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    Old 11-05-2004, 04:05 AM   #1
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    Artificial disc for cervies

    Greetings to all! I haven't been around here for a bit, but hope you can help me out.

    I recieved a call a couple of nights ago from a woman I know who has been told she needs surgery at four levels due to DDD. She's kind of freaked (and rightly so) by the news, and called me as a neck surgery veteran for info.

    I couldn't be too much help, as her doctor, who is affiliated with Henry Ford Hospital in Detroit, wants to do a four level use of the artificial disc. Is there anybody out there who can share an experience with the use of one in their cervical sugery?

    The doc told her that it would allow her more movement than a multilevel fusion. There would be no plating, but she will spend a couple of months in a hard collar. She is in her early 40s and has younger kids, so that sounded good to her. The part that has her concerned (in addition to just the prospect of such major surgery) is that this is so new in the US.
    Nancy D-ACDF 6/2/02, bladder suspension 12/06, sarcoidosis 10/07, TKR 9/3/13

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    Old 11-05-2004, 09:26 AM   #2
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    Re: Artificial disc for cervies

    Nanner, I rec'd the Bryan AD in March. I am in a study. To my knowledge it still hasn't been approved by the FDA, and to qualify for the study, you can only have 1 level problem.. Are you sure it is the artificial disk her Doc is talking about.?

    Even in Austrilia where they have been using the AD a few years, they have only done a two level.

    Old 11-05-2004, 08:38 PM   #3
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    Re: Artificial disc for cervies

    I found this article on the approval of the artificial disc, but I think too it is only for one level and this one is for the lumbar. I traveled far and wide this summer in search of an artificial disc. I was not considered a candidate because of multi-level disease. I have heard they are doing two level, but not three.

    New Motion Preserving Device Offers Alternative to Spinal Fusion Surgery

    RAYNHAM, Mass., Oct. 26 /PRNewswire/ -- The U.S. Food and Drug
    Administration (FDA) has approved the CHARITE(TM) Artificial Disc, a device
    that treats severe low back pain by replacing a damaged or worn out spinal
    disc with an artificial one. The approval was announced today by DePuy Spine,
    Inc., a Johnson & Johnson company, the manufacturer of the disc.
    While artificial replacements are commonly used in hips and knees, this is
    the first FDA approval of such a device for spinal discs.
    "The CHARITE Artificial Disc has the potential to revolutionize spine
    surgery," said Scott Blumenthal, M.D., principal investigator in the CHARITE
    Artificial Disc clinical trial and an orthopaedic spine surgeon from the Texas
    Back Institute in Plano. "Until now, spine surgery relieved pain by limiting
    motion. Now, for the first time, we can relieve pain and preserve motion."
    The CHARITE Artificial Disc is a high-tech device made of two metallic
    endplates and a movable high-density plastic center that, once implanted, is
    designed to help align the spine and preserve its ability to move. Spinal
    discs maintain the position of the spine and allow for the flexibility to bend
    and twist.
    Lumbar spinal fusion surgery, a common surgical treatment for low back
    pain or degenerative disc disease, is often effective in reducing pain, but
    limits range of motion and may transfer extra stress to discs above and below
    the fusion site. More than 200,000 of these procedures are performed each
    year in the U.S.
    In clinical trials comparing artificial disc replacement to spinal fusion
    surgery, CHARITE Artificial Disc patients maintained flexibility, experienced
    improvements in pain and function, left the hospital sooner and were more
    satisfied with the procedure. Complication rates for both groups of patients
    were similar.

    CHARITE Artificial Disc Patients Return to Work Sooner
    According to John Regan, M.D., a spine surgeon at Cedars Sinai in Los
    Angeles and a clinical investigator, CHARITE Artificial Disc patients were
    able to return to work and normal activity sooner than his spinal fusion
    "At our center, CHARITE Artificial Disc patients returned to work in 12
    weeks or less, which was far better than the spinal fusion patients who were
    not able to go back to work for about six months," said Dr. Regan.

    How the CHARITE Artificial Disc Procedure is Performed
    Typically, two surgeons work together in performing the operation. A
    general or vascular surgeon approaches the spine through an incision in the
    abdomen and carefully moves internal organs and blood vessels out of the way
    to provide access to the spine. A spine surgeon then uses special tools to
    remove the damaged disc and creates a space between two vertebrae for the
    implantation of the artificial disc. The procedure generally takes one to two
    In spinal fusion surgery a damaged spinal disc is removed and vertebrae
    are joined together using bone grafts and metal screws and/or cages so that
    motion can no longer occur in this area of the spine. Patients usually have
    to wear a brace for about three months after surgery.

    Not for Everyone, Talk to Your Doctor
    Artificial disc replacement is not for everyone. As with any major
    surgery, there are possible complications that can occur including unresolved
    pain, allergic reactions, bladder problems and/or infection. Patients should
    ask their doctors to see if artificial disc replacement is appropriate for
    More information about the CHARITE Artificial Disc is available at or by calling 1-866-DISC523. These resources also
    provide information that will help consumers find a doctor in their area who
    has been trained in artificial disc replacement.
    Currently, there are 15 spine centers throughout the U.S. who offer disc
    replacement with the CHARITE Artificial Disc. Many more centers are expected
    within the next several months as surgeons receive extensive training in the
    procedure. Patients may have to wait several weeks or months while surgeons
    complete this mandatory training.

    Surgeon Training is Top Priority
    DePuy Spine is sponsoring a comprehensive training and education program
    for surgeons. The program is a combination of hands-on surgery, consultation
    and visitation with top spine surgeons, lectures and web-based educational
    materials. Much of the training will take place at The Center for Spine
    Arthroplasty at the Endo-Surgery Institute. More than 50 regional training
    centers throughout the country will also provide training.
    "Training is critical to the appropriate and effective use of the CHARITE
    Artificial Disc and it will be our top priority," said Earl R. Fender,
    Worldwide President, DePuy Spine. "Many leading spine surgeons are involved
    in the design and conduct of the training program to ensure surgeons have the
    required skills for this advanced surgery."

    Back Pain One of the Most Common Problems
    About 65 million Americans suffer from low back pain every year, according
    to the American Association of Neurological Surgeons (AANS). Americans spend
    about $50 billion each year on low back pain, the most common cause of job-
    related disability and lost work days.
    The CHARITE Artificial Disc is also available in more than 30 countries
    throughout Europe, Asia, North America, Africa and Latin America.

    About DePuy Spine
    DePuy Spine, a Johnson & Johnson company, has worked and partnered with
    leading clinicians, researchers, and thought leaders to develop products to
    treat spine disorders for over 20 years. Today, DePuy Spine stands in the
    forefront of the worldwide spine market, with a substantial sales organization
    in the U.S. and an expanding worldwide distribution network. The company is
    committed to advancing the knowledge of all health care professionals and
    their patients in addressing spinal pathologies.

    SOURCE DePuy Spine, Inc.
    Web Site:

    Old 11-06-2004, 12:15 AM   #4
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    Re: Artificial disc for cervies

    yes I think this is for the lower back. The Bryan Artificial disk is for the cervical. If you go to google you can find a lot of info on it.

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