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Prosthetic intervertebral disc replacement in the cervical spine

 
Guidance issued
 
IPG Number: IPG143

Summary

The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Prosthetic intervertebral disc replacement in the cervical spine in November 2005.

NICE has reviewed this guidance and is reassessing the procedure. New guidance will be published as a result.  Until the new guidance is published the NHS should continue to follow the recommendations in the guidance below

The Interventional Procedures Advisory Committee (IPAC) has considered this procedure and NICE has issued a consultation document about its safety and efficacy. Consultation has now ended. IPAC will consider the consultation comments and produce a Final Interventional Procedures Document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.

The consultation period for this procedure closed on the 27th January.

If you wish to be updated to any developments with this procedure, you can express an interest here.

Description

A number of devices have been developed for the cervical spine. Under general anaesthetic the patient is placed in the supine position. The anterior cervical spine is exposed, and after standard decompression of the neural elements, an artificial disc prosthesis is placed between the vertebrae.

This procedure can be used for patients with acute disc herniation or cervical spondylosis. In these conditions, nerve root or spinal cord compression may cause symptomatic radiculopathy or myelopathy.

OPCS code:

Details

Arrangement:
Special
Topic area:
Musculoskeletal
Surgical procedures
Specialty:
Trauma and orthopaedic surgery
Specialist advice has been sought from:
  • British Scoliosis Society
  • British Association of Spinal Surgeons
  • British Orthopaedic Association
  • Society for Back Pain Research
  • Society of British Neurological Surgeons
  • Chartered Society of Physiotherapists
  • British Chiropractic Association
  • British Osteopathic Association
Date notified to NICE:
07 May 2004
Provisional consultation date:
Autumn 2009
Guidance issue date:
23 November 2005

Contact details:

Project manager (for general enquiries or comments)
(for general enquiries or comments)
Ben Doak
Technical lead
(for procedure specific enquiries or comments)
Steven Barnes
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links: