Doctor insights on:
Disc Replacement And Fusion
Terms confusion: Disc replacement usually refers to an artificial disc implant. The disc is removed during fusion operation and replaced with bone or an implant and this may referred to as a disc replacement. This is a misnomer. For more information , visit www.eSpine.com ...Read moreSee 3 more doctor answers
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
Fusion: Replacement these days often refers to an artificial disk. As you are using the term, the disk is removed and replaced with a spacer (bone, metal, plastic, bone substitute). The plate and screws provide additional stability. The bones connected by the spacer and plate grow together (ideally) to form a single bone. ...Read moreSee 3 more doctor answers
Depends: The answer depends on the anatomy of the problem and of course the symptoms present. Many people have degenerative discs and live pain free. Fusions can be done if there is instability or deformity present. Disc replacement can be done in the absence of instability and deformity if the patients pain correlates well with the imaging findings. See a spine surgeon to discuss further. ...Read more
Spine Pain Options: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 2 more doctor answers
Progressive: For cervical, encourage ambulation day one, with progress towards longer walks, getting the heart rate up. Simultaneously, passive range of motion of the neck, increasing as tolerated, with return to low impact upper extremity weights, bands after two weeks, increased as tolerated, keeping total weight to a level where the surgical site is isolated and effort is smooth, and easy. ...Read moreSee 1 more doctor answer
See below: They are safe and effective and have similar results as the clasSic ACDF their advantages over the fusion are theoretical in my opinion the Acdf has a 95% chance at relieving arm pain neither are neck pain procedures , both do a good job relieving arm pain from pinched neck nerves early adopters of new technology can be surprised by outcomes since they are not as well studied without long term ...Read more
Different surgeries: Spinal decompression surgery is performed nerve root impingement-usually from bone or ligaments in the spinal canal or where the nerve roots exit-the neuroforamena. Generally called a laminectomy, it involves removing bone and ligament from the spine. A spinal fusion locks together two or more segments of the spine, usually with screws and rods. Bone is added as well to allow the bones to knit. ...Read moreSee 2 more doctor answers
Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? Is artificial disc replacement or fusion surgery best for treating cervical spondylosis?
Many variations: Anterior or posterior, discectomy, decompression, or fusion. All affect recovery rates. For fusions, anterior cervical tends to be an easier recovery than lumbar. Cervical adr is quite comparable to fusion for short and mid-term outcomes. Longer term studies may show better long-term results than fusion, but we currently don't have enough data. ...Read moreSee 2 more doctor answers
Acdf vs disc replacement: which one is better? What is the criteria for a cervical disc replacement. I already have a fusion at c5-7. C4-5 herniated
They are equal good: They are equivalent the decompression that precedes skeletal reconstruction is the effective part of the procedure for arm pain niether treat neck pain well what is you target symptom? Replacement advantages are theoretical in my opinion and comercially exagerated. In my opinion. ...Read moreSee 2 more doctor answers
I have degenerative disc disease in all five of the lumbar discs. Is surgery an option with so many discs needing repair?
Are there partial disc replacements for herniated disc in l5? My mom's disc herniated completely, surgeon said she doesn't need any fusing.
Artificial discs: Were marketed sometime ago, but they did not work well. Surgery works well but do not rush. ...Read more
A term meaning that: Someone had a spine surgery involving the neck most typically from anterior or front approach involving removal of cervical disc and filling the disc space with either bone or a cage & bone as well as possibly some spine instrumentation or hardware in the lower part of the neck or cervical spine. The disc spaces range from c2-3, c3-4, c4-5, c5-6, c6-7 & c7-t1. The lower 3 would be one of them. ...Read moreSee 1 more doctor answer
Multilevel disc and joint arthrosis ostephytosis and sclerosis in lumbar spine and neck. Hills sachs with joint narrowing shoulder. What dr to see?
Multi joint pain: i would first see a rheumatologist to evaluate you for a potential inflammatory arthritic process. ...Read more
C4-c5, c5-c6 disc replacement surgery. Interbody cage fusion cause adjacent discs to degenerate but using mobi-c will not. True?
Maybe: A theoretical advantage of artificial disk replacement is reduction in risk of other disks degenerating. Fusion is associated with this problem, but it is only one factor. Disk replacements in the neck do well, but may not always prevent disk problems at other levels. Ongoing research looking at long term outcomes are needed to answer this question. Early results are promising. ...Read moreSee 1 more doctor answer
Depends: It depends on the age of the patient, how many levels are involved, if instability is present, and how much degeneration is present in the spine. It would be best to have a spine surgeon fully evaluate you with imaging studies and a physical exam. There are people that would not qualify for disc replacements and a fusion would be a better option. ...Read moreSee 1 more doctor answer
Selection: The most important factor in most spinal surgeries is selection. That being said, in a perfect candidate for disc replacement with what would be described as purely discogenic pain at a single level in the lumbar spine the success rate is approximately 80-90 percent good results. ...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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