Doctor insights on:
Artificial Disc Replacement
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
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. ...Read moreSee 1 more doctor answer
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
An X-Stop is : Indicated for treatment of lumbar spinal stenosis at one or two levels but not usually at l5-s1 as there is usually not proper available anatomy to secure its placement there. Artificial disc is indicated for treatment of back pain without presence of severe degeneration or spinal stenosis or any instability at that spinal segment. They are used for different diagnoses so not interchangeable. ...Read more
No: X-stop, achieves decompression by elevating the two dorsal processes, into a slightly bent forward position, which simulates bending forward on a shopping cart to reduce symptoms of spinal stenosis. An artificial disc actually replaces a damaged disc and provides more normal intervertebral biomechanics and does not, ideally alter sagittal balance. ...Read more
Prehab: I encourage passive cervical range of motion, beneath aggravation of nerve symptoms, long walks to get the body ready for the mild trauma of surgery, improve lung function and minimize risk of blood clots, and most importantly visualize the recovery process in a positive proactive way. ...Read moreSee 1 more doctor answer
Need specialist: There are several locations and surgeons who perform many disk replacements and can answer your questions about who can get a disk replacement. Fda regulations specify age 18-59. There cannot be much instability in the segment being considered for disk replacement. Make sure you investigate the place where you're considering having it done- preferably a place that participated in the studies. ...Read moreSee 1 more doctor answer
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