steven M Kurtz
BACKGROUND: Total disc replacement (TDR) is widely used in the treatment of cervical and lumbar spine pathologies. Although TDR infection, particularly delayed infection, is uncommon, the results can be devastating, and consensus on clinical management remains elusive. In this review of the literature, we asked: (1) What are the reported rates of TDR infection; (2) What are the clinical characteristics of TDR infection; and (3) How has infection been managed for TDR patients? METHODS: We performed a search of the literature using PubMed and Embase to identify studies that reported TDR infection rates, the identification and management of TDR infection, or TDR failures with positive cultures...
June 2024: N Am Spine Soc J