Position Statement on Cervical and Lumbar Disc Replacements (2019) Authors: Gregory D. Schroeder MD, Alexander R. Vaccaro MD, PhD, MBA, Srikanth N. Divi, MD, Ariana A. Reyes, BS, Dhruv K.C. Goyal, BA, Frank M Phillips MD, Jack Zigler MD Introduction: Cervical and lumbar degenerative disc disease are well known causes of neck and back pain in spine patients. The estimated 1-year incidence rate of neck pain and any episode of lower back pain is 10.4% to 21.3%1,2 and 1.5% to 36%3, respectively. Previous reports demonstrate significant socioeconomic effects of these common complaints.4,5 Currently, initial conservative treatment and ultimately fusion procedures are potential extremes of options for treatment of recalcitrant cervical and lumbar degenerative disc disease. Despite past reports of improved
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