When could an artificial disc replacement be used?

Needs detail. This is a highly customizable question, depending on health, circumstance, goals, weight, family history, stability, payor, and needs thorough diagnosis and analysis.
There are specific. There are very specific indications for this surgery & very specific contraindications. It is used when a cervical or lumbar fusion is being considered. It has been shown to be equivalent in outcome to a fusion but not better with the current follow up studies available. The benefits are still theoretical. It cannot be used with active infection, bone density loss, instability, deformity, . ...
Disc Replacement. In my experience disc replacement is best done when you have pure back pain. You would also do best when there is only disc degeneration or a contained disc herniation that has failed all conservative treatment. You also should not have any arthritis of the facet joints.

Related Questions

What happens after artificial disc replacement?

Usually Pain Less. Usually you pain in lessened, that is, after the recover from the surgery. But this question is best answered by the spine surgeon who is suggesting the disc replacement.

What does an artificial disc replacement entail?

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.
Surgery. Artificial disc replacement surgery entails removal of the the disc and restoration of normal disc space height. Once the disc is removed and the disc space is prepared appropriately and sized for the proper implant then the artificial disc replacement is inserted into the disc space. The implant is fixed to the bone by various different methods depending on the implant chosen.
Microsurgery. Artificial disc replacement is a substitute for the historical standard which is disc removal and fusion. There are many factors that determine which one a person should have, but there are many advantages to disc replacement with artificial disc including early mobilization, range of motion and reduced risk of future disc problems. Seek an expert for a well done solution and best options.

Can x-stop work instead of an artificial disc replacement?

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.

Will x-stop work in place of an artificial disc replacement?

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.

What are the indications for having an artificial disc replacement?

Primary Care View. As a primary care pain doctor I recommend that patients think twice about surgery unless waiting can cause permanent damage. Get second opinion before having it done. That is the best way to be sure.
Similar to a fusion. The same reason that one would have a fusion usually at one level. The indications are the same but there are a lot more contraindications:no infection, not multiple levels, no instability, no facet arthritis, no significant disc space collapsevand no osteoporosis to name a few.
Neck and arm. The presence of neck pain and/or cervical radiculopathy (numbness, tingling, weakness, nerve pain) are the fda approved indications for artificial disc replacement in the presence of a herniated or degenerative disc.

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.
Requires experience. A fusion after a tdr is considered a revision surgery and some spine surgeons have more experience and better safety doing revisions than others. It is very safe in the hands of a surgeon who has substantial revision experience, but should never be taken lightly.

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.
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.

Who is a good candidate for artificial disc replacement surgery?

Let me explain. Neck pain? Arm pain? Weakness? Numbness? Replacement of the disc is generally indicated for use in the c3-c7 levels of the cervical spine to treat symptoms such as arm pain or weakness caused by cervical disc disease.
Almost the same as a. Basically the same as a candidate for a cervical or lumbar fusion. There are more specific indications and contraindications for this than with a fusion & it has not been demonstrated to be superior to a fusion in the published studies to date. There cannot be any significant disc or facet joint arthritis, any instability, infection, bone density loss, spine deformity as well as several more.
Active person. Artificial disc is most relevant in a person who needs physical performance in their personal or employment lives, maximizing range of motion, rehab, early return to function and reducing the long term risk of adjacent level wear and tear.

Who is not a good candidate for artificial disc replacement surgery?

I will tell you. Infection, local inflammation, of the spine instability •morbid obesity •pregnancy •mental illness or incompetency •suspected or documented metal allergy or intolerance •rapid joint disease, bone absorption, osteopenia or osteoporosis •a known hereditary or acquired bone friability or calcification problem •remaining general skeletal growth (pediatric) •severe osteomalacioma. Please read.
Almost the same as a. Basically the same as a candidate for a cervical or lumbar fusion. There are more specific indications and contraindications for this than with a fusion & it has not been demonstrated to be superior to a fusion in the published studies to date. There cannot be any significant disc or facet joint arthritis, any instability, infection, bone density loss, spine deformity as well as several more.
Poor functional goal. Artificial disc replacement is a solution designed to improve range of motion, speed of recovery, physical capacity and ultimately to reduce the risk of adjacent level disc disease. People who are not committed to good physical health and who do not have functional goals are probably less good candidates for artificial disc. Medically, osteoporosis and severe arthritis complicate tdr treatment.