Posts Tagged ‘institute’
Treatment for Neck Pain – Cervical Artificial Disc Replacement at The Spine Institute Santa Monica
The Spine Institute in California has done more PRODISC® artificial disc replacement (ADR) surgeries than any other institution in the US.
What is it? The FDA Approved ProDisc™-C Total Disc Replacement is a device made from metal and plastic that is placed between two adjacent vertebral bodies (neck bones) to replace a diseased cervical disc. The ProDisc™-C Total Disc Replacement consists of three parts:
1. Two metal (cobalt-chrome alloy) endplates that are anchored to the top and bottom surfaces of the adjacent vertebral bodies
2. A plastic (ultra-high molecular weight polyethylene or UHMWPE) inlay that fits between the two endplates
How does it work? The plastic inlay and endplates are intended to restore the natural distance between the two vertebrae (disc height). The top (superior) endplate can slide over the domed part of the plastic inlay, which can allow movement at the level where it is implanted.
When is it used? The ProDisc™-C Total Disc Replacement is intended to be used in skeletally mature patients (people who have stopped growing) for reconstruction of the disc from C3-C7 following removal of the disc at one level for intractable symptomatic cervical disc disease (SCDD), a condition that results from a diseased or bulging disc.
What will it accomplish? The device is intended to stabilize the operated spinal level. Unlike a fusion procedure, the ProDisc™-C Total Disc Replacement is designed to allow motion at the operated spinal level. The effects of the diseased disc removal should include pain relief and improved function.
When should it not be used?The ProDisc™-C Total Disc Replacement should not be implanted in patients with an active infection, allergy to any of the device materials, osteoporosis, marked cervical instability, severe spondylosis, clinically compromised vertebral bodies at the level to be treated, and SCDD at more than one level.
Visit www.LASpineInstitute.com or call 888-774-6376
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New Cervical Disc Replacement
n Aug. 28, St. Vincents Spine & Brain Institutes Medical Director for Neurosurgery, Eric Gabriel, M.D., FACS, performed the first ProDisc Cervical Total Disc Replacement at St. Vincents Medical Center.
The patient was a 44-year-old faux painter who complained of arm pain so bad that he would have to lie down when it flared up. He also had difficulty turning to check his blind spots while driving.
The surgery only required a small incision in front of the neck to get to the unhealthy disc. During the 60-minute procedure, Dr. Gabriel and an operating room staff of about six associates, removed the patients degenerative disc at the C5 level of the spine and implanted the new artificial disc that allows for continued range of motion. Until now, the only alternative surgery was a spinal fusion, which involved fusing bones together by implanting bone grafts and metal plates and screws.
Spinal fusions have been done for 60 years and are pretty tried and true. But the procedure has long-term consequences, because the spine is not used to being fused together, and it can create some increased stress on levels above and below the fusion, Dr. Gabriel said. Patients who undergo the ProDisc-C replacement will hopefully be more active after surgery, because we are now able preserve the range of motion. If we fused the spine, it would tend to limit their activity.
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