Georgia spine surgery, Georgia spine center, georgia comprehensive spine, georgia spine treatment, northeast georgia spine treatment, northeast Georgia spine center, northeast georgia spine surgery, georgia non surgical spine treatment, georgia spine surgeon, Athens spine center, Athens spine surgery, Athens spine treatment,Athens non surgical spine treatment, Athens spine surgeon, demorest spine center, Demorest spine surgery, Demorest spine treatment,Demorest non surgical spine treatment, Demorest spine surgeon,Toccoa spine center, Toccoa spine surgery, Toccoa spine treatment,Toccoa non surgical spine treatment, Toccoa spine surgeon,Greensboro spine center, Greensboro spine surgery, Greensboro spine treatment,Greensboro non surgical spine treatment, Greensboro spine surgeon,Winder spine center, Winder spine surgery, Winder spine treatment,Winder non surgical spine treatment, Winder spine surgeon,Monroe spine center, Monroe spine surgery, Monroe spine treatment,Monroe non surgical spine treatment, Royston spine surgeon,Royston spine center, Royston spine surgery, Royston spine treatment,Royston non surgical spine treatment, Royston spine surgeon Georgia neurological surgery, georgia spine surgery, georgia spine treatment, northeast georgia spine treatment, northeast Georgia spine center, northeast georgia spine surgery, georgia non surgical spine treatment, georgia spine surgeon, Athens spine center, Athens spine surgery, Athens spine treatment,Athens non surgical spine treatment, Athens spine surgeon, demorest spine center, Demorest spine surgery, Demorest spine treatment,Demorest non surgical spine treatment, Demorest spine surgeon,Toccoa spine center, Toccoa spine surgery, Toccoa spine treatment,Toccoa non surgical spine treatment, Toccoa spine surgeon,Greensboro spine center, Greensboro spine surgery, Greensboro spine treatment,Greensboro non surgical spine treatment, Greensboro spine surgeon,Winder spine center, Winder spine surgery, Winder spine treatment,Winder non surgical spine treatment, Winder spine surgeon,Monroe spine center, Monroe spine surgery, Monroe spine treatment,Monroe non surgical spine treatment, Royston spine surgeon,Royston spine center, Royston spine surgery, Royston spine treatment,Royston non surgical spine treatment, Royston spine surgeon
Phone: (706) 548-6881
2142 West Broad Street Building 100, Suite 200
Athens, GA 30606
www.GeorgiaComprehensiveSpine.com
mini brochure for georgia spine center, back pain, neck pain, Georgia spine surgeon, Northeast georgia spine surgeon, georgia spine center, georgia spine surgery, non surgical spine care georgia, Athens spine surgeon, Royston spine surgeon, Toccoa spine surgeon, Demorest spine surgeon, Monroe spine surgeon, Winder spine surgeon, Greensboro spine surgeon, Athens spine surgery, Royston spine surgery, Toccoa spine surgery, Demorest spine surgery, Monroe spine surgery, Winder spine surgery, Greensboro spine surgery for physicians, georgia spine center, back pain, neck pain, Georgia spine surgeon, Northeast georgia spine surgeon, georgia spine center, georgia spine surgery, non surgical spine care georgia, Athens spine surgeon, Royston spine surgeon, Toccoa spine surgeon, Demorest spine surgeon, Monroe spine surgeon, Winder spine surgeon, Greensboro spine surgeon, Athens spine surgery, Royston spine surgery, Toccoa spine surgery, Demorest spine surgery, Monroe spine surgery, Winder spine surgery, Greensboro spine surgery virtual tour, georgia spine center, back pain, neck pain, Georgia spine surgeon, Northeast georgia spine surgeon, georgia spine center, georgia spine surgery, non surgical spine care georgia, Athens spine surgeon, Royston spine surgeon, Toccoa spine surgeon, Demorest spine surgeon, Monroe spine surgeon, Winder spine surgeon, Greensboro spine surgeon, Athens spine surgery, Royston spine surgery, Toccoa spine surgery, Demorest spine surgery, Monroe spine surgery, Winder spine surgery, Greensboro spine surgery
 
 
 
  z

Artificial Disc

About the Artificial Disc | An Alternative to Fusion Surgery | Benefits | Lumbar vs. Cervical Artificial Disc | Other issues to consider

About Artificial Discscharite artificial disc georgia

Perhaps the most anticipated advance in spine surgery over the past 20 years was the arrival of the artificial disc. The first artificial disc in the United States received formal approval by the Food and Drug Administration (FDA) for widespread use in the United States on October 26, 2004. While this technology is somewhat new to the U.S., artificial discs have been in use in Europe for more than 15 years.

It is important to remember that this technology is still evolving, with new implants continually in development. Your spine surgeon is the best resource to discuss if it is appropriate for you, and what model of artificial disc is best suited for your case.

For example, there are three models of artificial discs approved by the FDA for use in the United States — Charite, Prestige and ProDisc — and that number is expected to grow as new models enter the marketplace and surgeons become trained in their use. Each disc is designed for use either in the low back (lumbar area) or neck (cervical area).

In addition, other artificial disc models are available on a limited basis through clinical trials, in which a patient agrees to be part of a clinical study designed to measure the success of a new disc model, which will be part of an FDA study. Patients who participate in a clinical trial can gain access to the most current technology, even though it has yet to gain FDA approval for use in the U.S.

[Top]

An Alternative to Fusion Surgery

The artificial disc concept is intended to be an alternative for spinal fusion surgery. Each year in the U.S., more than 200,000 spinal fusion surgeries are performed to relieve excruciating pain caused by damaged discs in the low back and neck areas. When a natural disc herniates or becomes badly degenerated, it loses its shock-absorbing ability, which can narrow the space between vertebrae.

During a fusion procedure, the damaged disc is typically replaced with bone from a patient’s hip or from a bone bank. Fusion surgery causes two vertebrae to become locked in place, putting additional stress on discs above and below the fusion site, which restricts movement and can lead to further disc herniation with the discs above and below the degenerated disc. An artificial disc replacement is intended to duplicate the function level of a normal, healthy disc and retain motion in the spine.

charite artificial disc georgia

A common aspect of all artificial discs is that they are designed to retain the natural movement in the spine by duplicating the rotational function of the discs Mother Nature gave us at birth. Most artificial disc designs have plates that attach to the vertebrae and a rotational component that fits between these fixation plates. These components are typically designed to withstand stress and rotational forces over long periods of time. Still, like any man-made material, they can be affected by wear and tear.

[Top]

Benefits

Some of the main benefits of the artificial disc parallel that of knee replacement and hip replacement. This can include the following:

  • An artificial disc in the neck or back, in principle, is designed to retain motion in that particular segment of the spine.
  • It prevents degeneration of disc levels above and below the affected disc.
  • There is no bone graft required.
  • There can be a quicker recovery and return to work or activity.
  • It can be a less invasive and less painful surgery than a fusion.
  • There can be less blood loss during surgery.

[Top]

Lumbar vs. Cervical Artificial Discs
  xray image prestige artificial disc georgia xray image prestige artificial disc georgia
 

PRESTIGE® Cervical Disc by Medtronic, www.prestigedisc.com

Because of the weight of the body and the rotational stress that the trunk places on discs in the low back (lumbar) area, more stress is placed on artificial discs in the lumbar area than in the neck (cervical) area, which only supports the weight of the head.

A second issue relates to the ease of the artificial disc surgery and any necessary revision surgery to replace a worn out artificial disc. Because the surgeon must access the front of the spine, an incision is made in the abdomen for lumbar discs and in the front of the neck for cervical discs. Generally speaking, many spine surgeons believe access to the cervical discs can be easier than the lumbar discs.

The PRESTIGE® cervical disc by Medtronic, www.prestigedisc.com, shown below, includes screws that attach to the vertebral body, and a center plate that retains the movement of the spine.

prestige disc georgia artificial disc prestige disc georgia artificial disc prestige disc georgia artificial disc

Prestige® cervical disc by Medtronic, www.prestigedisc.com

[Top]

Other Issues to Consider

When treating knee and hip replacement patients, orthopedic surgeons try to postpone the implantation of an artificial joint until a patient is at least 50 years old so that they do not outlive their artificial joint, which typically lasts anywhere from 15 to 20 years. Revision surgery, which may be necessary to replace a worn-out artificial joint, can be complex.

This is also a concern with the artificial disc. Unlike knee and hip replacement patients who are typically in their 50s or 60s, many patients can benefit from artificial disc technology at a much younger age — in their 20s or 30s. Therefore, the implantation of an artificial disc in younger patients can raise a surgeon’s concern about the potential life span of the artificial disc in the spine and the need for revision surgery to replace a worn-out artificial disc, which can be complex.

In summary, some spine surgeons may be cautious about the use of artificial discs for the following reasons:

  • Wear and tear on artificial joints can require revision surgery in 10 to 20 years that can be extremely complex.

  • Most artificial disc implants only address rotational forces, not the up and down shock absorbing function of the natural disc.

  • Overweight people can wear out a lumbar disc prematurely.

  • New artificial discs are continually in development; however, FDA approval is a lengthy process.

  • There are not many 20-year-long studies that show the long-term effects of wear and tear on artificial disc implants.

prodisc c artificial disc georgia prodisc l artificial disc georgia  

Prodisc-C © by Synthes, www.snythes.com

Prodisc-L © by Synthes, www.synthes.com

 

Generally, the technology is very promising. Your spine surgeon can provide information if your problem can be addressed with this technology.

[Top]

 

 

 

 

About Georgia Neurological Surgery | About Georgia Comprehensive Spine Center | Spine Conditions | Neurological Conditions | Treatment | Nonsurgical Spine Care | Spine Surgery | Educational Resources | Patient Center | Contact our Georgia Spine Center | Spine Center Locations in Georgia: Athens, Royston, Toccoa, Demorest, Monroe, Winder, Greensboro

Disclaimer:

The pictures displayed in www.georgiacomprehensivespine.com are images of physicians, patients and employees who have consented to have their pictures in this website.

Need more information on back and neck pain?
Click here to view resource books on spine problems, what causes back pain, what causes neck pain and when to see the doctor.

Prizm Logo
Educational illustrations and content Copyright © 2010 Prizm Development, Inc.
Web design & Copyright 2010 © Prizm Development, Inc.
www.prizmdevelopment.com

books

 

 

 

 

 
 
georgia comprehensive spine on facebook, georgia neurological surgery on facebook