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Prosthetic intervertebral disc replacement in the cervical spine

 
Guidance issued
 
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 reconsidered this procedure in light of comments received during the initial consultation in October 2009. As a result, NICE issued a second consultation document about its safety and efficacy. This has been issued for 4 weeks public consultation (until 5pm on 27th January 2010).

If you wish to comment on the consultation document please use the link at the bottom of this page.

NICE is committed to promoting through its guidance race and disability equality and equality between men and women, and to eliminating all forms of discrimination. One of the ways we do this is by trying to involve as wide a range of people and interest groups as possible in the development of our guidance on interventional procedures. In particular, we aim to encourage people and organisations from groups in the population who might not normally comment on our guidance to do so. We also ask consultees to highlight any ways in which draft guidance fails to promote equality or tackle discrimination and how it might be improved.

If you wish to be alerted to developments regarding this procedure, including the release of NICE guidance, please express your interest at the top of the page.

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: