2-steamboat-adr-debate-thursday

2-steamboat-adr-debate-thursday - Click to edit Master...

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Unformatted text preview: Click to edit Master subtitle style Anterior Cervical Discectomy and Arthroplasty (ADR) Thursday, February 3, 2010 Carl Lauryssen, M.D. Arthroplasty Goals Goals • To provide a sufficient implant range of motion while maintaining physiological range of motion • To limit cantilever on adjacent levels above and below levels which would otherwise be fused • Cervical disc replacements should be expected to withstand the repetitive stress and strain of weight bearing and motion that occurs in the cervical spine over Arthroplasty Indications Indications for arthroplasty • Skeletally mature patients • C3-C7 • Intractable symptomatic cervical disc disease • Neck pain • Arm (radicular pain) • Functional Neurological deficit with radiographic findings • Herniation Contraindications of Arthroplasty Contraindications • Osteoporosis • Cervical Instability • Translation > 3mm • 11 degrees of rotational difference to either adjacent level • Allergy of sensitivity to implant materials • Severe Spondylosis • Clinically compromised vertebral bodies • Facet Joint Pathology • (medina) CT - 6-2-10 • Dictation 1-11-10 • Vas 2-17-10: 8/10 • Surgery January 26, 2010 • Vas 3-29-10: 5/10 57 Year Old Male •...
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  • Spring '10
  • WANG
  • Vertebra, neck pain, Cervical arthroplasty, Anterior cervical discectomy and fusion, anterior cervical discectomy

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2-steamboat-adr-debate-thursday - Click to edit Master...

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