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The Medtronic PRESTIGE® LP Cervical Disc System is a novel treatment option for cervical spine disorders, neck pain and related problems. Typically addressed with spinal fusion, or ACDF, which results in limited mobility, the PRESTIGE cervical disc system preserves mobility and allows for the motion of a natural disc, including flexion, extension, side bending and rotating.

Medtronic Prestige LP

An ACDF Alternative

Spinal discs provide the cushion between vertebrae. When afflicted by injury, disease or age-related deterioration, these discs can lose their water content and their normal height, narrowing the space between vertebrae and bringing them closer together, resulting in pressed nerves. This condition can generate chronic or excruciating pain as well as pain and tingling that radiates to the extremities and can ultimately be debilitating. A cervical disc herniation can also compress the spinal cord or nerves resulting in neurologic compromise.

Among the corrective surgical treatment options available are spinal fusion (ACDF) and cervical artificial disc replacement. The former is the more common, however, as it permanently connects two or more vertebrae, it necessarily results in decreased motion and mobility. The latter involves replacing the cervical disc between vertebrae with a cutting-edge titanium implant that mimics the form and function of a natural cervical disc, such as the Medtronic PRESTIGE® LP Cervical Disc System.

The PRESTIGE LP Cervical Disc is composed of two separate pieces of titanium connected together with a pivoting joint that allows them to maintain a range of motion, while filling in for the diseased or degenerated disc that required removal.

Medtronic Prestige LP


The surgery is performed under general anesthesia. Patients will lie on their back and the neck area will be cleaned and a sterile sheet will be placed around it. An incision, typically an inch or so long, will be made in the front of the neck to serve as an access point to the spine. Special surgical instruments are then used to remove the damaged or diseased disc, and the PRESTIGE LP artificial cervical disc will be put in its place. The incision will then be sealed with a plastic surgery-type closure.


Cervical disc replacement is a common surgery and is generally performed as an outpatient procedure, followed by a period of rest and rehabilitation. Most patients benefit from wearing a collar for two weeks following the procedure. Our dedicated spine team will carefully walk you through our postoperative care instructions.

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Dear Patients:

Our patients' health and safety is our number one priority. Our office continues to be open for all email, telephone, and online inquiries. You can call us at 646-916-3962 or contact us via email to schedule your virtual telemedicine or in-person visit. Our doctors will be holding regular office hours for virtual video consultations and follow-up visits that permit you to stay in the comfort of your own home, utilizing your computer, tablet, or mobile device.

Additionally, we will continue to see select patients in the office for consultation and follow-up visits, including preoperative and postoperative appointments. Our doctors continue to perform procedures in our private, free-standing surgery center that offers an array of outpatient surgical services to treat spinal issues such as acute back pain, disc herniations, sciatica, and pinched nerves in the back or neck. We are also able to offer clean and efficient on-site x-ray capabilities in our office.

Please know that we join our community in taking all advised precautions* to limit the spread of the Coronavirus and ensure the safety of patients and staff.

Call today to schedule a consultation and explore your options with the Spine Center at OrthoManhattan.

The following precautionary measures have been established to ensure the safest environment possible:

  • All patients are screened both prior to and on the day of their office appointment. Patients will not be permitted in the office and will be asked to reschedule their appointment if:
    • You or anyone in your household are experiencing flu-like symptoms, such as fever, cough, congestion, runny nose, or shortness of breath.
    • You have been in contact with anybody who has tested positive for coronavirus or have traveled (both domestically and internationally) within the last 14 days.
  • We have updated our patient and visitor policies:
    • Only a limited number of patients will be permitted on the office hour schedule.
    • No additional visitors or family members are allowed to accompany the patient during their office visit, unless the patient is in need of an aide or a translator
    • Infants, children, and adolescents are asked to stay home and will not be permitted to accompany the patient to their appointment.

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