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2 years, 1 month ago via health-qna.com

Are cervical disc replacements going to replace cerival fusions?

Cervical disc replacements have been done for close to a decade in some countries. The United States started doing experimental surgeries with these replacements a little over three years ago. Doctors are reporting great success with this procedure. There are a number of benefits to disc replacement] such as better mobility and less stress on surrounding discs. Patients are getting great results and have shorter recovery times. The experimental studies are now being put up for FDA approval. Do you believe the FDA will be in favor of this new surgery? If not, why? If the FDA does approve it, do you think most doctors will learn to perform it or will they continue to do fusions on their patients?
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iklilian | 2 years ago
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Cervical fusion is still the standard procedure for any surgical treatment of cervical disk herniation and cervical spondylosis that produce intractable neck and radicular arm pain that is unresponsive to conservative methods of treatment and also for those causing nerve root and spinal cord compression. The reported success rate of cervical fusion for relief of pain is above75% and the surgery takes about 1-2 hrs to perform.

But notwithstanding its success rate, there is a great interest in a revolutionary change from fusion to artificial cervical disc replacements. This is because the failure of the bone to fuse with the adjacent vertebral body can occur after cervical fusion, causing problems such as foraminal stenosis and adjacent segment disk disease. When these problems occur The joint can no longer do what it used to do, But with the use of the cervical disc replacements.

I believe that if the benefits outweigh that of the cervical fusion, the FDA will definitely approve it.
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