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Radiographic Analysis of the Lumbosacral Juncture: Is There a Critical Sacral Angle for Total Disc Replacement?

Asian Spine J · 2017 · PMC5401839 · PMID 28443169

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[ 15 ] followed 99 patients for an average of 25.8 months and found that results deteriorated when monosegmental ADR was performed at the lumbosacral junction, with a tendency toward statistical significance at the 24-month follow-up.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.