Artificial Cervical Disc Replacement Eagle River AK

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Eldon L De Kay, DDS
(907) 697-3555
16635 Centerfield Dr # 201
Eagle River, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Todd Soung Kim, MD
17712 Toakoana Way
Eagle River, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, San Diego, Sch Of Med, La Jolla Ca 92093
Graduation Year: 1999

Data Provided By:
Jordan Thomas Hartman, DDS
(907) 337-1536
2601 Boniface Pkwy
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kurt D Mentzer
(907) 580-3205
5955 Zeamer Avenue
Elmendorf Afb, AK
Specialty
Hand Surgery

Data Provided By:
Kyle E Black
(907) 729-4573
4315 Diplomacy Dr
Anchorage, AK
Specialty
Orthopedic Surgery

Data Provided By:
Jeffrey Scott Moore, MD
(907) 279-2663
10701 Sarah Barton Cir
Eagle River, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1987

Data Provided By:
John Riser Scott, MD
(907) 622-3569
32907 Upper Rd Cirrus Way
Eagle River, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1955

Data Provided By:
Michael Leo Koropp, DMD
(907) 338-8999
2601 Boniface Pkwy
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Greg L Schumacer
(907) 580-1572
5955 Zeamer Ave
Elmendorf Afb, AK
Specialty
Orthopedic Surgery

Data Provided By:
Robert David Beck, MD
(907) 345-9736
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1969

Data Provided By:
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Artificial Cervical Disc Replacement - Justin Paquette, MD

Dr. Sechrest: Hello, I'm Dr. Randale Sechrest, your host for eOrthopod.TV. Today I have with me as my guest, Dr. Justin Paquette. Dr. Paquette is a neurosurgeon who practices complex spine surgery in Los Angeles, California. Dr. Paquette did his medical training at Albany Medical College. He then went on to complete residency in neurosurgery at the Harvard Tuss Combined Program in Boston, Massachusetts. From there he completed a fellowship in complex spine surgery in Los Angeles at Cedar-Sinai. Good afternoon, Justin.

Dr. Justin Paquette: Good afternoon.

Dr. Sechrest: Dr. Paquette, today what I'd like to discuss is a relatively new procedure called the artificial disc replacement, and we're specifically talking about artificial disc replacement in the neck. Tell us a little bit about this. I mean, this is a new procedure that seems to be very popular these days.

Dr. Justin Paquette: Sure. So essentially the purpose of an artificial disc is to preserve the normal motion of the spine. In the old days, we would just fuse a level, and we do this today as well, where we fuse a level and take the motion out of it so as to prevent any pressure on the nerve or the spinal cord. The artificial disc, however, instead of fusing two vertebrae together actually links in-between where the disc was, but allows bending, twisting, flexing, extending in all the normal directions. The main reason why this was developed was based upon a theory called adjacent segment degeneration. What this theory states is that if you take one segment of the spine and you fuse it, you've basically taken one motion segment out of the spine. So if you had, say, seven discs or six discs in the spine all doing certain amounts of movement, and you took one disc and stopped it from moving, now the other discs have to pick up the slack, and now they have a little more extra motion, extra stress, and they may wear out faster than they would have normally. So the reasoning behind developing the disc was that if we can preserve the motion perhaps we can prevent that adjacent segment degeneration, prevent the worsening stress in the other discs, and perhaps prolong the life of the neck.

Dr. Sechrest: Okay. So, if I understand you correctly, the artificial disc is really a new option, so to speak, for situations where otherwise you would have done an anterior cervical discectomy and fusion.

Dr. Justin Paquette: That's correct.

Dr. Sechrest: When you do an artificial disc, other than the advantage of retaining motion, do you get better pain relief, do you get a better result than you would get with your typical anterior cervical discectomy and fusion?

Dr. Justin Paquette: It's interesting. The data is just basically coming out right now from the FDA studies. It's showing at least equivalency, and in some times, superiority to standard fusion procedures. One of the reasons may be is that in fusions surgeries we can't use any kind of anti-inflammatories after surg...

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