Cervical Disc Replacement Surgery
Cervical disc replacement emerged as an innovative surgical procedure in response to complications associated with cervical spine fusion surgery. It is fundamentally the same operation as an anterior cervical discectomy and fusion, with the key difference being the insertion of a mobile artificial disc instead of bone in the disc space. It’s posited that such artificial discs help in preventing adjacent segment degeneration at neighboring disc levels.
The Evolution:
Various brands of artificial discs are available in the market, including Prodisc C, Servicor, Prestige, and PCN. The advent of disc replacement surgery is deeply rooted in the alterations to spine biomechanics post-fusion operations. A significant number of patients undergoing spine fusion surgery may experience complications at adjacent segments in the spine, termed as “adjacent segment degeneration,” potentially necessitating further surgical interventions. Studies suggest that up to 20% of patients might require additional surgery within a decade post their initial operation.
Motion Preservation Surgery:
This surgical approach is designed to mitigate the risks of developing subsequent symptoms at adjacent levels following fusion surgery, thereby reducing the chances of additional surgeries. Younger patients tend to possess highly flexible spines relative to their older counterparts. In appropriate cases, individuals necessitating disc removal for spinal cord and nerve decompression can opt for an artificial disc insertion instead of undergoing spinal fusion. This strategy is pivotal in minimizing the likelihood of encountering complications at adjacent levels post-fusion procedure.
Outcome and Advancements:
The introduction of cervical disc replacement marked a substantial breakthrough, providing a feasible alternative to traditional fusion surgeries. It became particularly noteworthy for its role in minimizing complications and optimizing postoperative recovery, enhancing the overall surgical experience for patients suffering from spinal ailments. The continuous advancements and refinements in this field reflect the commitment to improving the quality of life for individuals dealing with cervical spine conditions.
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