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Doctor insights on: Pros Cons Spinal Fusion Disc Replacement

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Dr. Thomas Dowling
1,119 Doctors shared insights

Spinal Fusion (Definition)

Surgery to cause two or more spine segments to be joined together through a growth of bone initiated by the placement of bone tissue or graft taken from the patient or from a donor source or even a manufactured source which could include: bone growth proteins and particulate structures that act as scaffolds for bone to grow on and may include implants or instrumentation ...Read more


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Has any one had spinal disc replacement and what was used?

Has any one had spinal disc replacement and what was used?

Charite^: Although I have not had a replacement disc, I have performed this operation utilizing the charite^ artificial disc. When the patients are properly selected there is a very successful outcome. Additionally, for those cases where severe pain persist, a fusion remains a viable option. But the most important thing is proper patient selection. See your spinal surgeon for more information. ...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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What is success rate of spinal disc replacement surgery of lower back?

What is success rate of spinal disc replacement surgery of lower back?

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

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I had major back surgery on january 6 the replace three disc and spinal fusion I'm doing pt how long will it take for me to get my energy back?

I had major back surgery on january 6 the replace three disc and spinal fusion I'm doing pt how long will it take for me to get my energy back?

Back surgery: This answer depends on many factors. Your doctor is the one that knows your exact situation and can answer your questions. ...Read more

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

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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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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What is a cervical disc replacement with fusion?

What is a cervical disc replacement with fusion?

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 more

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What is a cervical disc replacement and fusion with titanium plates and screws?

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 more

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Has anybody had a cervical disc replacement and fusion with plates and screws? Would he be permanently stiff?

Has anybody had a cervical disc replacement and fusion with plates and screws? Would he be permanently stiff?

Common procedure: An anterior cervical discectomy and fusion with instrumentation is a common procedure to address cervical disc herniations, degenerative spondylosis and occasional to treat instability from trauma. A fusion will eliminate the motion at the involved joint segments. Most patients do well. For very good information and videos, check out spine-health. Com. ...Read more

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C4-c5, c5-c6 disc replacement surgery. Interbody cage fusion cause adjacent discs to degenerate but using mobi-c will not. True?

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 more

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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 more

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Opinion on lumbar disc replacement? Had fusion L4-S1 and wondering if would be possibility if adjacent segments deteriorate.

Yes, but. ...: Yes, but relatively short term history of procedure, . Adjacent 2 level fusion puts additional strain on thel3-4 level-need to see orthopedic spine specialist with experience in disc replacement ...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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I'm 1 week post op from a c5-6 total disc replacement and c6-7 fusion. (acdf) I am still having bad shoulder pain is this normal? I am still on meds

1 weeknis early: Shoulder pain is usually C5 nerve root found at c45, follow up with surgeon I also need to know what the preop target symptom was to comment. ...Read more

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C5/6/7 Reduced disc height, mild stenosis, bulge, osteophytes. Doc said disc replacement no help in neck pain coz of discs condition. Do fusion. True?

C5/6/7 Reduced disc height, mild stenosis, bulge, osteophytes. Doc said disc replacement no help in neck pain coz of discs condition. Do fusion. True?

Arthritis Arthritis: Is the most likely cause of your pain. Do not let your desperation cause you to have unnecessary surgery.
Find a pain management specialist who treats injured joints in the cervical area. ...Read more

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Neck pain daily n tingling on R hand. No weakness. Chiro n physio for 2 years. Not better. Fusion versus disc replacement. Which is better option?

Thank you.: For providing a perfect example of why one should avoid chiropractors. They hooked you in for 2 years of treatments, charged you a lot of money and find yourself no better. Unfortunate that it took so long for you to realize it was a scam.

See a real Doctor, preferably a neurologist or spine surgeon (or both). Surgery only as a last result of nothing else works ...Read more

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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 more

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What. Does a spinal fusion mean do they take the disc orthe verabre I was told I need one then I fractured my verabre and now they won't do it i?

What. Does a spinal fusion mean do they take the disc orthe verabre I was told I need one then I fractured my verabre and now they won't do it i?

Fusion: There are many ways to perform ac usion they all jhve the same goal which is to join two vertebrae to form one block of bone this grosly involves removing cartilage tidssue and adding bon material to bridge space left by cartilage removal removing gaps and keeping stillso solid bone can form keeping still is accomplished with bed rest or cast brace historically nowadays we buiild an internal frame. ...Read more

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I have had a two-level spinal fusion (l5-s1). What is the best way to avoid (or prolong) adjacent disc disease?

Not much: Accelerated adjacent segment degeneration is relatively common and concerns
adverse effects following spinal fusion. It
is believed that this accelerated degeneration
is due in large part to increased
mechanical stress on the adjacent motion
segments. Stay in shape, do not gain weight. ...Read more

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Would spinal fusion for spondilolisthesis help numbness and pain in legs and back and herinated discs?

Would spinal fusion for spondilolisthesis help numbness and pain in legs and back and herinated discs?

90% success rate in: A non smoker in terms of symptom relief. This is assuming you have failed a rigorous course of non op care including: medication, physical therapy, possibly bracing and even pain management in terms of spinal injections. ...Read more

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Can spinal fusion hurt more than having your discs removed?

Depends: Spinal fusion is a larger more complex surgery usually indicated for severe back pain. Disc removal (microscopically assisted) is usually done in my practice as an outpatient surgery and usually less painful. It is indicated for leg pain or nerve irritiation (sciatica). ...Read more

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Should I consider having a spinal fusion if I have been diagnosed with herniated disc, a disc with a tear and dds?

Should I consider having a spinal fusion if I have been diagnosed with herniated disc, a disc with a tear and dds?

Very complex questio: Complex and contrversial. Leg or back pain? Discogram? Fusion is too much surgery for the classic disc herniation causing leg pain. ...Read more

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What are the chances of spinal fusion of the c4-5 disc not working? After a year and a half my 53 year old mother has no relief.

There is always the: Possibility of non-union after any fusion surgery.
She might another (re-fusion) surgery. Talk it with your surgeon or get a 2nd opinion; or the cause of pain be something else. ...Read more

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Can a spinal fusion be done if the verabre is fractured l5s1in serious pain low back down leg also 2hdinsted disc?

Depends: The location of the fracture would determine the type of treatment. Other medical conditions would also determine this. Yes, a fractured vertebra can be successfully treated with fusion. However, if severe osteoporosis exists, there would need to be a darned good reason to do this. "you can't nail a custard pie to the wall" as the saying goes. Steel screws don't work well in soft bone. ...Read more

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I just found out that I have Disc degeneration and posterior bulging disc at the L4/L5. I have had a spinal fusion at the L5/S1. what does this mean?

I just found out that I have Disc degeneration and posterior bulging disc at the L4/L5. I have had a spinal fusion at the L5/S1. what does this mean?

Depends: It depends on why the MRI was ordered and what symptoms and signs exist on the examination. It could be incidental or it could explain alot - without having more history it's impossible to tell. However, given that you have had an MRI, and your physician ordered it, you should ask your health care provider to go over it with you for an assessment. ...Read more

Dr. Brian Le Dr. Le
1 doctor agreed:
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I've had a laminectomy, spinal fusion of lower 2 discs, and a spinal cord stimulator put in last year. Still have back & leg pain. Any hope left?

Dr. Brian Le Dr. Le
1 doctor agreed:
I've had a laminectomy, spinal fusion of lower 2 discs, and a spinal cord stimulator put in last year. Still have back & leg pain. Any hope left?

SCS reprogrammed: I recommend you have the scs reprogram with the company representative. If it doesn't help to relieve some of your pain, discuss your pain with your doctor again. Scs is usually used as adjunct therapy, not a sole therapy for pain.

If he/she cannot help you, you should seek a second opinion. ...Read more

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I have a had a cervical spinal fusion at c5-c6 now the disc above it is protruding & there is bone spurs going to the plate will I need surgery again?

I have a had a cervical spinal fusion at c5-c6 now the disc above it is protruding & there is bone spurs going to the plate will I need surgery again?

Possibly: If you are having new pain and symptoms, the adjacent level of your previous fusion may require surgery if you fail appropriate conservative care. ...Read more

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Husband 34years old. Has sequestrated disc L5 S1. Neurosurgeon recommended lumbar laminectomy and orthopedic surgeon suggests spinal fusion. Advice please?

Husband 34years old. Has sequestrated disc L5 S1. Neurosurgeon recommended lumbar laminectomy and orthopedic surgeon suggests spinal fusion. Advice please?

Back: From a surgical standpoint I would probably go with the neurosurgeon. However, from a recent article from British Medical Journal only 5% of people get lasting relief with surgery. Perhaps physical therapy and weight reduction is the answer. ...Read more

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


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