Motion preservation with monoblock total disc replacement – First experience in multi-level cervical and lumbar treatment: Biren DESAI (Cologne – Germany)
Chronic degenerative disc disease of the lumbar spine with all consequences are among the most common diseases in orthopedics. The lumbar and cervical disc replacement (arthroplasty) as an alternative to interbody fusion (arthrodesis) has opend a new era of spinal surgery. The Fusion has been the gold standard of surgical care for a long time. But the incidence of pseudarthrosis, adjacent segment degeneration, Iliac crest morbidity and insufficient sagital balance are the subject of many discussions. In contrast to the fusion, the artificial disc replacement maintains physiological mobility of the degenerated spinal segment and thus probably lead to a lower rate of adjacent degeneration. Other advantages are the lower peri-operative morbidity and faster loading capacity of the patients.
A version for lumbar disc replacements, LP-ESP, is available since 2004.
The LP-ESP is part of a new generation of intervertebral disc replacements that offer better shock absorption and faster recovery of the patient than traditional disc replacements.
With many years of experience of lumbar prosthesis, a new cervical prosthesis CP-ESP was established in the market 2014.
The modern monoblock prosthesis allows also supplies in several segments.
The lecture shows indication, planning, implementation and results of multi-level lumbar and cervical disc prosthesis supply.
Dr. Biren Desai
Head of Department Spine Surgery
Trinity Hospital Cologne