All operations were carried out by the same senior surgeon (H.L.). A standard right-sided anterior cervical approach was performed after general anesthesia. Thorough decompression was done at the index levels by removing the disc tissue, posterior longitudinal ligament, and osteophytes to achieve neural decompression. Appropriated Prestige-LP disc (Medtronic Sofamor Danek, Memphis, Tennessee) or Zero-P implant (Synthes, Oberdorf, Switzerland) was inserted into the intervertebral space after the endplates were well prepared. Then, C-arm fluoroscopy was performed to verify the proper placement of the implants. A drainage tube was inserted after irrigation and hemostasis before the closure of the incision.
Prestige lp disc
Manufactured by Medtronic
Sourced in Switzerland, United States
The Prestige LP disc is a medical device intended for use in spinal surgery procedures. It serves as a replacement for damaged or diseased intervertebral discs in the cervical spine. The device is designed to maintain the natural motion and function of the spine.
Automatically generated - may contain errors
Lab products found in correlation
3 protocols using prestige lp disc
1
Anterior Cervical Discectomy and Arthroplasty
2
Anterior Cervical Decompression and Fusion
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The same senior spine surgeon will carry out all surgeries. Patients will receive general anesthesia before surgery using the common right-sided anterior cervical approach with their necks in a neutral position. An anterior technique will be used to perform discectomy and decompression at the index level by removing osteophytes, the posterior longitudinal ligament, and disc tissues. A decompression procedure will be initially performed if the degenerative segment is more severe. For CDA, after preparing end plates and disc space with burrs, tests, implant tests, and rail cutter guide. Next, the channels in the end plates and a Prestige LP disc of the proper size will be installed (Medtronic Sofamor Danek, Memphis, TN, USA). For the ACDF approach, the intervertebral space will be filled using Zero-P (Synthes, Oberdorf, Switzerland) implants packed with tricalcium phosphate or locally removed bone. All prostheses will be implanted with the aid of fluoroscopy.
3
Cervical Disc Arthroplasty Outcomes in Taiwan
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Consecutive patients who had undergone 1-or 2-level CDA with the Prestige LP disc (Medtronic) at a single medical center (Taipei Veterans General Hospital, Taiwan) in the period from 2009 to 2015 were included in this analysis. Clinical records, radiological examinations, and clinical evaluations were all reviewed retrospectively. The indication for CDA in this series was medically refractory cervical radiculopathy with or without myelopathy that had been caused by 1-or 2-level cervical disc herniation or spondylosis. All patients had received at least 12 weeks of conservative therapy, including medication and physical therapy, prior to the surgery. A patient would not be considered a candidate for CDA if there were any of the following conditions: loss of segmental range of motion (ROM) at the indexed level (< 2°) due to advanced degeneration, ossification of the posterior longitudinal ligament (OPLL), severe facet arthropathy (i.e., elimination of joint space demonstrated on CT), > 50% collapse of the normal disc height, traumatic ligamentous or bony injury, infection, or malignancy. Furthermore, patients who had undergone prior anterior cervical spine surgery or those with less than or loss to 2 years of follow-up were also excluded from analysis. 26 All pre-and postoperative clinical and radiological evaluations were analyzed.
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