Lumbar Total Disc Replacement as a Standard of Care for an Active Subpopulation of Patients with Lumbar Degenerative Disc Disease: Deliberations and Consensus among Spine Surgeons from the 1st Annual Lumbar TDR Summit

BACKGROUND CONTEXT: Lumbar TDR for DDD is increasingly recommended by leading health technology assessment groups and professional societies as the evidence base expands. NASS recommends coverage for lumbar TDR on the basis of two and five-year data demonstrating that TDR is at least as safe and efficacious as spinal fusion for discogenic back pain. Despite such recommendations, some US payers do not yet cover this technology, citing that lumbar TDR is experimental and investigational, with long-term data needed.

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