FAQs


What type of symptoms would a patient have to have for you to consider them as a candidate for the PRESTIGE® Cervical Disc?

Dr. Todd Bonvallet
Chattanooga, TN
Typical symptoms for patients that would be candidates for the PRESTIGE® Cervical Disc would be those with intractable neck pain and/or arm pain with associated functional deficits such as a neurologic deficit or intractable pain. Patients with progressive loss of neurologic function would be surgical candidates, as well. These include patients with herniated discs or severe degenerative disc disease such as bone spurs pushing on the cord and/or the nerve. Usually these symptoms need to be persistent for greater than 6 months if the patient isn't having progressive loss of function or intractable pain unabated with conservative measures.
Dr. Michael Neuwirth
New York, NY
Typically, the same patients would be eligible for a PRESTIGE® Cervical Disc as for an anterior cervical discectomy and fusion (ACDF). Specifically, patients presenting with neck pain or radicular pain (pain that radiates down into the arm) that is often associated with a specific neurologic deficit such as numbness, weakness or reflex change in the distribution of the nerve are a candidate. These patients would have all failed appropriate non-operative treatment.
Dr. Praveen Mummaneni
San Francisco, CA
Pain radiating from the neck to the arm, with or without arm weakness.
Dr. Joseph Stachniak
Plano, TX
Cervicobrachial pain — or pain relating to the arm and the neck.
Dr. Richard Fessler
Chicago, IL
The ideal patient would have pain shooting into their arms and hands in a pattern which matched a disc problem at the correct level of the neck. Many would have neck pain along with this. Some patients would also have weakness in arm or hand muscles or numbness or tingling in their arm or hands.
Dr. Rick Sasso
Indianapolis, IN
Significant arm pain and neck pain that leads to a cervical disc herniation. Usually also associated with numbness and tingling that radiates down into the arm and hands and also may be associated with weakness in the arms.
Dr. Vincent Traynelis
Iowa City, IA
Ideal patients have intractable arm pain which has not responded to non-operative therapy. Some patients may also have weakness, numbness and/or tingling.
Dr. Todd Lanman
Los Angeles, CA
Most patients will have a disc problem in the neck which would be causing radiculopathy which is arm pain numbness, tingling, and/or weakness from a pinched nerve in the neck related to a herniated disc. Many patients will also have some element of neck pain going along with it. They may also have degenerated discs, which might have bone spurs causing irritation of the nerve root, with arm pain and/or neck pain.
Dr. J. Kenneth Burkus
Columbus, GA
Usually they're complaining about both neck pain, intra-scapular pain (between the shoulder blades) and then arm pain.
Dr. Brett Taylor
St. Louis, MO
Patients who have cervical radiculopathy or arm pain that has failed to improve with non-operative treatment for 6-8 weeks are candidates for cervical disc replacement. In our practice, patients have had significant improvement in cervical radiculopathy after the PRESTIGE® Cervical Disc replacement. In addition, we have seen significant improvement in neck pain. However, neck pain is not the primary indication for disc arthroplasty.
Dr. Paul Broadstone
Chattanooga, TN
The two main conditions include upper extremity symptoms of pain, numbness, tingling or weakness caused by nerve root compression or irritation at the cervical spine level (radiculopathy), or neck and shoulder pain that can be attributed to cervical disk disease.

The commentary above recounts the experiences of these physicians. Medtronic invited them to share their stories candidly. Keep in mind that results vary; not every patient's response is the same. Talk with your doctor to learn more about any products that are mentioned above.

It is important that you discuss the potential risks, complications and benefits of spinal surgery with your doctor prior to receiving treatment, and that you rely on your doctor's judgment. Only your doctor can determine whether you are a suitable candidate for this treatment.

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Published: May 04, 2007
Updated: April 19, 2010