Learn All About this Clinically-Proven Alternative to Spinal Fusion

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ABOUT prodisc

prodisc is a Total Disc Replacement (TDR) technology platform that offers a surgical treatment designed to maintain spinal balance and motion, decelerate adjacent level reoperations, and accelerate the return to normal activities.

It is the only total disc replacement system in the U.S. approved for two-level use in both the cervical and lumbar spine.

 

prodisc C Vivo, prodisc C SK, prodisc C & prodisc C Nova*:
Total Disc Replacement for the upper (cervical) spine (C3-C7)

prodisc L:
Total Disc Replacement for the lower (lumbar) spine (L3-S1)

* prodisc C Vivo, prodisc C SK, & prodisc L are FDA-approved for both 1- and 2-level usage. prodisc C & prodisc C Nova are FDA-approved for 1-level usage only.

Not all products are available in all markets.


prodisc USAGE

The 1st implantation of a prodisc lumbar TDR device took place in 1990, and the 2nd generation design received US PMA approval in 2006.

With such a lengthy clinical history and global usage, the prodisc line of total disc replacements are the most widely studied TDRs in the world.

35+
35+ Year Clinical History with Worldwide Usage


prodisc design has been validated with more than 300,000 device implantations worldwide 1 and over 590 published papers 2

2L
The only total disc replacement system in the U.S. approved for two-level use in both the cervical and lumbar spine


More than 300,000 device implantations and a reported reoperation rate of less than 1% 3

prodisc STUDIES

No other disc replacement system has been studied more than prodisc.

With more than 590 published papers, the clinical data for prodisc strongly supports its safety and effectiveness. Here are just a few key takeaways from these numerous clinical studies:

4x
Fewer Reoperations

After 7 Years with prodisc C vs. Patients that Received a Fusion (ACDF)4

4x
Less Likely Adjacent Level Degeneration

After 5 Years with prodisc L vs. Patients that Received a Fusion (ALIF)5

LOWER
Change in Range of Motion

Shown in Biomechanical Study of prodisc C vs. a Plate-Based Fusion (ACDF)6

prodisc DESIGN

The prodisc design is based on two critical principles: a mechanism of action & post-operative fixation.

Mechanism of Action

The prodisc implant is a ball and socket design with a fixed center of rotation. This design has been in clinical use since 1990 and utilized across the entire product platform. The fixed center of rotation allows physiological range of motion while providing stability to the spine and significantly reducing post-operative findings of adjacent level disease.4, 7


Fixation

Post-Operative Fixation
Post-operative fixation is provided by keels or lateral spikes, designed to secure the implant so the patient can begin rehabilitation and return to their normal activities as soon as possible.

Long-Term Fixation
The entire surface of the implant that is in contact with the vertebra is coated with a highly porous plasma sprayed titanium coating designed for bony on-growth into the surface for long term, secure fixation.


prodisc TECHNIQUE

Learn more about the elegant prodisc procedure.

See the prodisc C Vivo Surgical Technique for prodisc Cervical V2 Instrument Set

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See the prodisc C Vivo Surgical Technique for Vivo International Instrument Set

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See the prodisc C SK Surgical Technique for prodisc Cervical V2 Instrument Set

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See the prodisc C Surgical Technique Animation

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See the prodisc L Surgical Technique Animation

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MORE ABOUT prodisc

For more information about prodisc see our corporate website.

  TO THE CORPORATE WEBSITE

1 Data on file at Centinel Spine compiled from Spine Solutions, Synthes Spine, DePuy Synthes, and Centinel Spine.
2 Search performed on Pubmed, Embase, Ovid Medline® covering 1988 – 2025.
3 Based upon U.S. complaint handling units for prodisc 2016 - 2025.
4 Janssen ME, et al, ProDisc-C Total Disc Replacement Versus ACDF for Single-Level Symptomatic Cervical Disc Disease, JBJS, 2015, 97:1738-47.
5 Zigler, J, Delamarter R, Five-year results of the prospective, randomized, multicenter, Food and Drug Administration investigational device exemption study of the prodisc L total disc replacement versus circumferential arthrodesis for the treatment of single-level degenerative disc disease, J Neurosurg Spine, 2012, 17:493-501.
6 Crawford NR, et al, Biomechanics of a Fixed-Center of Rotation Cervical Intervertebral Disc Prosthesis, Int J Spine Surg. 2012; 6: 34–42.
7 Zigler J, et al, Five-year adjacent-level degenerative changes in patients with single-level disease treated using lumbar total disc replacement with ProDisc-L versus circumferential fusion, J Neurosurg Spine 17(6):504–511, 2012.

EDUCATIONAL development

Centinel Spine offers a variety of educational programs tailored to meet the diverse training needs of physicians. Hands-on Bioskills Courses, Peer-to-Peer Webinars, and OR Surgical Observations have been designed to review patient selection, surgical technique and tips, post-operative care, and other related topics. These programs can be customized to individual physician needs, providing varied levels of support to surgeons.



About our
Hands-on Bioskills Courses

These courses provide surgeons with an educational experience focused on patient selection, surgical technique, strategies, and solutions for addressing specific spinal pathologies. The course format includes lectures, case discussions with expert faculty, and a bioskills lab.

The curriculum covers biomechanical considerations, indications and patient selection, surgical technique, tips and tricks, post-operative care, and best practices.



About our
Peer-to-Peer Webinars

Centinel Spine’s live streaming webinars provide a convenient way for physicians to learn from experts in motion preservation discussing specific treatments, techniques, and strategies for patient care.

Our interactive webinars allow participants to pose questions, receive answers, and exchange ideas in real-time with their surgeon peers from the comfort of their homes or offices.



About our
Surgical Observations

Surgical Observations are a surgical technique training and continuing education program that exposes surgeons to the technical procedures and skills required for anterior column surgery, through a combination of case discussions and viewing live surgery.

Surgeon OR Visitations are offered at Centinel Spine experienced faculty locations, where key thought leaders in spine educate with a focus on the anterior spinal column.

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The Story of Centinel Spine

Watch this short primer on Centinel Spine and its unique and extraordinary place as a catalyst of change in the spine industry—with pioneering technologies and a clinical history that have led to successes ranging from PGA champions to a growing list of surgeon-patients.

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