ArticleTreatment of Juxtafusional Degeneration with Artificial Disc Replacement (ADR) Preliminary Results of an Ongoing Prospective StudyKim, Won Joong; Lee, Sang-Ho; Kim, Sang Soo*; Lee, Chuntek*Author Information Wooridul Spine Hospital, Seoul, and *Leechuntek Orthopedic Hospital, Suwon, Korea Received January 15, 2003; accepted April 10, 2003. Address correspondence and reprint requests to Dr. Won Joong Kim, Wooridul Spine Hospital, 14th fl., 47-4 Chungdam-Dong, Kangnam-Gu, Seoul, Korea 135-100. E-mail: [email protected] Journal of Spinal Disorders & Techniques: August 2003 - Volume 16 - Issue 4 - p 390-397 Buy Abstract Eleven patients with juxtafusional degeneration syndrome underwent artificial disc replacement (ADR). Of these, five patients followed up for >6 months were analyzed for the current report. Surgery for juxtafusional degeneration was performed mean 4.9 years from their initial operation. The presenting features were neurologic compromise in four and severe back pain in one, with a mean Oswestry Disability Index (ODI) score of 64%. The replaced levels were L1–L2 in one, L3–L4 in three, L4–L5 in one, and L5–S1 in one. L1–L2 replacement was performed through a left flank approach. At 6 months, all patients had complete resolution of neurologic symptoms, and ODI decreased to 24%. ADR shows promising early results in juxtafusional degeneration in well-selected patients. © 2003 Lippincott Williams & Wilkins, Inc.