Artificial discs: applications to cervical and lumbar spinal surgery for degenerative disc disease
Ontario Ministry of Health and Long-Term Care
Record ID 32004000750
English
Authors' objectives:
This review is intended to summarize the evidence of safety and effectiveness of artificial disc devices for cervical and lumbar spinal surgery, with particular attention to those devices licensed for use in Canada.
Authors' recommendations:
Intervertebral prostheses (IVP) devices have been widely used in Europe and Asia. Safety data suggest that events are primarily those associated with any surgery to the spine. Based on the limited reports in the literature, neither IVP device failure or debris production are likely to occur. Two IVP products are currently approved for use in Canada.
Nucleus of the disc (NRD) products are newer, target less severe disease, and have not been sufficiently evaluated to draw any conclusions regarding safety or efficacy. None are currently approved for use in Canada.
The choice of IVP over spinal fusion reflects a significant conceptual and philosophical divide among spine surgeons. Comparative efficacy data for IVP and spinal fusion are at present sparse, but are expected within the coming 12-24 months for three IVP products reviewed here: SB Charite III, Bryan Cervical Disc and ProDisc II.
Authors' methods:
Systematic review
Details
Project Status:
Completed
Year Published:
2004
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Prostheses and Implants
- Spinal Diseases
Contact
Organisation Name:
Medical Advisory Secretariat
Contact Address:
Medical Advisory Secretariat, 20 Dundas Street West, 10th Floor, Toronto, ON M5G 2N6 CANADA. Tel: 416-314-1092l; Fax: 416-325-2364;
Contact Name:
MASinfo.moh@ontario.ca
Contact Email:
MASinfo.moh@ontario.ca
Copyright:
Medical Advisory Secretariat, Ontario Ministry of Health and Long-Term Care
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.