We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byDiego Sutton
Modified over 3 years ago
Fusion vs motion preservationSolid 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 platesLow friction, low wear rates 4000 implantations RCT with fusion centres >500 pt
MATERIALS Cobalt - Chrome Alloy (CoCr)
Titanium Plasma Spray surfaceFIXATION Primary: Central Keel Secondary: Titanium Plasma Spray surface
RETAINER SCREW INSERTION
VERTEBRAL BODY RETAINER
DISCECTOMY AND DECOMPRESSION
ADJUSTMENT DEPTH TRIAL
TRIAL IMPLANT INSERTION
Surgical approaches C1/2 anterior: trans oralC1/2 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 fixationC1/2 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, Down’s, 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, Down’s, 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
The cervical spine. Normal anatomy, variants and pathology.
1 ProDisc L: Motion Preservation Device Performed by: Michael Janssen, DO August 20, 2007 Welcome High School Students!!!
Operative Treatment For Cervical Spine Fractures
Update on Cervical Disc Arthroplasty
Atul Gupta Neuroradiology
Umar Khan , MD SEACSM 2/5/2011 My Arm Hurts..
Cervical Injuries and Sport
Evaluation and Treatment of the Cervical Spine
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.
Chapter 5 Skeletal System Axial Skeleton Vertebral Column.
Vertebral column 33 Vertebrae Inter-vertebral disc
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
Anatomy of the vertebral column
© 2017 SlidePlayer.com Inc. All rights reserved.