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A 39-year-old member asked:

How safe is fusion after artificial disc replacement and is it effective?

2 doctor answers9 doctors weighed in
Dr. Jonathan Hyde
Orthopedic Spine Surgery 30 years experience
Depends: Artificial disc replacement can be done for cervical and lumbar conditions. Revision surgery in the cervical spine to either add a fusion or convert the replacement to a fusion is effective, with minimal added surgical risk. Such procedures in the lumbar spine, depending on the implant used and the level(s) treated, can carry significant added surgical risks. Discuss with your surgeon.
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Dr. Mark Weston
Orthopedic Spine Surgery 32 years experience
No revision anterior: Safer if the fusion was done from the back. Reoperating on the front of the spine can be fatal scarring of vessels on the front of spine makes moving out of the way to protect fraught with hazards. Revision anterior spine work is risky. Long term outcomes of hybrid costructs fusion relacemen togther are not well worked out.
Created for people with ongoing healthcare needs but benefits everyone.

Similar questions

A 37-year-old member asked:

What does an artificial disc replacement entail?

3 doctor answers8 doctors weighed in
Dr. Larry Armstrong
Neurosurgery 28 years experience
Like a fusion: Similar to a disk fusion, access to the spine is from the front. The disk is removed, the vertebrae are prepared and the disk replacement is placed in between the two vertebrae. Find a neurosurgeon or ortho spine surgeon who does many of these to achieve maximal success.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:

What are the indications for having an artificial disc replacement?

3 doctor answers5 doctors weighed in
Dr. Jack Goloff
Family Medicine 37 years experience
Primary Care View: As a primary care pain doctor i recommend that patients think twice about surgery unless waiting can cause permanent damage. Get second opinion before having it done. That is the best way to be sure.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:

When could an artificial disc replacement be used?

3 doctor answers5 doctors weighed in
Dr. Alexandre De Moura
Orthopedic Spine Surgery 32 years experience
Disc Replacement: In my experience disc replacement is best done when you have pure back pain. You would also do best when there is only disc degeneration or a contained disc herniation that has failed all conservative treatment. You also should not have any arthritis of the facet joints.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:

What happens after artificial disc replacement?

2 doctor answers4 doctors weighed in
Dr. Robert Levine
Dermatology 20 years experience
Usually Pain Less: Usually you pain in lessened, that is, after the recover from the surgery. But this question is best answered by the spine surgeon who is suggesting the disc replacement.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Mar 5, 2014

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