PRODISC® C Total Disc Replacement

Division: Spine
Category: Cervical

The PRODISC® C Total Disc Replacement is intended to replace a diseased and/or degenerated disc of the cervical spine in patients with symptomatic cervical disc diseases (SCDD). The PRODISC C Total Disc Replacement procedure is intended to significantly reduce pain by allowing for the removal of the diseased disc while restoring disc height and providing the potential for motion at the affected vertebral segment.

The PRODISC C Total Disc Replacement utilizes a ball and socket design similar to joint replacement devices that have been successfully used for many decades. The PRODISC C Total Disc Replacement implant is composed of three components—two cobalt chromium alloy (CoCrMo) endplates and an ultra-high molecular weight polyethylene (UHMWPE) inlay. The implant is an inserted en-bloc and is securely anchored in the spine with patented keel technology.

Indications for Use



The PRODISC® C Total Disc Replacement is indicated in skeletally mature patients for reconstruction of a single disc from C3-C7 following discectomy for intractable symptomatic cervical disc disease (SCDD). Symptomatic cervical disc disease is defined as neck or arm (radicular) pain and/or a functional/neurological deficit with at least one of the following conditions confirmed by imaging (CT, MRI, or X-rays): herniated nucleus pulposus, spondylosis (defined by the presence of osteophytes), and/or loss of disc height. The PRODISC-C Total Disc Replacement is implanted via an open anterior approach. Patients receiving the PRODISC C Total Disc Replacement should have failed at least six weeks of non-operative treatment prior to implantation of the PRODISC C Total Disc Replacement.




The PRODISC C Total Disc Replacement should not be implanted in patients with the following conditions:

  • Active systemic infection or infection localized to the site of implantation
  • Osteoporosis defined as DEXA bone density measured T-score ≤-2.5
  • Marked cervical instability on neutral resting lateral or flexion/extension radiographs; translation >3mm and/or >11° of rotational difference to either adjacent level
  • Allergy or sensitivity to the implant materials (cobalt, chromium, molybdenum, polyethylene, titanium)
  • Severe spondylosis characterized by bridging osteophytes or a loss of disc height > 50% or an absence of motion (<2°), as this may lead to limited range of motion and may encourage bone formation (e.g., heterotopic ossification, fusion)
  • Clinically compromised vertebral bodies at the affected level due to current or past trauma (e.g., by radiographic appearance of fracture callus, malunion, or nonunion)


Correct placement of the device is essential to optimal performance. Use of the PRODISC C Total Disc Replacement should only be undertaken after the surgeon has become thoroughly knowledgeable about spinal anatomy and biomechanics, has had experience with anterior cervical spinal surgeries, and has had hands-on training in the use of this specific device. A lack of adequate experience and/or training may lead to a higher incidence of adverse events, including neurological complications. The safety and effectiveness of this device has not been studied in the pediatric or adolescent age group (<22 years old). Due to the proximity of vascular and neurological structures to the implantation site, there are risks of serious or fatal hemorrhage and risks of neurological damage with the use of this device. Care should be taken to identify and protect these structures during surgery.

Features & Benefits

  Features Benefits
Ball-and-socket design

Controlled and predictable motion




Fixed center-of-rotation

Patented central keel

Facilitates midline placement


Provides immediate stability in three planes

Plasma-sprayed titanium coating

Covers all bone contacting surfaces


Promotes bony ongrowth for long term secondary fixation

Proven materials The materials used as the articulating surfaces of to PRODISC® C Total Disc Replacement have been used in spinal arthroplasty since 1987 and are the most commonly used articulating materials in total joint replacements
Safe and reproducible surgical technique Three step implantation technique consisting of trialing, keel preparation and implantation
Zero-profile implant

Minimizes contact with local anterior soft tissue structures after implantation


DSUS/SPN/0616/1354 8/2016

All medical devices have associated risks. Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings. For further information on DePuy Synthes Products, please contact your local DePuy Synthes Representative.