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These devices continue to be evaluated in clinical trials. Early results suggest a possible role in the management of degenerative disorders of the lumbar spine (Christie, Song et al. 2005).
The DIAM Spinal Stabilisation System can be used with minimally invasive surgical techniques, and provides flexible support of the lumbar spine while treating spinal degeneration.
The “Device for Intervertebral Assisted Motion” (DIAM) is a new technology from Medtronic that treats back problems without the need for spinal fusion.
Who May Be a Candidate ?
Spinal surgeons around the country are now enrolling candidates for a clinical trial to study the DIAMT Spinal Stabilization System. This clinical trial will study the safety and effectiveness of the device for treatment of degenerative disc disease (DDD) at a single level between L2-L5. Symptoms of degenerative disc disease are often described as persistent low back pain, sometimes accompanied by leg pain.
This is a randomized clinical trial comparing the DIAMT Device to non-surgical, conservative treatment. Patients enrolled in the study will be randomly assigned to receive either the investigational DIAMT Device or non-surgical treatment that involves medication, physical therapy, patient education and spinal injections. Patients enrolled in the study must be evaluated by their surgeon at regular intervals.
What Are The Advantages Of The DIAM System ?
Following standard surgery where a part of the intervertebral disc is removed (discectomy), the rest of the disc can degenerate further potentially requiring fusion surgery at a later date. In fusion surgery the surgeon uses a bone graft to join, or fuse, two or more vertebrae together. Once the bone and spinal bone grow together, the two vertebrae function as one unit, stabilizing that part of the spine. With the disc space restored to its original height, pressure on nerves is usually relieved.
Who Can Benefit From Surgery ?
The surgeon has confirmed by your history and x-ray studies that you have degenerative disc disease in your lower back You have narrowing of a vertebral opening due to loss of disc height You have back and/or leg pain that has not responded to non-surgical treatment.
The DIAM spinal stabilisation system surgery takes only a short time added onto the standard procedure of discectomy. The surgeon will access your spine through an opening in your back, remove portions of the degenerated disc, measure the required height and then position the DIAM to maintain function of your spine. There are alternative treatments to this surgery, both surgical and non-surgical. You should discuss these options with the surgeon before making your decision.
What Is The Recovery Process ?
Immediately after surgery, you will be moved to the recovery room where you will remain for a few hours while your recovery from the anaesthesia is monitored. After you awaken fully, you will be taken to your hospital room. You may have a drainage tube in your wound and the surgeon may prescribe medicines to control pain and nausea.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_message style=”square” message_box_color=”mulled_wine”]
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