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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.
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
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]
Lumbar total disc replacement was originally designed to be an alternative to lumbar arthrodesis (fusion). The procedure was met with great excitement and heightened expectations both in the United States and Europe. In late 2004, the first lumbar total disc replacement received approval from the U.S. Food and Drug Administration (FDA). More ...
Williams specified that in most cases the 5th lumbar disc ruptures and the nuclear material of the disc moves into the spinal canal causing pressure on the spinal nerves. In addition to the ruptured disc, irritation of the nerve at the intervertebral foramen where the nerve exits from the spinal canal may result.
Intervertebral disc arthroplasty: also called Artificial Disc Replacement (ADR), or Total Disc Replacement (TDR), is a type of arthroplasty. It is a surgical procedure in which degenerated intervertebral discs in the spinal column are replaced with artificial ones in the lumbar (lower) or cervical (upper) spine.
As well as the standard total knee replacement surgery, the unicompartmental knee replacement, in which only one weight-bearing surface of an arthritic knee is replaced, may be performed, [25] but it bears a significant risk of revision surgery. [26] Joint replacements are used for other joints, most commonly the hip [27] or shoulder. [28]
Exercise plus joint manipulation has been found to be beneficial in both acute and chronic mechanical neck disorders. [9] In particular, specific strengthening exercise may improve function and pain. [10] Motor control using cranio-cervical flexion exercises has been shown to be effective for non-specific chronic neck pain. [11]
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