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

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