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In a 48-year-old immunocompetent man with recurrent fever since 21 months, endocarditis of the native aortic valve due to Staphylococcus warneri was diagnosed. Twenty-six months before, a prosthetic lumbar disc had been implanted in L 4/5. The lack of typical other infectious sources favours the hypothesis of a disc-prosthesis-induced bacteraemia.
Total disc replacement (TDR) has been recommended to reduce pain of presumed discogenic origin while preserving spinal motion. The floating core of Charité TDR is professed to allow the replication of the kinematics of a healthy disc under physiologic loads. While segmental motion after Charité TDR has been measured, little is known about the effects of a physiologic compressive preload on vertebral...
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