1 ProDisc L: Motion Preservation Device Performed by: Michael Janssen, DO August 20, 2007 Welcome...
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Transcript of 1 ProDisc L: Motion Preservation Device Performed by: Michael Janssen, DO August 20, 2007 Welcome...
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1
ProDisc L: Motion Preservation DevicePerformed by: Michael Janssen, DO
August 20, 2007
Welcome High School Students!!!
![Page 2: 1 ProDisc L: Motion Preservation Device Performed by: Michael Janssen, DO August 20, 2007 Welcome High School Students!!!](https://reader035.fdocuments.in/reader035/viewer/2022062312/551ba4e3550346a10a8b635c/html5/thumbnails/2.jpg)
The Spine
•7 Cervical▫ 8Nerve Roots
•12 Thoracic▫ 12 Nerve Roots
•5 Lumbar▫5 Nerve Roots
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The Lumbar Spine
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Axial View of a Vertebra
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Disc Anatomy
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Notice the darker than normal disc space. This is characteristic of a disc with DDD.
MRI Imaging (Healthy/DDD)
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ProDisc L
• Motion Preservation System• Treat DDD (Degenerative Disc Disease): L3-S1• Intended to:
▫ Remove diseased disc▫ Reduce discogenic pain▫ PRESERVE MOTION IN DISC
• Superior & Inferior Plate▫ Cobalt Chrome Alloy▫ Central keel: fixation security
• Polyethylene Inlay▫ Ultra high polyethylene
• Developed by Synthes
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Degenerative Disc Disease (DDD)
• Breakdown and deterioration of intervertebral disc
• Loss of water content in pulposus• Stretching, degeneration, & rupture of annulus
▫Bulging of disc ▫Leads to leakage of nucleus’ content
• Nerve root compression• Pain/numbness in associated extremities• Stiffness in back• Limited ability to continue desired lifestyle
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Disc Herniation
•Compression/Pressure on Nerve Root: Symptoms?▫Numbness▫Shooting Pains▫Tingling▫Weakness▫Loss of sense
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Anterior Lumbar Discectomy & ProDisc L
•Abdominal Incision•Abdominal muscles deflected laterally;
peritoneal cavity avoided•Iliac deflected laterally•Midline of target disc determined;
discectomy performed•Placement of ProDisc L
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Questions?
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c/o = Complains ofLBP = Lower Back PainX = ForPE = Physical ExaminationWNL = Within Normal LimitsVAS = Pain Scale
GVM = Patient Initials
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ESI = Epidural Steroidal InjectionPT = Physical TherapyVAX–D = Type of DecompressionMRI = Magnetic Resonance ImagingDDD = Degenerative Disc Disease
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X-ray Imaging
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X-ray Imaging
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X-ray Imaging
MRI Imaging
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X-ray Imaging
MRI Imaging
Dark disc space in image to right indicates loss of water content and therefore a degenerating disc. Image above shows narrowed nerve root space where nerves are being pinched due to DDD.
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Now its time for the surgery
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Closing Remarks
•How were you challenged today? •How can we improve days like this?•How has today changed your view of
medicine? •Questions?