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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.
Spinal precautions generally include long spine boards, cervical collars, head blocks, and straps with the goal of immobilizing or reducing movement throughout the entirety of the spine. [ 4 ] [ 7 ] [ 12 ] They also include methods to reduce spinal movement while moving a patient, such as logrolling . [ 7 ]
Surgery is considered when symptoms persist after attempting conservative treatment. It is estimated 10-20 percent of individuals with low back pain fail to improve with conservative measures. [22] A discectomy is a common procedure used to alleviate the radiating pain and neurological symptoms associated with a herniated disc. [23]
Additional symptoms of cervical injuries include low heart rate, low blood pressure, problems regulating body temperature, and breathing dysfunction. [46] If the injury is high enough in the neck to impair the muscles involved in breathing, the person may not be able to breathe without the help of an endotracheal tube and mechanical ventilator.
Spinal stenosis may also affect the cervical or thoracic region, in which case it is known as cervical spinal stenosis or thoracic spinal stenosis. Lumbar spinal stenosis can cause pain in the low back or buttocks, abnormal sensations, and the absence of sensation (numbness) in the legs, thighs, feet, or buttocks, or loss of bladder and bowel ...
Adjacent segment disease can be addressed by performing cervical disc arthroplasty using a device such as the Bryan cervical disc prosthesis. [16] The option of the surgery is to maintain range of motion and attenuate the rate of adjacent segment disease advancement without fusion. [ 17 ]
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