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The second disc replacement to achieve wide clinical use was the prodisc total disc replacement; it continues to have worldwide use today. Designed by French orthopedic spine surgeon Thiery Marnay, M.D., in the late 1980s, early implantations of the prodisc device began in 1990, with a 7-11 year follow-up published in 2005.
There are many spinal procedures that make use of minimally invasive techniques. They can involve cutting away tissue (), fixing adjacent vertebrae to one another (spinal fusion), and replacing bone or other tissue.The main philosophy is least bloods, tissue damage, and keep bone/tissue architecture The name of the procedure often includes the region of the spine that is operated on, including ...
Anterior cervical discectomy. The neurosurgeon or orthopedic surgeon enters the space between two discs through a small incision in front (= anterior) of and at the right or left side of the neck. The disc is completely removed, as well as arthritic bone spurs. The disc material, pressing on the spinal nerve or spinal cord, is then completely ...
It may not be a replacement procedure or alternative to fusion, since recent studies have shown that 100% of fusion patients had one or more contraindications to disc replacement. [164] [165] [166] The role of disc replacement must come from new indications not defined in today's literature or a relaxation of current contraindications. [161]
Spinal fusion, also called spondylodesis or spondylosyndesis, is a surgery performed by orthopaedic surgeons or neurosurgeons that joins two or more vertebrae. [1] This procedure can be performed at any level in the spine (cervical, thoracic, lumbar, or sacral) and prevents any movement between the fused vertebrae.
The cervical discs are affected 8% of the time and the upper-to-mid-back (thoracic) discs only 1–2% of the time. [67] The following locations have no discs and are therefore exempt from the risk of disc herniation: the upper two cervical intervertebral spaces, the sacrum, and the coccyx.
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