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The disc is a soft material located between 2 vertebrae, which acts as a cushion and allows movement of the neck. The patient has both arm and neck pain.
The first step of treatment is rest, pain relief medication, physiotherapy and a soft cervical collar. This simple treatment is useful in the vast majority of cases. Surgery / treatment for cervical disc prolapse is done in a setting of neck and arm pain known as radiculopathy that has proved unresponsive to pain relief medicine, and physiotherapy, or if the patient has loss of function or weakness or in extreme conditions like paralysis of the muscles of the arm.
The surgical alternatives are to remove the part of the disc which is compressing on the nerve root and replace it with a piece of bone that is acquired from the pelvis and which is then secured with the help of a plate and screws. This procedure is referred to as fusion.
The second surgical alternative is to remove the inflamed disc and use an artificial disc, instead of using graft, plate and screws. It should be stated that both procedures are highly useful as a cure for neck and arm pain.
When all the non-surgical techniques involving physical therapy, medications and injections fail to ease the pain, orthopaedics doctors recommend disc replacement surgery. The damaged disc is replaced with an artificial one to reproduce the functions of a normal disc. The artificial disc permits normal movement and carries the load like the real one. The technique takes anywhere from one to two hours and is done under general anesthesia.
After the surgery, the patients have regular follow-ups with the surgeon / primary care physician.
Specific medical diseases/ conditions like infection, vertebral body fracture, spinal tumor, pregnancy, allergy to the materials in the device or prosthesis, osteoporosis could stop one from getting a disc replacement surgery.
The correct candidates for a disc replacement surgery are those who qualify for the following conditions:
Dr. David Masel is well versed in minimally invasive surgery techniques to treat neurological disorders affecting the spine. If you or anyone you know is suffering from spinal injuries or spinal cord disorders like:-
Please book an appointment with Dr. Masel, call +1(469) 833-2927 to schedule a consultation.