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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.
Bone morphogenetic protein (rhBMP) should not be routinely used in any type of anterior cervical spine fusion, such as with anterior cervical discectomy and fusion. [2] [3] There are reports of this therapy causing swelling of soft tissue which in turn can cause life-threatening complications due to difficulty swallowing and pressure on the respiratory tract.
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.
Independently, he conceived an anterior approach to the cervical spine, devised instruments for its implementation, and published his classic paper in the Journal of Neurosurgery on anterior cervical discectomy and fusion in 1958. [4] He designed over 100 surgical instruments which continue to be used today by practicing neurosurgeons.
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 ...
A discectomy (also called open discectomy, if done through a 1/2 inch or larger skin opening) is the surgical removal of abnormal disc material that presses on a nerve root or the spinal cord. The procedure involves removing a portion of an intervertebral disc , which causes pain, weakness or numbness by stressing the spinal cord or radiating ...
Corpectomy is often performed in association with some form of discectomy. [1] When the vertebral body has been removed, the surgeon performs a vertebral fusion. Because a space in the column remains from the surgery, it must be filled using a block of bone taken from the pelvis or one of the leg bones or with a manufactured component such as a ...
In cervical myelopathy, if the spine still retains its neutral or lordotic alignment, with one or two involved spinal segments, anterior approaches such as anterior cervical discectomy (removal of the intervertebral disc) and fusion (joining two or more vertebrae together), anterior cervical corpectomy (removal of vertebral body) and fusion ...
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