SpineTotal Disc Replacement Surgery in Bangalore

Total disc replacement

Total disc replacement is the surgical replacement of a cervical or lumbar disc. This technique, an alternative to fusion surgery, keeps motion at the operative levels. Total disc replacement surgery replaces a disc’s interior, exterior, and endplates with a single surgical implant.

The success of total disc replacement surgery is heavily reliant on the patient’s choice. Artificial disc replacement is recommended for degenerative disc degeneration that has been validated following a thorough diagnostic process, including identification on an imaging scan.

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Why do people need disc replacements?

The most common reason for lumbar disc replacement is to relieve low back pain. Not everyone with low back pain is a good candidate for lumbar disc replacement. Your doctor will perform several tests to establish whether the operation is appropriate for you.

Total disc replacement surgery may be considered in general if the following problems exist:

• Back discomfort is caused by only one or two discs in your lower spine.

• You have no significant joint disease or spinal nerve compression.

• You are not overweight in any way.

• You’ve never undergone any spinal surgery before.

• You are free of scoliosis and other spinal deformities.

Diagnosis of Total Disc Replacement Surgery

The signs indicating a disc replacement differ depending on the type of implant. Some symptoms include disc pain that has not been relieved by non-surgical methods such as medication, injections, chiropractic care, and physical therapy.

Typically, the patient will get an MRI, revealing disc degeneration. Discography is frequently used to determine which disc, if any, is causing your pain. To help establish the source of discomfort, the surgeon will correlate the results of these tests with data from your history and physical examination.

Total disc replacement surgery

Disc replacement surgery is performed under general anesthesia. The surgery lasts one to two hours and is followed by a three to four-day hospital stay. The artificial disc comprises two metal end plates that may contain medical-grade polyethylenes/plastics/gel-like substances.

Before fitting the replacement, the diseased disc is removed. A disc prosthesis comprising two metal plates around a movable core composed of plastic may be utilized for total disc replacement in the lower back. Spikes projecting from the metal pieces anchor them to the bone, which develops and fuses with the plates over time.

A different spine arthroplasty device is sometimes used to replace a cervical disc in the neck, in which two metal parts articulate via a ball and trough. Returning to a routine may take up to eight weeks, but it may take longer in some situations. An artificial disc is put into the spinal space to approximate the original disc’s typical height.

To promote healing, the patient must wear a back brace for up to 12 weeks. Complications could arise if the artificial disc replacement becomes damaged or displaced. As a result, patients must have frequent checks for the rest of their lives to ensure the prosthesis is operating correctly.

After-surgery recovery

You will likely need to stay in the hospital for a few days following your procedure. Because lumbar disc replacement does not include bone healing, the recovery time may be quicker than other back surgeries. You will be given pain medication if necessary, and you may be encouraged to stand and exercise the day after surgery. Your bladder catheter will be removed within a few days of surgery.

You’ll learn proper movement and exercises like modest trunk twists. This will aid in your rehabilitation and recovery by keeping your spine limber. As your therapy progresses, you will be encouraged to walk and stretch. You’ll need to avoid jarring activities or motions for a lengthy time. You could be out of commission for a few weeks or months. Although lumbar disc replacement alleviates pain, it may not eliminate it.

Total disc replacement surgery

Risk considerations for total disc replacement: Unlike traditional lumbar fusion surgery, disc replacement requires more access to the spine. As a result, it’s a complicated process.

Some of the potential risks of this surgery are as follows:

• Infection of the artificial disc or the area around it.

• Dislocated or detached artificial disc

• The implant fails or fractures (break).

• Loosening or wearing the implant

• Stenosis is a narrowing of the spine caused by the collapse of spinal bones.

• Problems caused by an implant that is not in the proper location.

• Spinal rigidity or stiffness.

• A lack of movement causes blood clots in your legs.

• Other complications, depending on your medical status, may exist.

Other complications, depending on your medical status, may exist. Before beginning treatment, ensure you understand the risks and benefits of lumbar disc replacement and discuss any concerns you may have with your surgeon.

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FAQsTotal Disc Replacement FAQs

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Total disc replacement is typically used to treat conditions like degenerative disc disease, herniated discs, or chronic disc-related back and neck pain that hasn’t responded to conservative treatments.

Unlike spinal fusion, which permanently fuses two vertebrae together and limits movement, total disc replacement preserves motion in the spine by allowing the artificial disc to move similarly to a natural disc.

The surgery is performed through an incision in the front (anterior approach). The damaged disc is removed, and an artificial disc is implanted in its place. The procedure usually takes 2 to 3 hours.

The benefits include preserving spinal mobility, reducing pain, and potentially faster recovery times compared to spinal fusion. It also lowers the risk of adjacent segment disease (stress on nearby vertebrae).

Artificial discs are designed to last many years, but the exact longevity varies. While most patients do not need revisions, some may require additional surgeries due to wear or complications over time.

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