Doctor insights on:
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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
Safe with antibiotic: It is safe but you need to take prophylactic antibiotis during precedure for orthoptics. ...Read more
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 moreSee 1 more doctor answer
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 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
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
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
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
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 moreSee 1 more doctor answer
Unknown: This is experimental with many hurdles ahead ...Read more
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 moreSee 1 more doctor answer
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
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
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