Doctor insights on:
Pros Cons Spinal Fusion Disc Replacement
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
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
Each title: Describes the differenceGet a more detailed answer ›
Brace: Most spine fractures will heal within 3 months with bracing, limiting strenuous activity and close follow-up with a spine specialist. Some fractures require surgical stabilization and kyphoplasty is an option for elderly patients with compression fractures. Check out spine-health.Com. ...Read moreSee 2 more doctor answers
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
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
Joining bone togethe: A spinal fusion is a procedure used to join two spinal motion units together. It is designed to stop all motion of the motion segment. It may be performed with or without the usages of screws and rods. It is performed for spinal instability . It is like welding 2 pieces of metal together. ...Read more
What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?
Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...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
AxiaLIF: The axialif procedure has many advantages for the right indication. Although dr. Connolly emphasizes the potential for bowel injury, the risk is extremely low and is even safer in larger patients in which minimally invasive techniques are most helpful based on a larger fat pad between the spine and the rectum. New retractors also improve safety. I am very happy with my fusion rates. ...Read moreSee 2 more doctor answers
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
Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?
Ask your surgeon(s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck! ...Read more
A herniated disc and thinking about surgery at laser spine institute. Disc replacement. Safe? Good institue?
A type of spine : Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read moreSee 1 more doctor answer
Is a neurosurgeon vs orthopedic spine surgeon better for performing cerv artificial disc replacement or vice versa?
Most experienced: Both orthopaedic spine surgeons and neurosurgeons can be trained to perform arthroplasty. I have trained hundreds of both and those with the most commitment to excellence, experience, surgical skill, thoughtful decision making and ultimately commitment to their patients, whether neuro or ortho are best. I encourge you to find a surgeon who has committed experience. ...Read moreSee 4 more doctor answers
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
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
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
What are indications for spinal stimulation implant? I have cervical spondyl. and torn lumbar disc w/ degenerative disc disease. Tens unit helps.
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
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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