Artificial Disc Replacement Surgery: Cervical & Lumbar Treatment
Artificial Disc Replacement Surgery in Pune
Artificial disc replacement (ADR), also known as total disc replacement (TDR), falls under the category of arthroplasty. This is an advanced spine surgery that involves the replacement of degenerated intervertebral discs within the spinal column with artificial devices, either in the lumbar (lower) or cervical (upper) spine. This procedure is used to treat persistent and intense lower back pain or cervical discomfort arising from degenerative disc disease.
Artificial discs are US FDA approved for placement in the cervical and lumbar region. This procedure is usually done in young patients with one or two level disease and the most important benefit of this procedure after removal of the whole disc and decompression of nerve roots is, it preserve the full range of motion between the two vertebral bodies.
Cervical Disc Replacement:
Only two discs are US FDA approved:
- Prestige LP by Medtronics
- Mobi-C by Zimmer Biomet
It is mainly indicated in young patients with 1 or 2 level of disc disease. After initial conservative management, surgery is advised. Post-surgery there is an improvement in the radicular pain and have minimum chances of adjacent level disc disease as compared with ACDF. Patient can be discharged early, need not to wear the cervical collar and can return back to work quickly. Full range of motion is preserved.
Cervical artificial disc replacement is contraindicated in:
- Older patients more than 67 years
- Infection
- Metal Allery
- Traumatic injury
- Osteoporotic bones
- Prior cervical fusion
- More than 2 levels of disc disease
Artificial Lumber Disc:
Lumbar artificial disc replacement is only approved for the single level.
Artificial Disc Replacement surgery is performed by Dr. Vishal Bhasme, an experienced Brain and Spine Neurosurgeon in Pune. Dr. Bhasme specializes in advanced cervical and lumbar spine procedures, including motion-preserving surgeries such as Artificial Disc Replacement. After a thorough clinical evaluation and review of imaging studies, he determines whether a patient is a suitable candidate for this procedure and creates a personalized treatment plan aimed at relieving pain, preserving spinal movement, and helping patients return to their normal activities as quickly as possible.