MEMORANDUM
To:         Dr. George T. Wynarsky
            Professor, Materials Science and Engineering

            Dr. Elizabeth Hildinger
            Professor, Technical Communication

From:       Samantha Luber
            Student, Engineering 100.100.103

Date:      October 27, 2009

Subject:   A Description of Artificial Spinal Disc

Foreword
You have asked me to research and write a brief technical description of an orthopedic
device. The description will focus on what the device is, what its primary functions are,
and how the functions are preformed. I have chosen artificial spinal discs. This document
gives my response to those instructions.
Summary
An artificial spinal disc is an orthopedic treatment for degenerative disc disease. This
disease, which occurs in aging persons, causes the spinal discs, cartilage cushions that
separate the vertebrae bones, to lose fluid (“Basic Disc Anatomy” 1). As a result of fluid
loss in the spinal disc, vertebrae bones are closer together. This closeness of vertebrae
bones causes several serious and painful health conditions, including instability in the
spine, herniation (a condition in which tissue extends past the normal physical constraints
of the back), growth of osteophytes (bone spurs), and reduction in shock absorbency of
the spinal discs (“Degenerative” 1). Doctors use artificial spinal discs as a treatment for
degenerative disc disease. The most widely used design, the Link SB Charité disc, is
composed of two end plates and a central core, further described in the “Anatomy of the
Charité Spinal Disc” section (“Charité” 1). In surgery, doctors immediately insert the
artificial replacement into the original disc’s position and attach the disc to the vertebrae,
so that it may carry out the functions of the original disc (“Degenerative” 4). Once in
position, the artificial spinal disc maintains a proper distance between the vertebrae,
ensuring that no more degeneration of these bones can occur. Furthermore, the new disc
functions as the replaced disc by serving as a shock absorber and providing spinal
support; thus, the artificial disc replacement treats the adverse conditions of degenerative
disc disease.
Degenerative Disc Disease in the Spinal Discs
Not an uncommon health condition, degenerative disc disease affects the spinal discs in
the vertebrae. Spinal discs are composed of three basic elements: protein, cartilage, and
water. Essential to proper disc function, high water content keeps the spinal disc strong
and flexible while maintaining proper spacing between vertebrae (Gillards 7). An
important part of the vertebrae, spinal discs have three important functions; for instance,
in the event of excessive force exertion on the spine, the disc serves as a shock absorber
Luber 2


by reducing the impact on fragile spinal structures (“Degenerative” 4). In addition, the
spinal disc serves as padding between vertebrae, preventing erosion from touching
vertebrae. Furthermore, the spinal discs are a pivot point about which the spine can bend
and rotate (Gillards 1). Degenerative disc disease affects both of these important
functions because it causes the spinal disc to lose fluid, a key component to the disc’s
functionality (Traynelis 1). As previously mentioned, a dehydrated spinal disc can result
in several adverse conditions, such as herniation, osteophytes, and loss of the spinal
disc’s ability to perform its functions (“Degenerative” 4). All of these conditions cause
severe back pain.
Anatomy of the Charité Spinal Disc
The Charité Artifical Disc consists of three main parts – two endplates and sliding central
              Figure 1                          core. Shown in Figure 1, both endplates are
Endplates                 Titanium Teeth identical and composed of high quality cobalt
                                                chromium alloy. The endplates are attached to
                                                the vertebrae via the anchoring teeth on each
                                                endplate. A titanium coating covers each
                                        Sliding endplate to enhance fixation to the vertebrae
                                        core    bone (“Charité” 2). Between the two endplates,
                                                the sliding core is placed. The design of the
                                                central core allows normal movement of the
                                                spinal disc in the back. (“Charite” 3). In general,
                                                the Charité Artifical Disc is intended to mimic
        Link SB Charité Artificial Disc          the function of the original spinal disc.
   The most widely used artificial implant for treating
               degenerative disc disease

<http://www.spineuniverse.com/displayarticle.php/article1
                      245.html>.



Functionality and Use of an Artificial Spinal Disc
An artificial disc treats degenerative disc disease by replacing the original failing spinal
disc and performing all previously mentioned functions a spinal disc. Specifically, the
artificial replacement absorbs impact, supports the spine, and restores disc space, this
important spacing preventing further degeneration of vertebrae. The Charité Artifical
Disc accomplishes these functions through proper placement in the back. In surgery, an
incision is made just below the naval. From the incision, the operating doctor removes the
degenerated disc and inserts the artificial replacement into the original disc’s position
before degeneration occurred. The endplates are pressed into the vertebrae above and
below the disc space, and then the core is inserted between the endplates (“Charité” 4).
Now that the vertebrae are spaced appropriately, no further degeneration from rubbing
vertebrae can occur. By function as the original spinal disc, the artificial replacement
treats degenerative disc disease and prevents further damage.
Luber 3


                                        References

Gillard, Douglas M., MD. “Basic Disc Anatomy.” ChiroGeek. 2005. 11 Oct. 2009
        <http://www.chirogeek.com/ /000_disc_anatomy.htm>.

“Charité Artificial Disc.” Charité Artifical Disc. 2009. 11 Oct. 2009 <http://
       www.charitedisc.com/charitedev/international/products.asp>.

"Degenerative Disc Disease - Topic Overview." WebMD - Better information. Better
      health.. 13 July 2008. 13 Sep. 2009 <http://www.webmd.com>.

Traynelis, Vincent, and Regis W. Haid Jr., MD. "Spinal Disc Replacement: The
       Development of Artificial Discs." Back Pain, Neck Pain, Sciatica - Symptoms
       Exercises Treatments Causes. 13 Sep. 2009
       <http://www.spineuniverse.com/displayarticle.php/article1245.html>.




 I have neither given nor received any unauthorized help on this assignment, not have I
                       concealed any violation of the Honor Code.

Spinal Disc Implants

  • 1.
    MEMORANDUM To: Dr. George T. Wynarsky Professor, Materials Science and Engineering Dr. Elizabeth Hildinger Professor, Technical Communication From: Samantha Luber Student, Engineering 100.100.103 Date: October 27, 2009 Subject: A Description of Artificial Spinal Disc Foreword You have asked me to research and write a brief technical description of an orthopedic device. The description will focus on what the device is, what its primary functions are, and how the functions are preformed. I have chosen artificial spinal discs. This document gives my response to those instructions. Summary An artificial spinal disc is an orthopedic treatment for degenerative disc disease. This disease, which occurs in aging persons, causes the spinal discs, cartilage cushions that separate the vertebrae bones, to lose fluid (“Basic Disc Anatomy” 1). As a result of fluid loss in the spinal disc, vertebrae bones are closer together. This closeness of vertebrae bones causes several serious and painful health conditions, including instability in the spine, herniation (a condition in which tissue extends past the normal physical constraints of the back), growth of osteophytes (bone spurs), and reduction in shock absorbency of the spinal discs (“Degenerative” 1). Doctors use artificial spinal discs as a treatment for degenerative disc disease. The most widely used design, the Link SB Charité disc, is composed of two end plates and a central core, further described in the “Anatomy of the Charité Spinal Disc” section (“Charité” 1). In surgery, doctors immediately insert the artificial replacement into the original disc’s position and attach the disc to the vertebrae, so that it may carry out the functions of the original disc (“Degenerative” 4). Once in position, the artificial spinal disc maintains a proper distance between the vertebrae, ensuring that no more degeneration of these bones can occur. Furthermore, the new disc functions as the replaced disc by serving as a shock absorber and providing spinal support; thus, the artificial disc replacement treats the adverse conditions of degenerative disc disease. Degenerative Disc Disease in the Spinal Discs Not an uncommon health condition, degenerative disc disease affects the spinal discs in the vertebrae. Spinal discs are composed of three basic elements: protein, cartilage, and water. Essential to proper disc function, high water content keeps the spinal disc strong and flexible while maintaining proper spacing between vertebrae (Gillards 7). An important part of the vertebrae, spinal discs have three important functions; for instance, in the event of excessive force exertion on the spine, the disc serves as a shock absorber
  • 2.
    Luber 2 by reducingthe impact on fragile spinal structures (“Degenerative” 4). In addition, the spinal disc serves as padding between vertebrae, preventing erosion from touching vertebrae. Furthermore, the spinal discs are a pivot point about which the spine can bend and rotate (Gillards 1). Degenerative disc disease affects both of these important functions because it causes the spinal disc to lose fluid, a key component to the disc’s functionality (Traynelis 1). As previously mentioned, a dehydrated spinal disc can result in several adverse conditions, such as herniation, osteophytes, and loss of the spinal disc’s ability to perform its functions (“Degenerative” 4). All of these conditions cause severe back pain. Anatomy of the Charité Spinal Disc The Charité Artifical Disc consists of three main parts – two endplates and sliding central Figure 1 core. Shown in Figure 1, both endplates are Endplates Titanium Teeth identical and composed of high quality cobalt chromium alloy. The endplates are attached to the vertebrae via the anchoring teeth on each endplate. A titanium coating covers each Sliding endplate to enhance fixation to the vertebrae core bone (“Charité” 2). Between the two endplates, the sliding core is placed. The design of the central core allows normal movement of the spinal disc in the back. (“Charite” 3). In general, the Charité Artifical Disc is intended to mimic Link SB Charité Artificial Disc the function of the original spinal disc. The most widely used artificial implant for treating degenerative disc disease <http://www.spineuniverse.com/displayarticle.php/article1 245.html>. Functionality and Use of an Artificial Spinal Disc An artificial disc treats degenerative disc disease by replacing the original failing spinal disc and performing all previously mentioned functions a spinal disc. Specifically, the artificial replacement absorbs impact, supports the spine, and restores disc space, this important spacing preventing further degeneration of vertebrae. The Charité Artifical Disc accomplishes these functions through proper placement in the back. In surgery, an incision is made just below the naval. From the incision, the operating doctor removes the degenerated disc and inserts the artificial replacement into the original disc’s position before degeneration occurred. The endplates are pressed into the vertebrae above and below the disc space, and then the core is inserted between the endplates (“Charité” 4). Now that the vertebrae are spaced appropriately, no further degeneration from rubbing vertebrae can occur. By function as the original spinal disc, the artificial replacement treats degenerative disc disease and prevents further damage.
  • 3.
    Luber 3 References Gillard, Douglas M., MD. “Basic Disc Anatomy.” ChiroGeek. 2005. 11 Oct. 2009 <http://www.chirogeek.com/ /000_disc_anatomy.htm>. “Charité Artificial Disc.” Charité Artifical Disc. 2009. 11 Oct. 2009 <http:// www.charitedisc.com/charitedev/international/products.asp>. "Degenerative Disc Disease - Topic Overview." WebMD - Better information. Better health.. 13 July 2008. 13 Sep. 2009 <http://www.webmd.com>. Traynelis, Vincent, and Regis W. Haid Jr., MD. "Spinal Disc Replacement: The Development of Artificial Discs." Back Pain, Neck Pain, Sciatica - Symptoms Exercises Treatments Causes. 13 Sep. 2009 <http://www.spineuniverse.com/displayarticle.php/article1245.html>. I have neither given nor received any unauthorized help on this assignment, not have I concealed any violation of the Honor Code.