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Spine center Berlin
Center of excellence for endoscopic &
      minimal invasive spine surgery




    Experience with Activ C
          Case presentations

        Christian Woiciechowsky
               www.spine-berlin.com
              prof@woiciechowsky.de
The cervical spine disc prosthesis activ C
1 level standard indication




                                             www.spine-berlin.com
The cervical spine disc prosthesis activ C
1 level standard indication




                                             www.spine-berlin.com
The cervical spine disc prosthesis activ C
1 level standard indication




                                             www.spine-berlin.com
The problem of kyphosis after cervical
discectomy Activ C Flat

                                     3d after op




                                         www.spine-berlin.com
The problem of kyphosis after cervical
discectomy Activ C

        3d after op    6w after op       6m after op




                                           www.spine-berlin.com
Activ C Flat 2 levels


                        intraop   3d after op




                                     www.spine-berlin.com
Activ C Flat 2 levels




                        www.spine-berlin.com
The problem of kyphosis after cervical
discectomy Activ C


         intraop       3d after op   3m after op




                                         www.spine-berlin.com
The cervical spine disc prosthesis activ C
2 levels extended indication




                                             www.spine-berlin.com
The cervical spine disc prosthesis activ C
2 levels extended indication




                                             www.spine-berlin.com
The cervical spine disc prosthesis activ C
3 levels individual decision




                                         www.spine-berlin.com
The cervical spine disc prosthesis activ C
3 levels individual decision




                                         www.spine-berlin.com
The cervical spine disc prosthesis activ C
          3 levels individual decision




intraop         3 days          6 weeks        6 months


                                                  www.spine-berlin.com
The cervical spine disc prosthesis activ C
3 levels individual decision




                                        www.spine-berlin.com
The cervical spine disc prosthesis activ C
         kyphotic malposition




This may be the worst situation: segmental kyphosis, overall
kyphosis, no motion with kyphosis in extension

                                                          www.spine-berlin.com
The cervical spine disc prosthesis activ C
    heterotopic ossification – loss of function




praeop           3 days               6 weeks




6 months           1 year
                                                www.spine-berlin.com
The cervical spine disc prosthesis activ C
heterotopic ossification – loss of function




                                          www.spine-berlin.com
The cervical spine disc prosthesis activ C
heterotopic ossification – loss of function




                                          www.spine-berlin.com

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Ecperience with Activ c - cervical artificial disc

  • 1. Spine center Berlin Center of excellence for endoscopic & minimal invasive spine surgery Experience with Activ C Case presentations Christian Woiciechowsky www.spine-berlin.com prof@woiciechowsky.de
  • 2. The cervical spine disc prosthesis activ C 1 level standard indication www.spine-berlin.com
  • 3. The cervical spine disc prosthesis activ C 1 level standard indication www.spine-berlin.com
  • 4. The cervical spine disc prosthesis activ C 1 level standard indication www.spine-berlin.com
  • 5. The problem of kyphosis after cervical discectomy Activ C Flat 3d after op www.spine-berlin.com
  • 6. The problem of kyphosis after cervical discectomy Activ C 3d after op 6w after op 6m after op www.spine-berlin.com
  • 7. Activ C Flat 2 levels intraop 3d after op www.spine-berlin.com
  • 8. Activ C Flat 2 levels www.spine-berlin.com
  • 9. The problem of kyphosis after cervical discectomy Activ C intraop 3d after op 3m after op www.spine-berlin.com
  • 10. The cervical spine disc prosthesis activ C 2 levels extended indication www.spine-berlin.com
  • 11. The cervical spine disc prosthesis activ C 2 levels extended indication www.spine-berlin.com
  • 12. The cervical spine disc prosthesis activ C 3 levels individual decision www.spine-berlin.com
  • 13. The cervical spine disc prosthesis activ C 3 levels individual decision www.spine-berlin.com
  • 14. The cervical spine disc prosthesis activ C 3 levels individual decision intraop 3 days 6 weeks 6 months www.spine-berlin.com
  • 15. The cervical spine disc prosthesis activ C 3 levels individual decision www.spine-berlin.com
  • 16. The cervical spine disc prosthesis activ C kyphotic malposition This may be the worst situation: segmental kyphosis, overall kyphosis, no motion with kyphosis in extension www.spine-berlin.com
  • 17. The cervical spine disc prosthesis activ C heterotopic ossification – loss of function praeop 3 days 6 weeks 6 months 1 year www.spine-berlin.com
  • 18. The cervical spine disc prosthesis activ C heterotopic ossification – loss of function www.spine-berlin.com
  • 19. The cervical spine disc prosthesis activ C heterotopic ossification – loss of function www.spine-berlin.com