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Published byDiego Sutton
Modified over 2 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 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.
1 ProDisc L: Motion Preservation Device Performed by: Michael Janssen, DO August 20, 2007 Welcome High School Students!!!
Atul Gupta Neuroradiology. Overview Os odontoideum (OO) is an uncommon craniovertebral junction (CVJ) abnormality characterized by a separate ossicle.
July X STOP ™ Interspinous Process Decompression (IPD ® ) System Marco Artiano, M.A. Chapman University Doctor of Physical Therapy Program July 2008.
ANTERIOR CERVICAL DISCECTOMY WITH FUSION (ACDF) Presented by Robert Nelson BSN, MBA, MHA, SCRN, CNRN, ONC Vice President Neuroscience and Orthopedics HCA.
N EURO -R ADIOLOGY R AJ R EDDY Neurosurgery Prince of Wales Hospital SPINE.
Introduction to Neuroimaging Aaron S. Field, MD, PhD Neuroradiology University of Wisconsin–Madison SPINE Updated 6/13/06.
TB SPINE -MANAGEMENT CHALLENGE Unit 3 Presentation Presenter: Dr. Mapala Moderator: Dr Musuku.
Return To Play After Cervical Disk Herniation Brian N. Morelli, MD Assistant Professor, Dept. of Orthopaedics Stony Brook University Medical Center Spine.
Vertebrae and muscles of the back Lecturer: Dr. M. Samsam Univ. of Central Florida Pictures from: K. Moore Human anatomy and Platzer atlas and text book.
C-Spine Plain Films Mike Rissing Associate Student of Clinical Medicine.
OSTEOARTHRITIS (OA) Rogelio A Balagat MD ASMPH. Assignment: 1. Age 2. Weight & height (BMI) 3. Joint pain (VAS) 4. Joint deformity.
RB: A Case of Tetraparesis Block Y. Tagomata. Talan. Tayag. Tolibas. Toledo. Uy. Wi. Yu. Zaldivar. Zamora.
Current Issues in the Anesthetic Treatment of the Patient for Orthopedic Sugery R4.
Morquio A: Musculoskeletal manifestations. Skeletal dysplasia –Spinal abnormalities –Pectus carinatum –Hip dysplasia –Genu valgum –Ankle valgus –Hand.
Shoulder Arthroplasty Daniel Penello Upper Extremity Rounds April 26, 2006.
Back Pain in Children and Adolescents Christine Hom, M.D Division of Pediatric Rheumatology New York Medical College.
DISCITIS, VERTEBRAL OSTEOMYELITIS & EPIDURAL ABSCESS Learning Objectives Introduction Epidemiology/ Risk factorsEpidemiology/ Risk factors Pathophysiology.
Idiopathic Scoliosis Dr. Donald W. Kucharzyk Clinical Assistant Professor University of Chicago Childrens Hospital.
1 THE MUSCULOSKELETAL SYSTEM 2 Objectives Name the parts of the musculoskeletal system and discuss the function of each part. Define combining forms.
Dae Jeon Hurisarang Hospital, Dae Jeon Department of Neurosurgery, Mokpo Hankook Hospital, Mokpo Department of Neurosurgery, School of Medicine, Chosun.
Low Back Pain Brad Bunney, MD Department of Emergency Medicine University of Illinois College of Medicine-Chicago Chicago, IL.
CLINICAL NOTES ON UPPER LIMB By: Dr. Mujahid Khan.
Divisions of available bone: 1. Aboundant bone that forms soon after extraction or a few years after extraction 3 For group A implant of 12mm or more.
Mechanical Modalities Therapeutic Modalities in Athletic Rehabilitation.
Oliver I. Schmidt, Ralf H. Gahr Trauma Centre St. Georg Clinic Leipzig, Germany Pitfalls in Spinal Fracture Classification.
Neurological Emergencies in Cancer Patients Pete Kang.
Congress Middle School Pre-Medical Magnet Program 2008 Presented by: Diana Herec, Medical Magnet Coordinator.
Torticollis The “Disc Block Subluxation” of the Neck.
Neck Swellings Dr. Vishal Sharma. Neck Triangles.
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