Cervical Artificial Disc Replacement Temple Hills MD

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David C Johnson, MD
(202) 291-9266
106 Irving St NW
Washington, DC
Business
National Orthopedics PC
Specialties
Orthopedics

Data Provided By:
James E Callan MD
(301) 891-6130
7610 Carroll Ave
Takoma Park, MD
Specialties
Orthopedics

Data Provided By:
Henry Di Lorenzo, DDS
(301) 839-2500
6130 Oxon Hill Rd Ste 304
Oxon Hill, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jorge A Mondino
(301) 567-2330
6192 Oxon Hill Rd
Oxon Hill, MD
Specialty
Orthopedic Surgery

Data Provided By:
Melissa Ann Yadao, MD
(703) 549-1652
6144 Oxon Hill Rd
Oxon Hill, MD
Specialties
Orthopedics
Gender
Female
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1997

Data Provided By:
Edward G Alexander Jr., MD
(703) 461-7100
4801 Kenmore Ave
Alexandria, VA
Business
Northern Virginia Orthopaedic Group
Specialties
Orthopedics

Data Provided By:
Hamid R Quraishi, MD
(301) 567-7200
6196 Oxon Hill Rd Ste 430
Oxon Hill, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1959

Data Provided By:
Rida Naguib Azer, MD
(301) 839-1600
6144 Oxon Hill Rd
Oxon Hill, MD
Specialties
Orthopedics
Gender
Male
Languages
Arabic
Education
Medical School: Kasr El Aini Fac Med Cairo Univ, Cairo (915-02 After 1/1971)
Graduation Year: 1959
Hospital
Hospital: George Washington Univ Hosp, Washington, Dc
Group Practice: Metropolitan Wash Orthopedic

Data Provided By:
Eric Geoffrey Dawson
(301) 567-2850
6196 Oxon Hill Rd Ste 310
Oxon Hill, MD
Specialty
Orthopedic Surgery

Data Provided By:
Peter S Trent, MD
(301) 839-1600
6144 Oxon Hill Rd
Oxon Hill, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Stony Brook Hlth Sci Ctr, Stony Brook Ny 11794
Graduation Year: 1982

Data Provided By:
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Cervical Artificial Disc Replacement

A Patient's Guide to Cervical Artificial Disc Replacement

Introduction

Artificial disc replacement (ADR) is relatively new. In June 2004, the first ADR for the lumbar spine (low back) was approved by the FDA for use in the US. Replacing a damaged disc in the cervical spine (neck) is a bit trickier. The disc is part of a complex joint in the spine. Making a replacement disc that works and that will last is not an easy task. There are now several Cervical artificial disc replacement devices that have been approved by the FDA for use in the United States.

The artificial disc is inserted in the space between two vertebrae. The goal is to replace the diseased or damaged disc while keeping your normal neck motion. The hope is that your spine will be protected from similar problems above and below the affected spinal level.

This guide will help you understand:

  • what parts of the spine are involved
  • what your surgeon hopes to achieve
  • who can benefit from this procedure
  • how do I prepare for surgery
  • what happens during the procedure
  • what to expect as you recover

Anatomy

What parts of the spine are involved?

Disc replacement typically occurs at cervical spine levels C4-5, C5-6, or C6-7. The first seven vertebrae make up the cervical spine. Doctors often refer to the cervical vertebrae as C1 to C7. The cervical spine starts where the top vertebra (C1) connects to the bottom of the skull. The cervical spine curves slightly inward and ends where C7 joins the top of the thoracic spine (the chest area) at the first thoracic vertebra, T1.

Each vertebra is made of the same parts. The main section of each cervical vertebrae, from C2 to C7, is formed by a round block of bone, called the vertebral body. A bony ring attaches to the back of the vertebral body. This ring has two parts. Two pedicles connect directly to the back of the vertebral body. Two lamina bones join the pedicles to complete the ring. The lamina bones form the outer rim of the bony ring. When the vertebrae are stacked on top of each other, the bony rings form a hollow tube that surrounds the spinal cord. The laminae provide a protective wall around the spinal cord.

On the left and right side of each vertebra is a small tunnel called a neural foramen. (Foramina is the plural term.) The two nerves that leave the spine at each vertebra go through the foramina, one on the left and one on the right. The intervertebral disc sits directly in front of the opening. A bulged or herniated disc can narrow the opening and put pressure on the nerve. A facet joint sits behind the foramen. Bone spurs that form on the facet joint can project into the tunnel, narrowing the hole and pinching the nerve.

A special type of structure in the spine called an intervertebral disc has two parts. The center, called the nucleus, is spongy. It provides most of the shock absorption in the spine. The nucleus is held in place by the annulus, a serie...

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