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FDA Post-approval Study: Long-term Safety and Effectiveness of the ProDisc-L Total Disc Replacement

This is a discussion on FDA Post-approval Study: Long-term Safety and Effectiveness of the ProDisc-L Total Disc Replacement within the Artificial Disc Replacement forums, part of the Spine Surgery Support category; Below, is the Long-term Study Schedule for the ProDisc-L from the FDA's website:...

  1. #1
    Founder / Administrator Justin's Avatar
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    Default FDA Post-approval Study: Long-term Safety and Effectiveness of the ProDisc-L Total Disc Replacement

    Below, is the Long-term Study Schedule for the ProDisc-L from the FDA's website:


    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  2. #2
    Senior Member Gilbert P's Avatar
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    Hi Justin

    O.K. Now what?

    I could not log on.

    Is their any really long term results on ADR like 20 years or any speculation on results?

    Thanks

    Gilbert P
    L5-S1 lam 1994
    L2 to L5 DDD
    L3 -L4 hern Dec 2007.
    L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
    L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
    L2-L3 Right-sided neural foraminal narrowing
    L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
    C3-C4 limited DDD
    15 injections Depo. P.T. 18 months 9 dose packs,
    Nerve Block Injections.4 ESI S1
    L5-S1 Foraminotomy 09
    L4-L5 Microdiscectomy 09 ReHerniation 4-2010
    Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants


  3. #3
    Liz
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    i'm not really sure what this means either... justin, do you have a paper from the FDA on these results? it's also only 2 years.

    take care,
    liz
    scoliosis; 1998 - sports injury ->DDD L3-S1 w/annular tears/protrusions; 2007 episodes rt foot drop
    2007 Prodisc L4-S1
    L4-5 Prodisc tilted/facet issues; old L5 nerve damage
    2009 L4-5 Prodisc ADR removed and revised to XLIF w/posterior instrumentation
    massive hemorrhage from tear of inferior vena cava at rt iliac vein due to adhesion from Prodisc op
    2010 not fused; as a result of complications permanent nerve damage to lumbar plexus causing severe rt leg, hip, groin pain

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    Founder / Administrator Justin's Avatar
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    Quote Originally Posted by Liz View Post
    i'm not really sure what this means either... justin, do you have a paper from the FDA on these results? it's also only 2 years.

    take care,
    liz
    Hey Liz,

    The significance of these dates are, in my opinion, key for more acceptance / approval by insurance companies. The ProDisc-L was approved by the FDA on August 14, 2006. These study dates are post-approval follow-up, which will help make or break the case for artificial disc replacement in terms of "long-term" efficacy (there is also multilevel data coming out). I believe the ProDisc-L study began in 2004 (I need to check on this)--don't forget to add the clinical trial duration to the post-approval follow-ups.

    Many insurance companies are not currently covering artificial disc replacement on lack of "long-term data;" they have changed their tune from "investigational."

    The final report in 2010 will hopefully provide data that will ultimately help Spine Patients and widen insurance coverage.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

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