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Published byDiego Sutton
Modified over 3 years ago
Fusion vs motion preservation Solid fusion stops pain related o the motion segment Adjacent motion segment degenerates faster- 25% symptomatic at 20 years
PRESTIGE Formerly Bristol disc (Cummins) 2-nd generation modified as 2-piece all metal prosthesis (ball- and-socket) Secured vertebral bodies anterior screws 100 implantations
BRYAN DISC Two anatomically shaped metal plates Low friction, low wear rates 4000 implantations RCT with fusion 2002 20 centres >500 pt
Cobalt - Chrome Alloy (CoCr) MATERIALS
Primary: Central Keel Secondary: Titanium Plasma Spray surface FIXATION
RETAINER SCREW INSERTION
VERTEBRAL BODY RETAINER
DISCECTOMY AND DECOMPRESSION
ADJUSTMENT DEPTH TRIAL
TRIAL IMPLANT INSERTION
Surgical approaches C1/2 anterior: trans oral C1/2 posterior: midline sub-occipital Sub-axial anterior: anterior cervical decompression Sub-axial posterior: cervical laminectomy, laminoplasty, foramenotomy
Posterior Approaches Occiput C1 C2 Subaxial C2-7
Posterior cervical fixation C1/2 with or without occipital fixation C3-7 cervicothoracic
C1 articular mass screw
C1/C2 articular mass screws
Exposure of the spines and laminae 2
Exposure of lateral masses
Exposure of the laminae and lateral masses
Removal of the laminae
Spectrum of pathology Prolapsed discs, osteophytic compression: wear and repair Inflammatory: rheumatoid, ankylosing spondylitis Trauma: odontoid, rotatory subluxation Neoplastic: meningiomas, schwannomas, metastatic cord compression Congenital Klippel Feil, fused, Downs, enterogenous cysts Infection: discitis, osteomyelitis, epidural abscess
Spectrum of pathology Prolapsed discs and osteophytic compression; wear and repair Inflammatory: rheumatoid, ankylosing spondylitis Trauma: odontoid, rotatory subluxation Neoplastic: meningiomas, schwannomas, metastatic cord compression Congenital Klippel Feil, fused, Downs, enterogenous cysts
Spectrum of pathology Prolapsed discs and osteophytic compression; wear and repair Inflammatory: rheumatoid, ankylosing spondylitis Trauma: odontoid, rotatory.
Surgery for cervical spine disease Patrick Statham, Consultant Neurosurgeon, Western General Hospital, Edinburgh.
The cervical spine. Normal anatomy, variants and pathology. Dr Mandy Williams. Cons Head and Neck Radiologist. University Hospitals Bristol.
1 ProDisc L: Motion Preservation Device Performed by: Michael Janssen, DO August 20, 2007 Welcome High School Students!!!
Operative Treatment For Cervical Spine Fractures Dr. T. G. Hogan.
Update on Cervical Disc Arthroplasty Brian Su, MD John Ratliff, MD Associate Professor Departments of Neurosurgery and Orthopedic Spine Surgery Thomas.
Atul Gupta Neuroradiology. Overview Os odontoideum (OO) is an uncommon craniovertebral junction (CVJ) abnormality characterized by a separate ossicle.
Umar Khan, MD SEACSM 2/5/2011. My arm keeps getting hurt 18 yo male football player with recurrent history of arm pain. Has been having symptoms off and.
Cervical Injuries and Sport Dr Janusz Bonkowski Neurosurgeon and Spinal Surgeon
Hip Arthroplasty. Anatomy of Hip Hip Joint Ball and socket Ball is the femoral head Socket is Acetabulum Half sphere depression Lined with cartilage.
Larry D. Dodge, MD. Clinical Evaluation Proper Immobilization Assume a spine injury with head or neck trauma 3 to 25% of spinal cord injuries occur.
Decompression Surgery. Laminectomy and Facetectomy.
Cervical Spine Pathologies and Treatments Physician Name Physician Institution Date.
Treatment goals of treatment relieve pain, prevent or reduce stress on the discs, and maintain normal function ranges from conservative therapies to surgical.
Basic Diseases That Affect The Vertebral Column And Management. Dr. Adrian. C. O. Adams.
Chapter 5 Skeletal System Axial Skeleton Vertebral Column.
Vertebral column 33 Vertebrae Inter-vertebral disc Form 1/4 of its length
Decompressing spinal cord by Laminotomy. Laminotomy is a surgical procedure that helps in decompressing the spinal cord and spinal nerves emerging from.
Cervical Stenosis and Myelopathy. Normal Anatomy.
Anatomy of the vertebral column. Objectives 1.Describe the general structure of the vertebra 2.Describe the structure of the atypical cervical vertebrae.
© 2005 Cervical Traction Chapter 17. © 2005 Cervical Traction Tension must overcome weight of skull –Approximately 8.1% of total body weight –14 pounds.
Spinal injury and anaesthesia Dr Ashish Moderator :Dr R.Tope
Scheker DRUJ Prosthesis Surgical Demonstration Images From Two Cases for Clarity.
Vertebral column Supports Skull Pectoral girdle Upper limb Thoracic cage Protects Spinal cord and the spinal nerve roots 1.
1 DJ5895D A CLINICAL REVIEW OF CERVICAL AND LUMBAR ARTHROPLASTY.
Failed Medical Device: Blackstone Medical, Inc. ICON Modular Spinal Fixation.
Lines of Mensuration Continued Cervical Spine Lordosis –Depth Measurement (range of 7=17) –Method of Jochuvisen (range 1-9) anterior body of atlas anterior/superior.
Degenerative disease of Lumbar spine Sayun Sumethvanich M.D.
SPINE TRAUMATOLOGY M. Krbec, M. Repko, M. Rouchal, L. Ryba, R. Chaloupka Ortopaedic Univ. Dept. FN Brno-Bohunice.
CERVICAL VERTEBRAE 1 Prof. Saeed Abuel Makarem TYPICAL ATLAS AXIS.
Cervical Spine Injuries Ric Mohr. Following trauma or complaint of neck pain Following trauma or complaint of neck pain Obtain lateral, AP, and odontoid.
Cervical Spine Trauma Elda Baptistelli de Carvalho, MD, PGY-3 University of Toronto.
EXPANSIVE LAMINOPLASTY IN CERVICAL CANAL STENOSIS Deepak Agrawal, B S Sharma, V S Mehta Deptt of Neurosurgery, CN Centre, AIIMS, New Delhi.
Copyright © F.A. Davis Company Part IV: Exercise Interventions by Body Region Chapter 15 The Spine: Management Guidelines.
Spondylosis Dr.Shamekh M. El-Shamy. Spondylosis.
3% of MVA patients, have cervical spine injury 3% of MVA patients, have cervical spine injury 10-20% patients with head injury, have also cervical spine.
CERVICAL VERTEBRAE 1 Prof. Saeed Abuel Makarem & Dr. Sanaa Al- Shaarawy.
Central Cord Syndrome Controversies in Management = ?
CERVICAL SPONDYLOSIS DR T.P MOJA STEVE BIKO ACADEMIC HOSPITAL.
C-Spine Plain Films Mike Rissing Associate Student of Clinical Medicine.
In the name of God H. Moin M.D, F. R.C.S Oct
CERVICAL SPINE DEPARTMENT OF ANATOMY. DR.SANAA AL-SHAARAWY.
1 LUMBAR SPINE SACRUM COCCYX SI JOINTS SCOLIOSIS RT WEEK 7.
All Things Arthoplasty Outcome and complication Dr. Bahaa Ali Kornah, Prof. Of Orthopedic and Trauma Al-Azhar University Cairo. Egypt.
SUBAXIAL CERVICAL SPINE TRAUMA- DIAGNOSIS AND MANAGEMENT 1.
Lecture MRI Spine. Bone marrow changes: 1- Type I: edema 2- Type II: fatty ( white in T1) 3- Type III: bone sclerosis (like bone cortex black in T1 &
Anatomy of the Cervical Spine Physician Name Physician Institution Date.
L3 L4 Axial CT Scan and Coronal Reformatted View reveal a Markedly Comminuted Fracture of the Atlas with Lateral Displacement of the Left Lateral.
Mark A. Giovanini M.D. NeuroMicroSpine Specialist Andrews Institute
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