PRESTIGE LP™ CERVICAL DISC
An Alternative to Fusion

When you need neck surgery for damaged cervical discs, one option is an artificial cervical disc. This option relieves symptoms associated with degenerative disc disease and maintains range of motion.

What is Cervical Disc Degeneration?

Healthy spinal discs provide a cushion and a joint between your adjacent vertebrae. When your discs deteriorate, the space between the vertebrae narrows, compressing and pinching nearby nerves.

To relieve the pain and discomfort caused by the compression, a surgeon can remove and replace the collapsed or herniated disc with an artificial disc that mimics a healthy disc — providing both cushion and joint. The replacement and rebuilding of the joint with an artificial disc is termed cervical disc arthroplasty or cervical artificial disc replacement. Unlike fusion, where vertebrae are held together while bone grows between so that they no longer move, cervical disc replacement maintains your range of motion.

Cervical artificial disc replacement is a type of joint replacement procedure. An artificial disc, such as THE PRESTIGE™ LP CERVICAL DISC SYSTEM made by Medtronic, is placed between two adjacent cervical vertebrae to replace a diseased cervical disc. It is designed to maintain the distance between two adjacent cervical vertebrae. Two Prestige LP Cervical Discs can be used to replace two diseased cervical discs that are next to each other and require surgery.

What is the Prestige LP Cervical Disc System?

Watch a video about Cervical Arthroplasty Compared to Cervical Fusion

Cervical Arthroplasty Compared to Cervical Fusion

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The Prestige LP Cervical Disc System has two components (a ball and trough design) that the surgeon attaches to the vertebrae on either side of the disc. These components are made of a mixture of metals commonly used in spine surgery (titanium ceramic composite) and a ceramic material (titanium carbide). None of our components contain nickel. The design of the Prestige LP cervical disc preserves mobility by allowing the motion (flexion, extension, side bending, and rotation) and alignment (height and curvature) of a natural disc.*

Why Choose the Prestige LP Cervical Disc?

ONLY cervical disc with 10 years of clinical data
Data demonstrates superiority to fusion
FDA approved for 1 & 2 Levels
Designed to maintain motion
Contains zero nickel

Real Lives. Real Difference.

Watch a video testimonial from Professional Athlete Chris Weidman

Trusted by Professional Athlete Chris Weidman

“This was my 23rd surgery so I'm no stranger to surgery, but the idea of neck surgery scared the crap out of me. In the end though, it ended up being one of the easiest surgeries I’ve ever had, and it was very successful for me.”

Watch Chris Weidman, professional mixed martial artist, share his experience with neck surgery using the Prestige LP Cervical Disc, his road back to recovery, and getting back in the octagon.

Proven Results

Prestige

In order to be used in the United States at two adjacent levels, the Prestige LP Cervical Disc was evaluated in a clinical trial to determine whether it is a safe and effective treatment.

From 2 to 10 years, in addition to mean angular ranges of motion at treated levels being maintained, patients who received the Prestige LP Cervical Disc observed the following:

  • Twice as few serious adverse events1
  • 3X fewer index level reoperations2
  • 2X fewer adjacent level reoperations3
  • Zero inflammatory responses with the absence of nickel4

The trial was prospective (looking forward in time) and involved 397 patients (209 patients who received the Prestige LP Cervical Disc at two adjacent levels and 188 patients who underwent a fusion procedure, ACDF, at two adjacent levels). Through two years after surgery, 5 out of 209 patients (2.4%) treated with the Prestige LP Cervical Disc at two adjacent levels and 15 out of 188 patients (8.0%) treated with ACDF at two adjacent levels had additional surgery at the same levels. In addition, 5 out of 209 patients (2.4%) treated with the Prestige LP Cervical Disc at two adjacent levels and 6 out of 188 patients (3.2%) treated with ACDF at two adjacent levels had additional surgery at a level adjacent to the levels originally treated. Through ten years after surgery, 9 out of 209 patients (4.3%) treated with the Prestige LP Cervical Disc at two adjacent levels and 27 out of 188 patients (14.4%) treated with ACDF at two adjacent levels had additional surgery at the same levels. In addition, 16 out of 209 patients (7.7%) treated with the Prestige LP Cervical Disc at two adjacent levels and 24 out of 188 patients (12.8%) treated with ACDF at two adjacent levels had additional surgery at a level adjacent to the levels originally treated.

Implanting an artificial disc such as the Prestige LP Cervical Disc in the neck is serious surgery. It is important that you discuss the potential risks, complications, and benefits of the Prestige LP Cervical Disc with your doctor prior to receiving treatment, and that you rely on your physician's judgment. Only your doctor can determine whether you are a suitable candidate for this treatment.

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Make a confident decision about neck surgery.

The information on this site is not a substitute for talking to your doctor. Always talk to your doctor about treatment options. There are risks associated with the medical device featured on this page. Please refer to the risks and other important safety information concerning this device. For more information visit www.medtronic.com/necksurgery.

*At two years after surgery, considering all of the patients treated with the Prestige LP Cervical Disc at two adjacent levels, 100 out of 196 (51.0%) had more than four degrees of motion at both treated levels while bending the head forward to backward (flexion-extension).

RISKS OF CERVICAL DISC REPLACEMENT Implanting an artificial disc such as the Prestige LP cervical disc in the neck is serious surgery. The Prestige LP cervical disc is inserted very close to important nerves and blood vessels. Your doctor will be careful to find and protect these nerves and blood vessels, but there is a risk of damage to nerves or blood vessels during the surgery. A small cut to a blood vessel can cause dangerous bleeding (hemorrhage) or even death. Damage to a nerve can cause long-term loss of movement (paralysis) or feeling. It is important that you discuss the potential risks, complications, and benefits of the Prestige LP cervical disc with your doctor prior to receiving treatment, and that you rely on your physician's judgment. Only your doctor can determine whether you are a suitable candidate for this treatment. For a complete list of indications, warnings and precautions please refer to the Patient Education Brochure.

  1. The CDA group had fewer serious (grade 3–4) implant-related or implant/surgical procedure-related adverse events (3.8% vs 8.1%; posterior mean 95% Bayesian credible interval [BCI] of the log hazard ratio [LHR] -0.92 [-1.88, -0.01]).
  2. The CDA group also had statistically fewer secondary surgical procedures at the index levels (4.7%) than the ACDF group (17.6%) (LHR [95% BCI] -1.39 [-2.15, -0.61]).
  3. The CDA group also had statistically fewer secondary surgical procedures at adjacent levels (9.0% vs 17.9%).
  4. Prestige LP patients undergoing surgery with the Prestige LP Titanium Ceramic composite material had no associated inflammatory responses reported.
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