Jeffrey M. Spivak, M.D. - Orthopaedic Spine Surgeon
NYU Hospital for joint Diseases Spine Center
Jeffrey M. Spivak, M.D. - Orthopaedic Spine Surgeon: 212-598-6696
Patient Info

Brief Summary of Indications, Contraindications, and warnings for the PRESTIGE® Cervical Disc

The PRESTIGE® Cervical Disc is indicated in skeletally mature patients for reconstruction of the disc from levels C3-C7 following single-level discectomy for intractable radiculopathy and/or myelopathy. The PRESTIGE® device is implanted via an open anterior approach. Intractable radiculopathy and/or myelopathy should present with at least one of the following items producing symptomatic nerve root and/or spinal cord compression which is documented by patient history (e.g., pain [neck and/or arm pain], functional deficit, and/or neurological deficit), and radiographic studies (e.g., CT, MRI, x-rays, etc.): 1) herniated disc, and/or 2) osteophyte formation.

The PRESTIGE® Cervical Disc should not be implanted in patients with an active infection or with an allergy to stainless steel.

The PRESTIGE® Cervical Disc should only be used by surgeons who are experienced in the surgical procedure and have undergone adequate training with the device. A lack of adequate experience and/or training may lead to a higher incidence of adverse events, such as neurological complications.

The safety and effectiveness of this device has not been established in patients with the following conditions: more than one cervical level with DDD; not skeletally mature; clinically significant cervical instability; prior fusion at adjacent cervical level; severe facet joint pathology of involved vertebral bodies; prior surgery at treated level; osteopenia, osteomalacia, or osteoporosis as defined by bone mineral density T-score of -3.5, or -2.5 with vertebral crush fracture; spinal metastases; chronic or acute renal failure or history of renal disease; taking medications known to potentially interfere with bone/soft tissue healing (e.g. steroids); pregnant; cervical instability; severe insulin dependent diabetes; and were not refractory to at least six weeks of unsuccessful conservative treatment or had signs of progression or spinal cord/nerve root compression with continued non-operative care.

Implanted metal alloys release metallic ions into the body (especially those devices with metal-on-metal articulating surfaces). The long term effect of these ions on the body is not known.

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician with appropriate training or experience.

Please see the package insert for the complete list of indications, warnings, precautions, adverse events, clinical results, and other important medical information.

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

Jeffrey M. Spivak, M.D. - Orthopaedic Spine Surgeon
Awards and Honors - Jeffrey M. Spivak, M.D.
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Jeffrey M. Spivak, M.D. Specialties
Herniated Discs - Jeffrey M. Spivak, M.D.
Spinal Stenosis - Jeffrey M. Spivak, M.D.
Adult Scoliosis - Jeffrey M. Spivak, M.D.
spondylolisthesis - Jeffrey M. Spivak, M.D.
Kyphosis - Jeffrey M. Spivak, M.D.
Microsurgery - Jeffrey M. Spivak, M.D.
Fractures - Jeffrey M. Spivak, M.D.
Revision Spine Surgery - Jeffrey M. Spivak, M.D.
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