Prosthetic intervertebral disc replacement in the cervical spine

Summary

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

It replaces the previous guidance on Prosthetic intervertebral disc replacement in the cervical spine  (Interventional Procedures Guidance no. 143, 2005).  

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.

OPCS4.6 Code(s):

V36.1 Prosthetic replacement of cervical intervertebral disc

V55.- Levels of spine

Note: Codes within category V55.-  are assigned in second place each time a spinal operation is coded: if the levels of spine are not specified, V55.9 Unspecified levels of spine is used.

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

Details

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Links:

	IPG341 Prosthetic intervertebral disc replacement in the cervical spine: guidance	19 May 2010
	IPG341 Prosthetic intervertebral disc replacement in the cervical spine: guidance (web format)	10 February 2011
	IPG341 Prosthetic intervertebral disc replacement in the cervical spine: understanding NICE guidance	19 May 2010
	IPG341 Prosthetic intervertebral disc replacement in the cervical spine: understanding NICE guidance (MS word format)	19 May 2010
	IPG341 Gosod disgiau asgwrn cefn artiffisial yn lle rhai sydd wedi treulio yn y gwddf: deall canllawiau NICE (fformat MS Word)	05 July 2010
	Prosthetic intervertebral disc replacement in the cervical spine: consultation comments table	19 May 2010
	Prosthetic intervertebral disc replacement in the cervical spine - Second Consultation	29 December 2009
	Prosthetic intervertebral disc replacement in the cervical spine (interventional procedures overview)	29 December 2009
	Prosthetic intervertebral disc replacement in the cervical spine - Consultation Comments	23 December 2009
	Prosthetic intervertebral disc replacement in the cervical spine (interventional procedures consultation)	21 October 2009
	Interventional Procedures Consultation Document - Prosthetic intervertebral disc replacement for the cervical spine	24 May 2005
	Interventional Procedures Overview - Prosthetic intervertebral disc replacement for the cervical spine	24 May 2005
	Prosthetic intervertebral disc replacement in the cervical spine - Consultation Comments	23 December 2009