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. Richard guyer and jack zigler, the editors of this book, in the preface. Microsurgical anterior approaches to the lumbar spine for. Lumbar artificial disc lumbar artificial disc replacement. 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. One of the most promising surgical advancements that has been developed and fdaapproved since 2005 is lumbar artificial disc replacement. 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. In early 1990, the first patient was implanted with the prodisc total disc replacement in the lumbar spine. 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.
Since 2006, our depuy synthes companies international organization has supported open arms malawi, providing housing, food and funds to the children of malawi impacted and orphaned by hivaids. The development and use of motionretaining spinal implants represent one of the greatest innovations in spine care surgical treatment, write drs. Depuy synthes agrees to sell prodisc back to vbs orthopedics. Physical capability outcomes after total disc replacement. Mar 19, 2010 prodisc lumbar total disc replacement saw bones technique video. Around 88 percent of the prodisc c patients maintained or improved neurologic status. One major complication of this procedure is adjacent segment degeneration.
Prodisc lumbar total disc replacement saw bones technique video. Disc replacement technique guide for step by step instructions on the required surgical technique, including determining the correct implant size. Prodisc c is intended to replace a diseased andor degenerated intervertebral disc of the cervical spine in patients with symptomatic cervical ball and socket principle. Three step implantation technique enables accurate sizing and precise placement of the. To compare clinical results 12 months after surgery using the neck disability index ndi. Handbook of surgical technique e book and millions of other books are available for amazon kindle. Get free shipping on spinal instrumentation surgical techniques isbn. Minimally invasive and advanced techniques, elsevier health sciences. To view all 5000 books, please click the button bewlow. During the total disc replacement surgery, you will be under general anesthesia. Physical capability outcomes after total disc replacement with prodisc l article pdf available in international journal of spine surgery 61. The prodisc l total disc replacement is a ball and socket implant consisting of two metal endplates and one plastic inlay.
The prodisc l total disc replacement surgery is intended to. The early results of this study provide evidence that prodiscc nova is a safe and efficacious tdr surgical treatment for patients with disabling disc disease in both single and multi cervical vertebral levels. Surgical technique the patient is positioned in the supine position with the legs apart socalled da vinci position, which allows the surgeon to stand between the patients legs and to work directly anterior to the disc space. Aman coonar this heavily revised second edition of this book provides a comprehensive overview of both common and rarely performed thoracic surgical techniques. The reaction among surgeons who were part of the original prodisc. This book is your complete guide to all contemporary forms of spinal implant systems. With the exception of one patient operated on two segments, the patients were treated by prodisc c ctdr at one level. Design and surgical technique of the flexicore lumbar artificial disc ch. It is established in spinal surgery, with or without posterior instrumentation, for the treatment of various abnormalities ranging from spinal deformity to discogenic low back pain 1, 3, 7, 11, 12, 1419, 23, 25, 28. Lumbar disc replacement surgerysuccesses and obstacles to. I want to learn more about artificial disc replacement surgery. The prodiscc total disc replacement implant is composed of top and bottom metal cobalt chromium molybdenum endplates and a plastic. An instructional guide to 55 knee procedures this book is a concise instructional guide to surgical treatment of common knee injuries. Disc prosthesis for lumbar degenerative disease and axial instabilityprodisc article in seminars in spine surgery 174.
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. In october 2001, as part of another fda trial, jack zigler, m. This surgical procedure posterior cervical foraminotomy originated in the 1940s, and 1950s when the pioneers stookey, frykholm, murphey, and simmons had standardized the technique and were publishing excellent results with over 90 percent positive outcomes, and a very low 1. The prodisctmc total disc replacement is implanted via an open anterior approach.
Prodisc c is intended to replace a diseased andor degenerated interverte. 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. Revision set an indicated instrument set is available for any revisions to the prodiscl 68. Discover whats missing in your discography and shop for prodisc releases. 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. Surgery books download thousands of surgery books pdf. Optimal implant size, height and lordosis selection and proper placement. 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 replacement. 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. The record is updated if the fda identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. The information is detailed and techniqueimplant oriented rather than diseasecondition oriented, making it universal. 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. 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 allow motion. This is the first detailed report of anterior extrusion of a prodisc c artificial disc.
A prospective, randomized, multicenter fda investigation device exemptions study of lumbar total disc replacement with the charite artificial disc versus lumbar fusion. 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. Depuy synthes companies personnel will often travel with the mission volunteers to support their work as well. Physical capability outcomes after total disc replacement with prodisc l. It is believed that maintaining motion may allow your spine to remain healthier longer, but this has not been proven. Users are advised to read and understand the surgical tec hnique manual and instructions for use prior to surgery.
Complete discectomy and meticulous endplate preparation. Highly readable, accurate, and comprehensive, it clearly covers the nuts and bolts of surgical techniques in a stepbystep format that makes it easy to effectively apply basic principles to clinical practice. Dec 20, 2008 the prodisc l is a ball and socket design with a semiconstrained biomechanical concept implanted to replace the intervertebral disc. After anesthesia is administered, the surgeon creates a small incision in the neck to access the cervical spine. Longer follow up is required to confirm these findings.
Prodiscc versus fusion with cervios chronos prosthesis in cervical. Cervical disc arthroplasty cda has been proposed as an alternative to acdf and as a means to reduce asd. Prodiscc made by synthes west chester, pennsylvania has a ball and socket. Motion preservation disc replacement for lumbar degenerative disorders with the ch. Prodisc c cervical disc replacement prodisc c total disc replacement surgery is an alternative to anterior cervical discectomy acdf. Prodiscl surgical technique depuy synthes 19 spreader forceps, straight art. Modular intervertebral disc prosthesis for restoring disc height and segmental motion in the cervical spine. Check the lateral position using the image intensifier. Pdf analysis of in vivo kinematics of 3 different cervical devices. Dec 04, 2008 the spine institute in california has done more prodisc artificial disc replacement adr surgeries than any other institution in the us. Furthermore, techniques for removal of the prodisc c device have not been described previously.
Pdf early results after prodiscc cervical disc replacement. Cervical artificial disc extrusion after a paragliding. The surgical procedure has a minimal learning curve and a low complication rate, in treatment of low back pain. The anterior surgical approach to the lumbar spine was described first by capener in 1932 for lumbar interbody fusion. The prodisc l total disc replacement has been determined to be safe and effective in the treatment of degenerative disc disease ddd at one level from l3 to s1. Patient positioning should allow for circumferential use of the carm at the operative level.
Nonfusion technologies in spine surgery book, 2007. Minimally invasive surgical techniques for cancers of the gastrointestinal tract. Synthes spine prodiscc cervical total disc replacement. The safety and effectiveness of this device has not been established in patients with the following conditions. 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 purpose is to present in one book the currently available techniques and surgical implant systems that can be applied to a wide variety of spinal diagnoses. Anterior cervical discectomy and fusion acdf has long been considered the gold standard for treating myelopathy and radiculopathy due to disk degeneration. The authors concluded that hs is a novel surgical approach to. 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. Safe and adequate surgical approach and exposure to the appropriate degenerative disc level. Artificial cervical disc replacement prodiscc birmingham.
At the sevenyear mark, patients reported 30 secondary surgical procedures performed in 106 of the patients in the acdf group and seven of the 103 patients in the prodisc c group. 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. Buy basic surgical techniques, 6e book online at low. It not only highlights the newest devices, but also gives you the clinical guidelines you need to choose and apply the best. Prodiscc cervical disc replacement jeffrey goldstein. Since buying prodisc back the owners of centinel spine had sold prodisc to synthes in 2003, surgeons and industry observers were hoping. There are also fins on the endplates that lock them into the vertebral bone. In summary, this case demonstrates anterior artificial disc extrusion following trauma and the surgical approach to management. Disc replacement is only advised if a minimum of 6 months of nonsurgical treatments are ineffective and if the pain is limiting ability to function in everyday life. The prodiscc total disc replacement is similar to joint replacement devices. The prodiscl total disc replacement surgery does not require a bone graft. 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. We investigated causes and results of revision surgeries after artificial disc replacement of cervical spine cadr. Disc prosthesis for lumbar degenerative disease and axial.
Surgical technique 15 multilevel cases 29 case examples 30 32. Prodisctmc total disc replacement package insert 12122007 package insert page 1 of 18 39. The surgeon will make a small incision in the front of your neck to get to your unhealthy disc. An interesting portion of this book is chapter 9 entitled anterior approach to the lumbar spine, authored by salvador a. Please refer to the prodisctmc total disc replacement technique guide for step by step instructions on the required surgical technique, including determining the correct implant size. Six month update on prodisc and centinel spine orthopedics this. 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. Buy basic surgical techniques, 6e book online at best prices in india on. One of the main causes of back pain and spinal disorders is the degeneration of spinal discs.
Be the first to ask a question about the art of surgical technique lists with this book. In a study of nearly 240 patients with lower back pain, the doctors said that the prodisc, an artificial. Modular intervertebral disc prosthesis designed for restoring disc height and segmental motion in the cervical spine. There will be separate study arms for one and two level patients. Artificial disc replacement what you should know about this. Sixty patients receiving the bryan disc, prodiscc, or prestige lp disc were retrospectively. Incidence of complications related to device and surgical approach. We offer one of the worlds most comprehensive portfolios of orthopaedic products and services in the areas of joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, power tools and biomaterials. General considerations for cervical arthroplasty with. 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.
During the disc replacement procedure, the surgeon removes the diseased. A true surgeons guide to navigating the operating room 1st edition. Part 1 of 2 synthes spine prodiscc cervical total disc. 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. Total disc replacement surgery synthes prodiscc fort. The prodisc l total disc replacement is designed to replace your unhealthy disc. Some of the nations most prominent spine surgeons hailed it as a medical breakthrough. Artificial disc replacement, also known as artificial disk replacement and total disc replacement tdr, refers to the artificial disc replacement surgery and to the manmade device, which replaces the entire function of the diseased or damaged intervertebral disc of the spinal column. 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.
By 48 months, 3 of prodiscc tdr patients and 12 of acdf patients had. The surgeon will insert the prodiscc total disc replacement implant into the disc space. This book will enable surgeons to further develop their skills and improve outcomes when performing modern cervical spine surgery. Here are 33 spine surgeons who perform artificial disc replacement procedures. Disc degeneration is painful and often difficult to treat. Patients will be assigned a treatment, either prodisc or spinal fusion surgery, according to a blocked randomization schedule. It seems like this is a fairly new technique, but are there any updates i should know about. General considerations for cervical arthroplasty with technique for prodisc c.
Artificial cervical disc replacement prodisc c birmingham, al spine and neurosurgery neurosurgical associates, p. The recent fda approval of prodisc l total disc replacement provides us spine surgeons a clinically proven alternative to fusion surgery. Financial ties are cited as issue in spine study the new. Lumbar artificial disc replacement for chronic back pain.
Critical to cda is meticulous operative technique including implant positioning. 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. I found basic surgical techniques so helpful that ive recommended it highly and gifted it to other med students. The surgical technique for the prodiscl has been previously described. Morristown, nj artificial disc replacement surgery was first developed in europe in the mid to late 1980s as an alternative to spinal fusion. Revision surgeries following artificial disc replacement. Lumbar artificial disc replacement surgery may be recommended to treat chronic, severe low back pain caused by degenerative disc disease.
It not only highlights the newest devices, but also the clinical guidelines needed to choose and apply the best implant for any surgical situation. Ddd is defined as discogenic back pain pain resulting from a degenerated intervertebral disc with degeneration of the disc confirmed by patient history and. Pelvic fixation of the aging spine in jj yue et al the comprehensive treatment of the aging spine. Prodisc implanted with the polyethylene center snapped in place. Lumbar spine arthroplasty using the prodisc ii sciencedirect. 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.