Board Certified Neurosurgeon Brain & Spine Care 860-889-9035
Mark Hornyak, MDBoard Certified Neurosurgeon
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Degenerative / Spine Case

Lumbar Disc Replacement (artificial disc)

27 yo man presenting with low back pain for five years. Radiates to posterior Left thigh Worse with flexion and extension; better w rest No numbness, tingling, weakness. Failed conservative care.

Description

27 yo man presenting with low back pain for five years. Radiates to posterior Left thigh
Worse with flexion and extension; better w rest
No numbness, tingling, weakness.
Failed conservative care.

Gallery

Images

Figure 1Patient's report of symptoms. Disability rated at 46%
Figure 2MRI L-spine
Figure 3XR L-spine (AP & lateral)
Figure 4XR L-spine (extension & flexion)
Figure 5Procedural fluoro - Epidural steroid injection
Figure 6Intraoperative photo: patient positioning & incision in left lower abdomen
Figure 7IntraOp fluoro: localization of L5/S1 disc and midline
Figure 8IntraOp fluro: sizing trial in L5/S1 disc space
Figure 9IntraOp fluro: arthroplasty device inserted
Figure 10Intraop photo: arthroplasty core being inserted into endplates of device
Figure 11IntraOp fluro: final images (lateral & AP)
Figure 12Intraop photo: arthroplasty device (artificial disc) in place
Figure 13X-ray post op day 1 (lateral & AP)
Figure 14X-ray 6 week post-op
Figure 15X-ray 6 month post-op (Extension & flexion). Disability 12%
Figure 16Diagram of ProDisc-L artificial disc (arthroplasty device) from Centinel Spine

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