FDA Approved New Two-Level Spinal Disc Device
A cervical disc replacement option is now available in the U.S. for patients requiring two-level spinal surgery.
Updated on Oct. 14, 2026 in Diabetes
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The FDA has officially approved the prodisc C Nova cervical total disc replacement device for two-level use. This implant is currently available in the U.S. through a limited-release program.
Why it matters
This approval expands the available surgical options for addressing two-level spinal conditions. It supports the strategy of providing varied implant designs that can better match an individual's unique vertebral anatomy.
The prodisc C Nova has been in clinical use outside the U.S. since 2009. The FDA approval now authorizes its use for two-level procedures alongside other company devices.
The players
Centinel Spine
A medical device company specializing in spinal fusion and motion-preserving disc replacement technologies.
FDA
The federal agency responsible for evaluating the safety and efficacy of medical devices before they reach the public.
The details
The prodisc C Nova features flat endplates equipped with low-profile keels. These components are specifically engineered to accommodate variations in vertebral anatomy. By offering multiple design configurations, the system aims to provide surgeons with better options for restoring spinal health during two-level disc replacement procedures.
Timeline
Clinical use of the device began outside the U.S. in 2009.
The prodisc C Vivo and C SK received two-level approval in October 2025.
The FDA approved the prodisc C Nova for two-level use on October 14, 2026.
Health Landscape
This development follows the FDA's medical device review process for expanding the usage indications of spinal implants. It reflects a broader trend of increasing the variety of motion-preserving technologies available for multi-level spinal treatment.
If you are currently evaluating options for cervical disc replacement, this new device offers an additional configuration that your surgeon may consider. Discuss your specific spinal anatomy with your physician to determine which implant design is appropriate for your care.
The takeaway
The addition of this device provides surgeons with more tools to tailor two-level spinal surgeries to individual anatomy. Patients should keep a list of their current spinal symptoms to discuss with a spine specialist when evaluating these surgical options.
Further reading
For more information on managing spinal health and treatment options, visit Diabetes.
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