Your contact partners
in this area:
Prof. <br /> Dr. med. habil.<br /> Georg Matziolis
Dr. med. habil.
Georg Matziolis

Senior Consultant of the Clinic for Orthopaedics and Accident Surgery

Acting holder of the Chair for Orthopaedics of the FSU Jena at the Waldkrankenhaus Eisenberg

036691 8-1002

Specialist Registrar Dr. med. Patrick Strube
Specialist Registrar Dr. med. Patrick Strube

Head of department spinal column

Specialist for othopaedics and accident surgery

Specialist Registrar's Office
Gabi Geier

036691 8-1439

Lumbar disc prosthesis

The implantation of a disc prosthesis is very rare. Disc prostheses are used in our department if the back pain is clearly being caused by changes in the disc compartment (discogenic back pain) and all conservative measures have been exhausted.

The aim of the operation is to restore the height of the space between the discs and to therefore expand the opening of the nerve exits, the normal mobility of the segment and most importantly to achieve a significant reduction in pain.

Previous surgery on the lumbar spine, instability or pain arising from the inter-vertebral joints preclude the implantation of a disc prosthesis.

If the patient's symptoms are also partly caused by other changes, we prefer to carry out fusion surgery (PLIF)

The disc prosthesis is made up of three parts:

  • A baseplate made from titanium for the upper vertebra
  • A cover plate made from titanium for the lower vertebra
  • A disc prosthesis made from polyethylene.

This disc replacement take the form of two hemispheres placed on top of each other and is inserted into the space between the base and top plate mentioned above. Movements such as forward, backward and side bending can be performed in the mobile segment that has been operated on.

Surgical access is achieved from the abdominal direction. The abdominal cavity is not actually opened, however. The disc affected is visualised while protecting the major blood vessels, ureters and nerves. The disc space is evacuated and the inter-vertebral space is filled with a disc prosthesis.

The special surface properties of the prosthesis allow them to integrate into the neighbouring vertebrae.    

In normal cases, you can stand up again 1 day after the operation. Under guidance from physiotherapists, strengthening exercises of the back and abdominal muscles are carried out on a regular basis. No additional corset or brace is required. The in-patient stay to be expected for this procedure is around seven days.


Deutsches Zentrum für Orthopädie: Wirbelsäulenerkrankungen

In unserer Wirbelsäulensprechstunde beraten und betreuen wir Menschen mit Muskelverspannungen durch Fehlbelastung, Skeletterkrankungen (z.B. Osteoporose) und Abnutzungserscheinungen der Wirbelsäule oder Bandscheiben.
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