9 doctors weighed in:

How safe is fusion after artificial disc replacement and is it effective?

9 doctors weighed in
Dr. Jonathan Hyde
Orthopedic Surgery - Spine
6 doctors agree

In brief: 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.

In brief: 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.
Dr. Jonathan Hyde
Dr. Jonathan Hyde
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Dr. Mark Weston
Orthopedic Surgery - Spine
1 doctor agrees

In brief: No revision anterior

Safer if the fusion was done from the back.
Reoperating on the front of the spine can be fatal scarring of vessels on the front of spine makes moving out of the way to protect fraught with hazards. Revision anterior spine work is risky. Long term outcomes of hybrid costructs fusion relacemen togther are not well worked out.

In brief: No revision anterior

Safer if the fusion was done from the back.
Reoperating on the front of the spine can be fatal scarring of vessels on the front of spine makes moving out of the way to protect fraught with hazards. Revision anterior spine work is risky. Long term outcomes of hybrid costructs fusion relacemen togther are not well worked out.
Dr. Mark Weston
Dr. Mark Weston
Thank
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