An instructional guide to 55 knee procedures this book is a concise instructional guide to surgical treatment of common knee injuries. By 48 months, 3 of prodiscc tdr patients and 12 of acdf patients had. Durability of cervical disc arthroplasties and its influence factors ncbi. Prodiscc vivo surgical technique depuy synthes 1 surgical technique 1 prerequisites and patient positioning insertion of a prodiscc vivo is dependent on the use of anteriorposterior ap and lateral fl uoroscopy throughout the procedure. In summary, this case demonstrates anterior artificial disc extrusion following trauma and the surgical approach to management. Zigler md is an orthopaedic spine surgeon at the texas back institute and is. Safety and efficacy study comparing prodiscc to acdf. It is a surgical procedure in which degenerated intervertebral discs in the. By your description, the polymer intermediate bearing surface subluxed or dislocated into the spinal canal and compressed the cord causing myelopathy. It gives you the essential details of preoperative planning. In the synthes prodiscc removal technique guide manual, the recommendations are removal of the implant by disassembly of the components. Prodisc lumbar artificial disc replacement adr surgery. The prodiscl is a ball and socket design with a semiconstrained biomechanical concept implanted to replace the intervertebral disc.
In 2002, the prodiscc implant was developed based on the same design. One major complication of this procedure is adjacent segment degeneration. Results of the prospective, randomized, controlled multicenter food and drug administration investigational device exemption study of the prodisc c total disc replacement versus anterior discectomy and fusion for the treatment of 1level symptomatic cervical disc disease. Keeping the drill at full power, sweep the milling bit to wards the trial implant until it reaches the inner limit of the milling guide, then away from the trial implant to the full outer limit. Better understanding of biomechanics, improvements in technology, and new knowledge of the disease process in the spine have led to rapid advances in spinal instrumentation. Prodisc c vivo surgical technique depuy synthes 1 surgical technique 1 prerequisites and patient positioning insertion of a prodisc c vivo is dependent on the use of anteriorposterior ap and lateral fl uoroscopy throughout the procedure. Cervical artificial disc extrusion after a paragliding. In early 1990, the first patient was implanted with the prodisc total disc replacement in the lumbar spine. Prodisctmc total disc replacement package insert 12122007 package insert page 1 of 18 39. This is the first detailed report of anterior extrusion of a prodisc c artificial disc. The plastic inlay snaplocks into the lower endplate and provides the ball that rides in the socket of the upper endplate that is intended to. Safety and efficacy study comparing prodiscc to acdf surgery to treat scdd the safety and scientific validity of this study is the responsibility of the study sponsor and investigators.
Operative technique a standard anterior approach to the cervical spine is performed. The rates of secondary surgical procedures were significantly lower in mobic, prestige, prodiscc, securec group than in acdf group. Sfw893r the wing nuts allow the distractors to be used with both hands. Can anyone provide me with a list of surgeons trained with the prodiscc in the united states. I was reading on a class action lawsuit, was just curious to see if anyone else had been given the pro disc c and what the result was. Results at 24 months from the prospective, randomized, multicenter investigational device exemption trial of prodiscc versus anterior cervical discectomy and. Prodiscc cervical disc replacement jeffrey goldstein. It not only highlights the newest devices, but also the clinical guidelines needed to choose and apply the best implant for any surgical situation. Apr 10, 2010 the good news is that this disc that is put into place through prodisc c. State of michigan, 1987 surgical techniques in primary and revision hip surgery. Any operating table that allows supine positioning and fluoroscopy of the neck can be used. Surgical outcomes and blogs discuss c56 prodisc c surgery blog in the main forums forums. Provide the surgical technique to be used and the number of levels involved and.
Artificial cervical disc replacement prodisc c birmingham, al spine and neurosurgery neurosurgical associates, p. Meticulous attention must be paid to the surgical technique to maximize the chances of a good result. I found basic surgical techniques so helpful that ive recommended it highly and gifted it to other med students. Apr 18, 2018 all of this is reflected in this excellent, unique textbook wherein are explained in detail the surgical procedures, and also shown with rich graphics. Reportedly, 2 weeks after surgery, the patient began to experience pain in the arm, numbness in the fingers and hand, neck pain, weight loss and mobility issues. Furthermore, techniques for removal of the prodisc c device have not been described previously.
Ninety specialists in cervical spine surgery from all around the united states and four other countries austria, canada, japan, and taiwan authored the 41 chapters of this large book. Jan 01, 2011 it not only highlights the newest devices, but also gives you the clinical guidelines you need to choose and apply the best implant for any surgical situation. Anterior cervical discectomy and fusion acdf has long been considered the gold standard for treating myelopathy and radiculopathy due to disk degeneration. Cl mitchell alumni otto aufranc alumni new england hospital alumni henry ford hospital alumni scientific exhibits. There is no consensus in the literature on the techniques for removal of the artificial discs from the cervical spine. The prodisc c artificial disc is a twopiece device that functions as a. Prodiscl surgical technique depuy synthes 19 spreader forceps, straight art. The prodisctmc total disc replacement is implanted via an open anterior approach. The prodiscc total disc replacement implant is composed of top and bottom metal cobalt chromium molybdenum endplates and a plastic inlay ultrahigh molecular weight. Artificial disc replacement adr, or total disc replacement tdr, is a type of arthroplasty. Critical to cda is meticulous operative technique including implant positioning and hemostasis. Nov 18, 2015 the prodisc c total disc replacement was compared with singlelevel anterior cervical discectomy and fusion in a new journal of bone and joint surgery article there were 209 patients included in the study. The surgical procedure has a minimal learning curve and a low complication rate, in treatment of low back pain.
Patients will be assigned a treatment, either prodisc or spinal fusion surgery, according to a blocked randomization schedule. Nov 21, 2011 results at 24 months from the prospective, randomized, multicenter investigational device exemption trial of prodisc c versus anterior cervical discectomy and fusion with 4year followup and. The surgeon will make a small incision in the front of your neck to get to your unhealthy disc. Cervical disc arthroplasty cda has been proposed as an alternative to acdf and as a means to reduce asd.
Discrepancy between cervical disc prostheses and anatomical. The prodiscl total disc replacement is a ball and socket implant consisting of two metal endplates and one plastic inlay. Rudolf bertagnoli helped to develop pro disc and its surgical technique in. Prodisc c is intended to replace a diseased andor degenerated intervertebral disc of the cervical spine in patients with symptomatic cervical disc ball and socket principle. The authors concluded that hs is a novel surgical approach to. Along with an allinclusive list of the spinal instruments available today, the book offers direct comparisons of each system to.
Spivak is an orthopedic surgeon in new york, new york and is affiliated with one hospital. B the prodiscc total disc replacement is intended to be used in skeletally mature patients people who have stopped growing for reconstruction of the disc from c3c7 following removal of the disc at one level for intractable symptomatic cervical disc disease scdd. Rudolf bertagnoli helped to develop pro disc and its surgical technique in europe and has taught more than 2,500 surgeons how to perform the procedure. No spontaneous fusions at the level of surgery or at adjacent levels were noted. In both the acdf and the prodisc c total disc replacement procedures, the unhealthy disc is removed and the height at that level of your spine is restored to relieve pressure on the nerves andor spinal cord. The authors report a case of anterior extrusion of a c4c5 prodiscc depuy. Jun 08, 2015 removal of the arthroplasty device itself can present a multitude of challenges. Find a back doctor or surgeon at texas back institute. Ide study on spinal arthroplasty with the prodiscc device versus anterior cer vical discectomy and fusion. The authors report a case of anterior extrusion of a c4c5 prodiscc. Prodiscc versus anterior cervical discectomy and fusion.
The prodisc l total disc replacement is designed to replace your unhealthy disc. Prodiscc cervical artificial disc replacement acdf. Can anyone provide me with a list of surgeons trained with the prodisc c in the united states. In general, patients were selected for degenerative disc disease at one level between c3 to c7 causing inttactable neck and or arm pain. The recent fda approval of prodisc l total disc replacement provides us spine surgeons a clinically proven alternative to fusion surgery. All of this is reflected in this excellent, unique textbook wherein are explained in detail the surgical procedures, and also shown with rich graphics. This special version of the prodiscl is for cases, where the patient has vascular issues, which would prevent or make risky a direct ventral approach.
Listing a study does not mean it has been evaluated by the u. Cervical artificial disc extrusion after a paragliding accident ncbi. Artificial disc replacement what you should know about this. Department of orthopedic surgery, david geffen school of medicine. The surgical technique used to implant a cervical artificial disc is similar. The prodiscc is a twopiece semiconstrained artificial cervical disc. Total disc replacement tdr is an alternative surgical technique option to. Patients receiving the prodisctmc total disc replacement should have failed at least six weeks of nonoperative treatment prior to implantation of the prodisctmc total disc. The patientsassignment randomization will be performed using a 2 to 1 ratio of prodisc recipients to control spinal fusion recipients. Along with an allinclusive list of the spinal instruments available today, the book offers direct comparisons of each system to help make an informed and confident selection. Are controversial issues in cervical total disc replacement. There will be separate study arms for one and two level patients. Prodiscc made by synthes west chester, pennsylvania has a ball and socket. Working with leading spine surgeons from around the world, the prodisc l instrumentation and surgical technique has been refined to facilitate safe and reproducible implantation through a midline, miniopen anterior approach to the lumbar spine.
Total disc replacement surgery synthes prodiscc surgical procedure replaces a damaged or diseased disc in the cervical spine with an artificial disc to restore the natural alignment of the spine. Working with leading spine surgeons from around the world, the prodisc c instrumentation and surgical technique has been refined to facilitate safe and reproducible implantation through a standard transverse approach to the anterior cervical spine. Zigler md is an orthopaedic spine surgeon at the texas back institute and is codirector of the center for disc replacement. The surgeon will insert the prodiscc total disc replacement implant into the disc space. Total disc replacement surgery synthes prodisc c surgical procedure replaces a damaged or diseased disc in the cervical spine with an artificial disc to restore the natural alignment of the spine.
Preoperative workup, surgical technique and interest of navigation. Tourniersurgical technique of lumbar disc arthroplasty. This surgical procedure replaces a damaged or diseased disc in the cervical spine with an artificial disc that restores the natural alignment of the spine. It seems like this is a fairly new technique, but are there any updates i should know about. The good news is that this disc that is put into place through prodiscc.
Patient positioning should allow for circumferential use of the c arm at the operative level. Early results after prodiscc cervical disc replacement in. Cervical total disc replacement tdr is intended to address discogenic pain, restore disc height, and preserve functional motion between two vertebral bodies in patients with symptomatic cervical disc disease. The correct indication and appropriate surgical technique are most often recommended, and are considered also by the authors to be most important. In the synthes prodisc c removal technique guide manual, the recommendations are removal of the implant by disassembly of the components. Here are 33 spine surgeons who perform artificial disc replacement procedures. Patients, who have had prior abdominal surgery with consequential scar tissue, may benefit from this surgical technique and device, because scar tissue can compromise exiting structures. Thus, tdr may prevent subsequent adjacent disc degeneration.
My skill came not from any intrinsic abilities of my own but rather from knowing how things were supposed to be done and what to pay attention to, which this book taught me. During the total disc replacement surgery, you will be under general anesthesia. Safety and efficacy study comparing prodisc c to acdf surgery to treat scdd the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Careful patient selection and meticulous surgical techniques are important to avoid.
With the exception of one patient operated on two segments, the patients were treated by prodisc c ctdr at one level. Modular intervertebral disc prosthesis designed for restoring disc height and segmental motion in the cervical spine. Cervical artificial disc extrusion after a paragliding accident. Mobic is the first and only cervical disc replacement device to receive fda approval to treat both onelevel and twolevel cervical disc disease. Surgical outcomes and blogs discuss c56 prodiscc surgery blog in the main forums forums. Unlike fusion surgery, which causes the vertebrae above and below the problem disc to grow together into a single bone, the artificial disc preserves spine motion at that level. Patient positioning should allow for circumferential use of the carm at the operative level. Prodiscc versus anterior cervical discectomy and fusion by. I want to learn more about artificial disc replacement surgery. Prodiscc vivo technique guide synthes 1 table of contents introduction surgical technique product information bibliography prodiscc vivo 2 kinematics 3 intended use, indications and contraindications 4 surgical technique 5 multilevel cases 14 removal procedure 15 implants 17 instruments 19 precleaning instructions 26 bibliography 28 image intensi.
Mobic is different from other cervical discs because of its bone sparing technique, which eliminates the need for bone chiseling and drilling, and optimizes it for twolevel applications. I was under the impression that the pro discc is only approved for cervical disc replacement. Revision surgeries following artificial disc replacement of cervical. Table 251 lists the eligibility criteria for the u. Dec 04, 2008 the spine institute in california has done more prodisc artificial disc replacement adr surgeries than any other institution in the us.
Prodisc c total disc replacement surgery is an alternative to anterior cervical discectomy and fusion acdf, which is the surgery that is most commonly done for your condition. Pdf early results after prodiscc cervical disc replacement. The prodiscl total disc replacement is designed to replace your unhealthy disc. Results at 24 months from the prospective, randomized, multicenter investigational device exemption trial of prodiscc versus anterior cervical discectomy and fusion with 4year followup and continued access patients, 44. It not only highlights the newest devices, but also gives you the clinical guidelines you need to choose and apply the best. Morristown, nj artificial disc replacement surgery was first developed in europe in the mid to late 1980s as an alternative to spinal fusion. The pilot study was successful, although it has yet. The surgical approach was consistent throughout the study. Bertagnoli prospine, straubing, germany introduction. Please refer to the prodisctmc total disc replacement technique guide for step by step instructions on the required surgical. After anesthesia is administered, the surgeon creates a small incision in the neck to access the cervical spine.
Total disc replacement surgery synthes prodiscc fort. Prodisc c total disc replacement surgery is an alternative to anterior cervical discectomy acdf. Artificial cervical disc replacement prodiscc birmingham. Early results after prodiscc cervical disc replacement. Prodisc c vivo technique guide synthes 1 table of contents introduction surgical technique product information bibliography prodisc c vivo 2 kinematics 3 intended use, indications and contraindications 4 surgical technique 5 multilevel cases 14 removal procedure 15 implants 17 instruments 19 precleaning instructions 26 bibliography 28 image. Artificial disc replacement of cervical spine cadr has been developed to. This webpage is under construction meanwhile, please visit the synthes group website at thank you for your patience. This special version of the prodisc l is for cases, where the patient has vascular issues, which would prevent or make risky a direct ventral approach. This book is your complete guide to all contemporary forms of spinal implant systems. The recent fda approval of prodiscl total disc replacement provides us spine surgeons a clinically proven alternative to fusion surgery.
Spine solutions a synthes company prodiscc prodiscl. In october 2001, as part of another fda trial, jack zigler, m. Modular intervertebral disc prosthesis for restoring disc height and segmental motion in the cervical spine. Prodiscc total disc replacement surgery is an alternative to anterior cervical discectomy and fusion acdf, which is the surgery that is most commonly done for your condition. Analysis of preliminary results involving prodiscc arthroplasty indicates significant. The prodisc l total disc replacement is a ball and socket implant consisting of two metal endplates and one plastic inlay. Furthermore, techniques for removal of the prodiscc device have not been described previously. This past year the mobic disc manufactured by ldr was approved in the.
In the study, only the surgical procedure recommended by the implant manufacturer synthes, usa was used and all operations were performed by a team with the same leading surgeon. Along with an allinclusive list of the spinal instruments available today, the book offers direct comparisons of each system to help you make an informed and confident selection. Safety and efficacy study comparing prodiscc to acdf surgery. Removal of the arthroplasty device itself can present a multitude of challenges. Get free shipping on spinal instrumentation surgical techniques isbn. My research postings on dozens of spine pain treatments. Artificial disc replacement what you should know about. Have been recommended for disc replacement at l5s1 and was told theyd use a synthes spine prodiscc. Jun 21, 2016 the prodisc c is a device that has two metal bearing surfaces and a sandwiched polymer plastic bearing. Tdr is still a relatively new technique that has been less studied than acdf. Early results after prodisc c cervical disc replacement. Revision set an indicated instrument set is available for any revisions to the prodiscl 68. This is the first detailed report of anterior extrusion of a prodiscc artificial disc.
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