I asked my Pain Management doctor about artificial disc replacement. He told me NOT to do it. He said it is too new and he has more patients with problems from artificial discs than from the old Fusion method. I had a 2 level ACDF fusion in my neck C5/6/7 with a titanium plate and a cadaver bone implant and I feel good. It was 4 years ago. Now my lower back needs a fusion on L5-S1. I would never allow an artificial disc because it is a fairly new procedure with not enough studies to prove its effectiveness. That is just my opinion. It sounds great and seems logical but for now I think FUSION is the way to go. I am going to see my neurosurgeon hopefully this week or next week and I am going to ask him about it. I will let you know what he says.
Interesting because I just saw my neurosurgeon yesterday and asked him about it as well. He said the exact same thing you posted. Also, that if problems arise and it needs to be removed that is more difficult than putting it in. I'm pretty certain I'm going for the "minimally invasive", he called it, fusion with bone and hardware, probably like what you described. Any thoughts as to which is preferable - a neurosurgeon or orthopedic surgeon?
For me I would only use a Neurosurgeon. It seems to me that they have a more detailed knowledge about the nerves involved. They are also Brain surgeons which I believe makes them pretty smart. It may sound stupid but I just feel that they are better. I dont mean to offend Orthopedic surgeons. Also I had a bad experience with an Orthopedic surgeon once so maybe that influenced me also. Just my 2 cents.
I had a neurosurgeon attempt to do my fusion at L5-S1 and my I did not fuse yet 9 months after the surgery. Orthopedics might be better at bone growth and fusion. Whichever you decide to choose, I think the most imprtant thing is getting the stability with a good fusion. Good Luck.
Has anyone had (and had success with) this more minimally invasive, non-fusion, surgery?
I am going through this procedure in a week with artificial hardware. I went from dx to scheduling surgery in just 3 weeks and I am still trying to process the whole situation. I am very nervous. C6/7 fusion. As explained to me it seems the right way to go. Hope I am right. L
I had the ADR since 2003 and I am pain free most days. Even when the pain starts up I just take an aleve and its gone. I had the prodisc done and I would do it again in a heart beat. I am starting to have another disk getting bad and if I need to have another surgery the Prodisc is the only way I will have it done. I injured 3 discs and had 1 replaced, not bad working on 8 years and I am living.
I had the prodisc surgery at level L4-5 on October 9,2003. I have L3-4 and L5S1 starting to go bad... but will look into that in the future. Epideral blocks are helping.
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hey thanks, I am no longer a candidate..... due to another disk, now encasing a nerve, the next sugery is due in 2 weeks ...Im having a microdisectomy and rhizolysis on L3/4 and L4/5....im praying that this works...as the next surgery is double fusion...all the best to you and hope all goes well
It's not minimally invasive, but if your discs are severely degenerated it may be the best long term solution. I had a 2 level Cervical ADR in Germany in late 2009 and am very pleased with the result. Prior to the surgery I was having severe headaches. 2 MRIs taken about 1 year apart showed that some of my discs had gone from bad to worse.
ADR is beginning to catch on here in the US but is still bogged down by FDA regulations and insurance issues. You should definitely investigate having it done.
The Following User Says Thank You to senior41 For This Useful Post: mce (05-09-2011)