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Doctor insights on: How Safe Is Fusion After Artificial Disc Replacement And Is It Effective

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

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

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. ...Read more

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Disc Replacement (Definition)

In essence the adjoining surfaces of a vertebra are cut off to expose good healthy bleeding bone. A metallic implant flat on the bone side and concave and rimmed on the disc side are imlpanted with a metal ball bearing trapped my the concavity and rim complete the implants. As one moves the ball bearing is allowed to move within the precisely machined nd matched plates, ...Read more


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How safe is a fusion after artificial disc replacement and does it work?

Hmm more details?: Repeat anterior approaches can be fatal one rule ilived by only one anterior lumbar approach in a life time good saftey guidline i can only think of two reason to fuse after a replacement catastrophic mechanical implant failure and facet arthritis desparate diagnostic confusion never operate if confused about the scource of pain facet arthritis is a contraindication for replacement can I have more. ...Read more

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Is a 2 level cervical artificial disc replacement safe and effective? What is the longevity of the disc? How long has it been FDA approved?

Is a 2 level cervical artificial disc replacement safe and effective? What is the longevity of the disc?  How long has it been FDA approved?

Chartre': The artificial disc has been used in Europe for about a decade and in the US for about half that time. It has been highly successful and prevents adjacent disc injury. The operation for a skilled surgeon is quite simple and fast with minimal complications. ...Read more

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How safe is it to use animal valves for replacement surgery?

How safe is it to use animal valves for replacement surgery?

Safe & FDA approved: It is a safe treatment option. Your surgeon can discuss the pros and cons of each treatment option. ...Read more

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Is it safe to take probiotics after having valve repair and replacement.

Is it safe to take probiotics after having valve repair and replacement.

Probiotics: Yes probiotics are safe and if over consumed may cause loose bowels. Many live cultured foods have probiotics, yogurt, kefir, sour kraut, kim chi. ...Read more

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Is it safe to take orthoptics after valve replacement and valve repair?

Is it safe to take orthoptics after valve replacement and valve repair?

Safe with antibiotic: It is safe but you need to take prophylactic antibiotis during precedure for orthoptics. ...Read more

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Is it safe to get cortisone injections after getting a total hip replacement?

Is it safe to get cortisone injections after getting a total hip replacement?

Yes: Hard to know when the tha was and where the injection is to be done. The general answer is that yes it is safe to have a cortizone (hydrocortisone) injection after already having a total joint surgery. Make sure there is appropriate sterile technique used! ...Read more

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What are the long term effects of doing a interbody cage fusion after discectomy for my c4-c5, c5-c6 total disc replacement? Any better methods?

What are the long term effects of doing a interbody cage fusion after discectomy for my c4-c5, c5-c6 total disc replacement? Any better methods?

Adjacent segment de: While motion preservation is at least theoretically superior to fusion you have discovered that it does not always work. When that happens the decision has to be the choice of doing nothing or doing a fusion. Only your surgeon along with you can provide the answer to this question. ...Read more

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Is it safe to postpone hip replacement?

Is it safe to postpone hip replacement?

Yes: Hip replacement is elective surgery. All the stars should be well aligned before proceeding. The only risk in postponement is falling from pain from the hip. Use a walker, if needed, in the meantime to prevent falls. ...Read more

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Is it safe to have arthoscopic surgery after total knee replacement?

Is it safe to have arthoscopic  surgery after total knee replacement?

Yes: Not sure if you mean the same knee or not. The opposite knee is not a problem. Occasionally it is appropriate to do an arthoscopy of the replaced joint for scar tissue. Always worried about any surgery in presence of a total joint replacement. ...Read more

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What is success.On a spinal fusion rather then replacement is the procedure same amount risky? I'm scared by I do need one

What is success.On a spinal fusion rather then replacement is the procedure same amount risky? I'm scared by I do need one

Depends : Depends on the reason for fusion, the age of the patient , their medic issues . It really just depends on a lot of things. I would ask the bone doctor your question. ...Read more

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Is it recommended to get joint replacement or fusion for arthritic hands?

Is it recommended to get joint replacement or fusion for arthritic hands?

Depends on joint: Distal joints need stability and proximal joints need mobility. The knuckle nearest the finger tip is usually fused, with good results. The knuckles nearest the hand can be replaced. Some arthroplasties utilize tendons or other soft tissue, others use silicone or metal and/or plastic. See a board certified orthopaedic hand surgeon for evaluation and treatment. ...Read more

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How safe is hip and knee replacement surgery?

How safe is hip and knee replacement surgery?

Both have become : Very common and routine procedures. These have the best outcomes done by surgeons who do a lot of them. However, a lot also depends on the status of the patient with obesity, malnutrion, diabetes, peripheral vascular disease, osteoporosis, presence of autoimmune diseas such as lupus, clotting disorders, prior blood clots or dvt, varicose veins and deformities in legs all having an impact. ...Read more

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What is a spinal disc fusion and how long is recovery afterward?

What is a spinal disc fusion and how long is recovery afterward?

Join bones together: A fusion causes bones to be joined together. It eliminates movement in the spine and improves pain. Recovery takes 3 months to 6 months. ...Read more

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Is it safe to start the nicotine patch a few days before knee arthroscopy? I would be wearing it during the surgery. Does it affect healing time?

Is it safe to start the nicotine patch a few days before knee arthroscopy? I would be wearing it during the surgery.  Does it affect healing time?

Yes, it is safe: Yes, it is safe to wear a nicotine patch during a surgery. Smoking certainly delays healing time in part by decreasing availability of oxygen in the blood, and abstaining from smoking with help from the patch will actually improve your post-surgical healing and is a very well-informed and health-conscious decision that you've made. www.tobaccofreeflorida.com is an excellent quitting resource. ...Read more

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Is it challenging to correct mild dysplasia during hip replacement? What is considered the desired alpha angle post-placement?

Is it challenging to correct mild dysplasia during hip replacement? What is considered the desired alpha angle post-placement?

No: The challenge in correcting hip dysplasia occurs when you are trying to realign and spare the joint. When performing a total hip arthroplasty, you can position the hip however you want. Dysplastic hips may have shallow sockets and pose a challenge to replacement. See a board certified orthopaedic surgeon, who specializes in adult reconstruction. ...Read more

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How effective is fat graft TMJ surgery and does it involve. Thank you very much.

Dr. Paul Grin Dr. Grin
2 doctors agreed:
 How effective is fat graft TMJ surgery and does it involve. Thank you very much.

Fat graft TMJ : The dermis fat graft TMJ surgery is a safe and effective procedure in the management of TMJ ankylosis. There is not enough scientific data is available, but procedure prevents re-ankylosis especially in children. For more information discuss details with your surgeon before signing inform consent. Good luck. ...Read more

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How effective is disc regeneration for lower back?

How effective is disc regeneration  for lower back?

Unknown: This is experimental with many hurdles ahead ...Read more

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What is the best option for a herniated disc? Is it discectomy or fusion?

What is the best option for a herniated disc? Is it discectomy or fusion?

Usually diskectomy: In the majority of cases of low back disk herniation needing surgery, diskectomy is the best approach. In the neck, diskectomy combined with fusion is the best approach most of the time (in select cases neck diskectomy without fusion is a good option). Review your options with your provider. If in doubt, get a second opinion. ...Read more

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What kind of lumbar disk replacements are used to replace a herniated disk? Does replacement last as long as biological one? Any downsides?

What kind of lumbar disk replacements are used to replace a herniated disk? Does replacement last as long as biological one? Any downsides?

Disc Replacements: Typically artificial discs are used and only fda approved for one level, not being recommended for anything more than that. The downside is there is not long term data for them compared to long term fusion but they have been documented to not seat properly and known to come out of the disc space. In most cases, a minimally invasive disc repair procedure is now the newest/best technology available. ...Read more

Fusion (Definition)

A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more