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19 Harley St, London, W1G 9QJ, UK

Cervical Disc Replacement Surgery

Cervical Disc Replacement Specialists

History

cervical disc replacement

Although currently a ‘hot topic’, Artificial Cervical Disc Replacement (ACDR) concept is not new

First forays into Spinal Disc Replacement surgery were mage in the 1950’s. Fernstrom used steel ball bearings (1966)(endoprosthesis) implanted into disc spaces

250 procedures were performed in the 1950 & 60’s. Results were poor with segmental hypermobility & balls subsiding through the vertebral endplates.

The Bristol Cummins Disc was invented in the 980’s. 22 were implanted. Complications included being too large, Screw loosening, Galvanic corrosion (titanium-stain steel), Howevere the was no wear even after 8 years.

History

Although currently a ‘hot topic’, Artificial Cervical Disc Replacement (ACDR) concept is not new First forays into Spinal Disc Replacement surgery were mage in the 1950’s. Fernstrom used steel ball bearings (1966)(endoprosthesis) implanted into disc spaces

250 procedures were performed in the 1950 & 60’s Results were poor with segmental hypermobility & balls subsiding through the vertebral endplates.

Cummins BH et al: Surgical experience with an implanted artificial cervical joint. J Neurosurg 88:943–948, 1998

 

The Prestige I Disc was invented in 1998 and in a Pilot study 15 patients received the disc at levels adjacent to a fusion only.

The new Frenchay artificial cervical joint: results from a two-year pilot study. Spine 27:2446–2452, 2002 

 

Design

Disc Replacements can be one piece or multiple pieces. The joint can be metal on metal or with a plastic spacer.
Cobalt Chrome is one of the toughest metals and is often used in the joint bearing surfaces whereas titanium is used adjacent to bone due to its more natural modulus more similar to bone.

Various methods can be used to fix the disc into bone such as screws and anchors

 

Potential advantages over Fusion Surgery

Cervical Fusion
95% successful fusion rates in nonsmokers and it is a Tried and tested procedure

Cervical Disc Replacement
Maintains segment motion and reduces adjacent disc disease.
Eliminates need for a bone graft
Faster recovery and reduced hospital LOS (debatable)

What our patients say ...

Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Anaesthetist

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

Laser Spine Surgery Articles

SHADES of grey – The challenge of ‘grumbling’ cauda equina symptoms in older adults with lumbar spinal stenosis.
Abstract Diagnosing cauda equina syndrome is challenging in older adults with lumbar spinal stenosis. Understanding these challenges is vital for
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The influence of preoperative mental health on clinical outcomes after laminectomy in patients with lumbar spinal stenosis.
Abstract OBJECTIVE: The influence of preoperative mental health on health-related quality of life (HRQOL) in patients with lumbar spinal stenosis
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MicroRNA transcriptome analysis on hypertrophy of ligamentum flavum in patients with lumbar spinal stenosis.
Abstract Introduction: Molecular pathways involved in ligamentum flavum (LF) hypertrophy are still unclarified. The purpose of this study was to
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Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note.
Abstract Introduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height
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Integrated anatomy of the neuromuscular, visceral, vascular, and urinary tissues determined by MRI for a surgical approach to lateral lumbar
Abstract Introduction: To comprehensively investigate the anatomy of the neuromuscular, visceral, vascular, and urinary tissues and their general influence on
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Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement: A Systematic
Related Articles Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement:
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