happens during surgery?
The surgical approach
for the an Artificial Cervical Disc (also known as Total Disc Replacement)
is identical to an Anterior Cervical Discectomy and Fusion. The main difference
in the procedures is that an artificial cervical disc is placed in the
disc space rather than a bone graft and internal fixation.
An Anterior Cervical Discectomy with the placement
of a an Artificial Cervical Disc, is an operation performed on
the cervical spine to relieve pressure on one or more nerve roots,
or on the spinal cord. The procedure is explained by the words
anterior (front), cervical (neck), and discectomy (cutting out
the disc).In this operation, the cervical spine is reached through
an incision approximately one inch in length in the front of your
neck. (See figure 2)
| The approach to the anterior
neck makes use of a plane between muscles, which is very easy
to recover from. The muscles naturally part, giving the surgeon
direct access to the spine, while avoiding the spinal cord. After
the disc is exposed it is removed. Then the nerve root is decompressed,
the offending compressive material is cleaned out,and then
the an Artificial Disc is inserted into the disc space.
Once the an Artificial Cervical Disc is firmly in place, tension
is taken off the vertebral bodies above and below, which compresses
the artificial disc and holds it in place. To view an annimation
of the Prestige Artifical Disc surgical procedure, click here.
What happens after surgery?
The hospital stay is generally 24-48 hours. During this time,
IV fluids may be given while your body recovers and your normal
appetite returns. You may move about in bed and rest in any comfortable
position when you have recovered from anesthesia. Walking may begin
within several hours of surgery. Daily walking is the best exercise,
setting a pace that avoids fatigue or severe pain. You may return
to work when you are ready, and drive after you regain full coordination.
Successful recovery from anterior cervical discectomy and placement
of the an Artificial Disc requires that you approach the operation
and recovery with confidence based on a thorough understanding
of each process. Your surgeon has the specialized training and
expertise to correct physical defects by performing the operation;
he and the rest of the health care team will support your body's
efforts to heal its damaged tissues. Full recovery will also depend
on you having a strong, positive attitude, setting small, realistic
goals for improvement, and working steadily to accomplish each