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

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.
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.
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.

Related Questions

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.

What all must I do the week before artificial disc replacement surgery?

Prepare. The best advice is to check with your surgeon. Most would recommend cessation of anti-inflammatory medications and blood thinning medications between 7-10 days prior to surgery. You also may be asked to undergo an enema or bowel prep before surgery.
Prehab. I encourage passive cervical range of motion, beneath aggravation of nerve symptoms, long walks to get the body ready for the mild trauma of surgery, improve lung function and minimize risk of blood clots, and most importantly visualize the recovery process in a positive proactive way.

How is a cervical artificial disc replacement surgery performed?

Like a fusion. A cervical disc arthroplasty (disc replacement) is approached the same way a cervical fusion is done. Which is through a small incision in the front of the neck. But instead of placing bone graft in the space that the disc used to occupy for fusion, it is replaced with a mobile disc replacement. The procedure takes just as long as a fusion.
It is the same. Approach as doing an anterior cervical discectomy and fusion by entering from the front of the neck and moving the strucures out of the way like the thyroid gland, esophagus, trachea and carotid vessels down to the spine to remove the entire problem disc and precisely placing the artificial disc into that disc space so it is perfectly sized and aligned.

What's artificial disc replacement surgery rehab?

Ambulation. The most important aspect of disc replacement rehabilatation is walking. A brace is not necessarily recommended. After several weeks, you may require a spinal conditioning program to build core strength.
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.

What patients can undergo artificial disc replacement surgery?

Need specialist. There are several locations and surgeons who perform many disk replacements and can answer your questions about who can get a disk replacement. Fda regulations specify age 18-59. There cannot be much instability in the segment being considered for disk replacement. Make sure you investigate the place where you're considering having it done- preferably a place that participated in the studies.
Ones indicated for a. The same ones who would otherwise be treated with a fusion usually at one level but with no infection, no instabilty, no osteoporosis, no facet arthritis, no deformity and no significant disc space collapse.

I have subtle retrolisthesis. And extreme pain after artificial disc replacement surgery when using left arm to open heavy doors?

Must know where pain. Pain in the shoulder opening door could be shoulder cuff or capsule. Should not relate to surgery. It's another problem unless it shoots pain into your hand. Then I would assume a surgical complication or another disc injury. Your age would help since cuff tears are more prevalent in older people esp weekend warriors. The sex would help. Men are more aggressive. Capsular tears more common.

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?

The surgery with the. Best prognosis & the best outcomes is the one that is truly indicated after failing nonoperative care done by a surgeon who is well qualified who will note ease of surgery for the surgeon and the appropriately selected patient. This would be an orthopedic spine surgeon or neurosurgeon. The ideal patient is a non obese nonsmoker in otherwise good shape.
Cervical spondylosis. Cervical disc surgery includes posterior non fusion approaches versus anterior fusion or disc replacements. Disc replacement in the cervical spine may be an option for single level treatments for patients with radiculopathy (arm pain). By preserving motion there may be a reduction in adjacent level problems although this has not been proven. Talk to a spine specialist concerning options.
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.

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.

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.