Disc Replacement Surgery


Follow These Simple Step

  • STEP 1: Whatapp your X-Ray film to +919654095717
  • STEP 2: Get expert opinion by Dr Himanshu Tyagi
  • STEP 3:Fix an Appointment by Calling +919654095717

Choosing Between an Artificial Disc and Fusion

Anterior cervical discectomy and fusion (ACDF) surgery has long been considered the gold standard for treating pain and/or neurologic deficits stemming from nerve root inflammation and/or spinal cord compression in the cervical spine. While both ACDF and cervical ADR aim to remove a problematic disc and restore normal disc height, they differ in that ACDF fuses the adjacent vertebrae so motion is lost at that spinal level.


    In cases when both ACDF and cervical ADR are viable options, some potential benefits of choosing an artificial disc may include:

    • Maintaining more natural neck motion
    • Reducing the risk for adjacent segments of the cervical spine to develop degenerative disc disease
    • Eliminating potential complications and issues associated with the need for a bone graft and spinal instrumentation for spinal fusion
    • Allowing quicker return to neck movement after surgery

There are also some considerations that could make ACDF a better option for some people. For example, there is more data available to back up the long-term safety and effectiveness of ACDF because it has been around for decades longer. Also, there are many cases where ACDF is an option but an artificial disc is not, such as when advanced spinal degeneration, bone weakness, or other serious underlying medical conditions are present.

Efficacy of Cervical Artificial Disc Replacement Surgery


Who Makes a Good Candidate for Cervical ADR?

    Good candidates for cervical artificial disc replacement surgery typically have the following indications:

    • Confirmed cervical disc disease. An MRI or CT scan with myelography can show soft tissues—such as discs, nerve roots, and the spinal cord—in addition to bones. If imaging shows degeneration of one or more discs, the next step is to determine if any of the degenerating discs correlate to the pain or other symptoms experienced by the patient.

    • Radicular pain and/or neurological deficits caused by a problematic disc. Most commonly, an inflamed cervical nerve root corresponds to problems with pain, tingling, numbness, and/or weakness that radiate down into the arm and/or hand. If the spinal cord is compressed within the cervical spine, cervical myelopathic symptoms and/or myelopathy may be experienced anywhere below the level of compression, such as pain that goes into both hands and/or legs, hand weakness/numbness, leg weakness/numbness, trouble with coordination or walking, or difficulty with bladder/bowel control.

    • Nonsurgical treatments have been tried. Cervical degenerative disc disease symptoms typically can be managed with nonsurgical treatments, such as rest, ice, heat, medications, physical therapy, and/or therapeutic injections. If the symptoms persist at least 4 to 6 weeks despite nonsurgical treatments, a surgical solution is more likely to be needed for pain relief.

    • Surgery would be well tolerated. Candidates for cervical ADR must be in generally good health and capable of recovering well from the surgery. The candidate needs to have reached full skeletal maturity (with no more bone growth left) but still be in good enough health for the procedure’s benefits to outweigh the risks. Candidates for cervical ADR are typically between ages 20 and 70.

What is a lumbar disk replacement?

A lumbar disk replacement is a type of back or spine surgery. Your spine is made up of bones called vertebrae that are stacked on top of each other. Disks between the vertebrae work like cushions to allow the vertebrae to rotate and move without the bones rubbing against each other. The lumbar vertebrae and disks are at the bottom of your spine. Lumbar disk replacement involves replacing a worn or degenerated disk in the lower part of your spine with an artificial disk made of metal or a combination of metal and plastic.

Lumbar disk replacement is generally seen as an alternative to the more common spinal fusion surgery. Fusion permanently joins 2 vertebrae together. Lumbar disk replacement is a major surgery that requires general anesthesia and a hospital stay.

Why might I need a lumbar disk replacement?

The main reason you would need a lumbar disk replacement is to treat low back pain. Still, not everyone with low back pain is a good candidate for a lumbar disk replacement surgery. Your doctor will need to do some tests to see if it’s the right procedure for you.

In general, lumbar disk replacement surgery might be recommended if:

  • Your back pain mostly comes from only 1 or 2 disks in your lower spine
  • You have no significant joint disease or compression on the nerves of your spine
  • You are not excessively overweight
  • You haven’t previously had spinal surgery
  • You don’t have scoliosis or another spinal deformity

What are the risks of a lumbar disk replacement?

Like all surgeries, lumbar disk replacement poses some risks. A disk replacement requires greater access to the spine than standard lumber fusion surgery. This also makes it a riskier procedure.

Some of the potential risks of this surgery include:

  • Infection of the artificial disk or the area around it
  • Dislocation or dislodging of the artificial disk
  • Implant failure or fracture (break)
  • Implant loosening or wear
  • Narrowing of the spine (stenosis) because of the breakdown of spinal bones
  • Problems due to a poorly positioned implant
  • Stiffness or rigidity of the spine
  • Blood clots in your legs due to decreased activity
  • There may be other risks, depending on your specific medical condition. Be sure you understand the risks and benefits of lumbar disk replacement and discuss any concerns with your surgeon before the procedure.

    What happens after a lumbar disk replacement?

    You will probably need to stay in the hospital for a few days after your surgery. Because a lumbar disk replacement doesn’t require bone to heal, the recovery period may be faster than with other back surgeries. You’ll be given pain medicines if you need them, and may be encouraged to stand and walk within the first day after surgery. Your IV and bladder catheter will be removed within a few days of surgery.

    You will be shown how to move properly and how to do exercises, such as gentle trunk twists. This will keep your spine limber and help you have a quicker rehabilitation and recovery. As your recovery progresses, you’ll be encouraged to walk and stretch. You’ll need to avoid any jarring activities or motions for quite a while. Your recovery may take from a few weeks to a few months.

    A lumbar disk replacement generally improves pain, but it does not eliminate it completely. Talk with your doctor to get a realistic idea about what you can expect after this surgery. Also talk to your healthcare provider about instructions you need to follow after surgery, what you can and cannot do, how to care for your incision, signs of problems you need to watch for, and when you need to follow-up with the doctor.


Patient Testimonials