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Problems with Artificial Disc Replacement: A Comprehensive Guide
Are you considering artificial disc replacement (ADR) surgery? This procedure offers a promising alternative to spinal fusion for treating degenerative disc disease, but it's crucial to understand the potential drawbacks before making such a significant decision. This comprehensive guide explores the various problems associated with ADR, helping you make an informed choice about your spinal health. We'll delve into the risks, complications, and limitations of this surgical approach, empowering you to have a frank conversation with your surgeon and navigate your treatment options effectively.
Understanding Artificial Disc Replacement
Before diving into the potential problems, let's briefly understand what ADR entails. ADR is a surgical procedure designed to replace a damaged or degenerated intervertebral disc with an artificial implant. This implant aims to restore the natural movement and flexibility of the spine, unlike spinal fusion, which permanently fuses vertebrae together. While offering potential advantages in terms of preserving mobility, ADR isn't without its challenges.
Potential Problems and Complications of Artificial Disc Replacement
While ADR is a relatively new procedure and is continuously improving, several potential problems and complications can arise. These include:
#### 1. Implant Failure:
One of the most significant concerns is implant failure. The artificial disc may not integrate properly with the surrounding bone, leading to loosening, subsidence (sinking), or fracture. This can cause persistent pain, necessitate revision surgery, or even require spinal fusion eventually. The longevity of the implant also remains a subject of ongoing research, with varying success rates across different implant designs and patient populations.
#### 2. Infection:
As with any surgical procedure, infection poses a significant risk. Infection around the implant can lead to severe complications, potentially requiring removal of the implant, prolonged antibiotic treatment, and even more invasive procedures to address the infection.
#### 3. Nerve Damage:
During the surgical procedure, there’s a risk of damaging nerves surrounding the spine. This can lead to pain, numbness, weakness, or even paralysis in the affected area. The severity of nerve damage varies greatly depending on the location and extent of the injury.
#### 4. Adjacent Segment Disease (ASD):
After ADR, increased stress can be placed on the adjacent discs above and below the replaced segment. This can lead to premature degeneration of these discs, resulting in pain and potentially requiring further surgery in the future. This is a concern commonly associated with spinal surgeries, regardless of the technique used.
#### 5. Pain Persistence or Recurrence:
Despite successful implantation, some patients experience persistent or recurrent pain. This can stem from various factors, including incomplete resolution of the underlying condition, inadequate implant placement, or the development of new issues within the spine. Pain management strategies may be necessary even after a seemingly successful ADR.
#### 6. Hardware Problems:
Problems with the artificial disc itself, such as component failure, breakage, or dislocation, can lead to further complications requiring revision surgery. The design and materials of the implant contribute to its overall reliability and lifespan.
#### 7. Blood Clots:
Like other surgeries, there’s a risk of blood clots forming, which can travel to the lungs (pulmonary embolism) or other parts of the body, leading to potentially life-threatening complications.
#### 8. Allergic Reactions:
Some patients may have allergic reactions to the materials used in the artificial disc implant. This is rare but can manifest as inflammation or other adverse responses.
#### 9. Limited Data on Long-Term Outcomes:
Since ADR is a relatively recent surgical technique, long-term data on the success rates and potential complications are still being collected. This means that the full impact of ADR over many years remains uncertain.
Who is a Good Candidate for ADR?
Careful patient selection is crucial for the success of ADR. Individuals with specific types of degenerative disc disease, specific spinal segments affected, and generally good overall health are typically considered better candidates. Factors such as age, bone density, lifestyle, and overall health significantly influence the outcome and risk profile.
Alternative Treatment Options
It’s crucial to explore all available treatment options before considering surgery. Conservative management, including physical therapy, medication, and injections, should be thoroughly evaluated before proceeding with invasive surgical procedures like ADR.
Conclusion: Making Informed Decisions
Artificial disc replacement offers a potentially less restrictive alternative to spinal fusion, but it's essential to carefully weigh the potential benefits against the risks. The information presented in this article is intended to provide a general overview and should not be interpreted as medical advice. A comprehensive discussion with your physician or surgeon is critical to determining whether ADR is the right choice for your individual circumstances.
Ebook Chapter Outline: Problems with Artificial Disc Replacement
Title: Navigating the Risks: A Patient's Guide to Artificial Disc Replacement
Introduction: Briefly outlines the purpose and scope of the ebook, focusing on empowering readers to make informed decisions about ADR.
Chapter 1: Understanding Degenerative Disc Disease and Treatment Options: Explains the causes and symptoms of degenerative disc disease, outlining conservative and surgical treatments.
Chapter 2: The Artificial Disc Replacement Procedure: Details the surgical process, including patient preparation, the procedure itself, and post-operative care.
Chapter 3: Potential Problems and Complications of ADR: A comprehensive exploration of the risks and potential complications associated with ADR, including those discussed above in greater detail.
Chapter 4: Choosing the Right Surgeon and Facility: Provides guidance on selecting experienced surgeons and reputable medical facilities.
Chapter 5: Recovery and Rehabilitation after ADR: Outlines the rehabilitation process, physical therapy, and the importance of following post-operative instructions.
Chapter 6: Long-Term Outcomes and Follow-Up Care: Addresses long-term success rates, potential complications that may arise later, and the importance of regular follow-up appointments.
Chapter 7: Alternative Treatments and Lifestyle Modifications: Explores non-surgical treatment options, including lifestyle changes to manage pain and improve spinal health.
Chapter 8: Making Informed Decisions: Summarizes the key points and emphasizes the importance of patient participation in making informed treatment decisions.
Conclusion: Reiterates the importance of thorough research and communication with healthcare professionals.
(Each chapter would then be expanded into a detailed section within the ebook, elaborating on the points outlined above.)
FAQs on Artificial Disc Replacement Problems
1. What is the most common problem with artificial disc replacement? Implant failure and subsidence are among the most frequent problems.
2. Can artificial disc replacement cause nerve damage? Yes, nerve damage is a potential complication during surgery.
3. What are the long-term risks of artificial disc replacement? Long-term risks include adjacent segment disease (ASD) and implant failure.
4. How long does it take to recover from artificial disc replacement? Recovery time varies but generally involves weeks or months of rehabilitation.
5. Is artificial disc replacement always successful? No, success rates vary, and some individuals experience persistent pain or other complications.
6. What are the alternatives to artificial disc replacement? Conservative treatments like physical therapy, medication, and injections are often explored first.
7. How much does artificial disc replacement surgery cost? The cost varies depending on the facility, surgeon, and other factors.
8. What is the success rate of artificial disc replacement? The success rate varies and depends on several factors; long-term data is still being gathered.
9. Is artificial disc replacement covered by insurance? Insurance coverage depends on the specific policy and medical necessity.
Related Articles
1. Artificial Disc Replacement vs. Spinal Fusion: A comparison of the two surgical procedures, highlighting their benefits, drawbacks, and suitability for different patients.
2. Minimally Invasive Artificial Disc Replacement: A discussion of less invasive surgical techniques for ADR, their advantages and disadvantages.
3. Recovering from Artificial Disc Replacement: A comprehensive guide to the recovery process, including physical therapy, pain management, and lifestyle adjustments.
4. Adjacent Segment Disease after Artificial Disc Replacement: An exploration of ASD, its causes, symptoms, and treatment options.
5. Choosing the Right Surgeon for Artificial Disc Replacement: Advice on finding an experienced and qualified surgeon for ADR.
6. The Cost of Artificial Disc Replacement: A breakdown of the various costs associated with ADR surgery.
7. Long-Term Outcomes of Artificial Disc Replacement: A review of available long-term data and research on the success rates and potential complications of ADR.
8. Artificial Disc Replacement and Insurance Coverage: Information on insurance coverage for ADR and how to navigate the process.
9. Artificial Disc Replacement and Patient Testimonials: Real-life experiences from patients who have undergone ADR surgery, sharing their perspectives on the procedure and recovery process.
| problems with artificial disc replacement: Spinal Neurosurgery James Harrop, Christopher Maulucci, 2018-12-18 Neurosurgery by Example: Key Cases and Fundamental Principles provides case-based, high yield content for the spine surgeon and neurosurgeons preparing for the American Board of Neurological Surgeons oral examination. It covers a wide array of spinal pathologies with their presentation, diagnosis, and treatment plans. Postoperative and complication management strategies are offered as well in order to prepare surgeons who can then provide comprehensive patient care for complex spine conditions.--Provided by publisher. |
| problems with artificial disc replacement: Spinal Deformity Praveen V. Mummaneni, MD, Lawrence Lenke, MD, Regis Haid, M.D., 2008-01-30 The challenge of treating complex spinal deformity often demands innovative solutions and greater skill than the initial surgical intervention; strategic planning is the critical element in successful surgical execution and outcome. Spinal Deformity: A Guide to Surgical Planning and Management, edited and written by the leading experts, is a landmark publication that provides critical information needed to safely plan, stage, and execute operations for the full range of complex spinal deformities. A Virtual Gold Mine of Information This book is an invaluable and practical tool for managing spinal deformities in your practice. Organized into four parts, it begins with a focus on recent advances in spine technology, starting with biomechanics, deformity classification, conservative management, and surgical indications. Subsequent chapters discuss technologic innovations, including spinal biologics, image guidance, and minimally invasive approaches for anterior and posterior spinal fusion. This introductory section is essential reading for the surgeon learning basic technique as well as for the experienced surgeon seeking to refine and enhance skills. The remaining parts focus on state-of-the-art surgical techniques for treating spinal deformity in the cervical spine, the thoracic spine, and the lumbosacral spine. Specific chapters have also been included on managing deformities at the cervicothoracic, thoracolumbar, and lumbosacropelvic junctions. In addition, both open and minimally invasive techniques are described. Organized with a consistent format, each technique chapter includes information on indications, planning and assessment, clinical problem solving, surgical technique, and postoperative care. A Who's Who of Spine Surgery The editors, Drs. Mummaneni, Lenke, and Haid; the part editors, Drs. Benzel, Kuklo, Resnick, and Shaffrey; and the contributors are world-renowned both neurosurgeons and orthopedic surgeons who have extensive experience in treating spinal deformity. Algorithms, Surgical Plans, and Tips and Tricks Aid in the Decision-Making Process Beautifully illustrated with step-by-step surgical technique, this book provides the practical advice, clinical nuances, and learning aids to assist you in the diagnosis and treatment of complex surgical deformities. Numerous imaging modalities are used to demonstrate the preoperative presentation as well as postoperative results. In addition, clinical problem-solving sections with treatment algorithms guide you in selecting the best surgical approach for each patient. Hundreds of case examples demonstrate the excellent results that can be achieved. To enhance the learning experience, an accompanying DVD with operative video is included. |
| problems with artificial disc replacement: To Fuse Or Not to Fuse Karsten Ritter-Lang M D, Jan Spiller, M.d., Jan Spiller M D, 2017-02-15 If you've been told you need fusion, READ THIS BOOK FIRST! The decision to undergo spinal surgery is a critical one; few decisions in life are more crucial to your future! If you or a loved one are considering spinal fusion or any other spine surgery, you owe it to yourself to understand all your options. The field of spinal surgery is changing rapidly. The state of the art has moved far beyond fusion and discectomy, and a whole new world of options now allow patients to recover quickly, regain lost mobility, and return to work and recreational activities without restriction. In this book, you will learn: The predictable, long-term complications that can follow nearly every fusion. Why the surgical techniques of the 60's and 70's continue to have profound and negative impact on the patients of today. How artificial disc replacement and hybrid fusion are allowing patients to avoid the long-term complications of fusion and enjoy a life of complete mobility and freedom instead of stiffness and pain. Join international spine experts Karsten Ritter-Lang, M.D., and Jan Spiller, M.D., as they help you decide To Fuse or Not to Fuse. |
| problems with artificial disc replacement: Extreme Lateral Interbody Fusion (XLIF) J. Allan Goodrich, Ildemaro J. Volcan, 2013 |
| problems with artificial disc replacement: Spinal Instability Robert N.N. Holtzman, H. Winston, Paul C. McCormick, Jean-Pierre C. Farcy, 2012-12-06 In this volume, world authorities on spinal surgery from the fields of Neurosurgery, Orthopaedic Surgery, and Neuroscience present current data on the basic science and clinical management of the unstable spine. Unique to this book: a frank presentation of controversies in the field. |
| problems with artificial disc replacement: Cervical Laminoplasty K. Nakamura, Y. Toyama, Y. Hoshino, 2003-07-24 Cervical laminoplasty for the treatment of ossification of the posterior longitudinal ligament was developed and refined in Japan during the 1970s. Since that time, various cervical laminoplasty techniques have been further analyzed and modified, and have proven to be clinically successful. Until now cervical laminoplasty has been practiced primarily in Japan, and surgeons outside Japan had only limited access to the detailed English literature needed to make full use of the procedures. This book fills that gap in English information and provides a detailed, up-to-date guide to performing safe and effective cervical laminoplasty. Drawing on the latest knowledge from Japan, the book covers the history of cervical laminoplasty, surgical anatomy, basic procedures, modified procedures, possible complications, and perspectives on the future of expansive laminoplasty. This volume by leaders in the field is an excellent guide for all surgeons interested in laminoplasty. |
| problems with artificial disc replacement: Lumbar Interbody Fusion Paul M. Lin, Kevin Gill, 1989 |
| problems with artificial disc replacement: Handbook of Spine Technology Boyle C. Cheng, 2021-04-01 This handbook is the most authoritative and up-to-date reference on spine technology written for practitioners, researchers, and students in bioengineering and clinical medicine. It is the first resource to provide a road map of both the history of the field and its future by documenting the poor clinical outcomes and failed spinal implants that contributed to problematic patient outcomes, as well as the technologies that are currently leading the way towards positive clinical outcomes. The contributors are leading authorities in the fields of engineering and clinical medicine and represent academia, industry, and international government and regulatory agencies. The chapters are split into five sections, with the first addressing clinical issues such as anatomy, pathology, oncology, trauma, diagnosis, and imaging studies. The second section, on biomechanics, delves into fixation devices, the bone implant interface, total disc replacements, injury mechanics, and more. The last three sections, on technology, are divided into materials, commercialized products, and surgery. All appropriate chapters will be continually updated and available on the publisher’s website, in order to keep this important reference as up-to-date as possible in a fast-moving field. |
| problems with artificial disc replacement: Epiduroscopy Daniel H. Kim, Salahadin Abdi, Günter Schütze, 2017-08-30 Due to advances in spinal endoscopy, practitioners are now able to offer efficacious alternatives to open surgery to patients with low back pain, radiculopathy, and related disorders affecting the epidural space. Epiduroscopy enables surgeons to access, diagnose, and treat discogenic pain and spinal pathologies using minimally invasive techniques via direct visualization and focused intervention. Typically performed as a one-day outpatient procedure under local anesthesia, epiduroscopy provides a viable option to many patients suffering from low back pain. Starting with the history of this procedure, the authors guide the reader systematically through relevant clinical indications, radiological anatomy, the pathophysiology of spinal pain, diagnostic modalities, and the use of specialized tools. Subsequent chapters detail specific conditions and approaches, histopathologic/microbiological findings, and patient assessment and outcomes. Key Features Clinical pearls gleaned from years of hands-on experience, including preventing and managing complications. Online access to 46 step-by-step surgical videos and animations provides in-depth understanding of techniques. Nearly 600 high quality images, including procedural photos and medical illustrations delineate approaches. The use of epiduroscopy-assisted mechanical adhesiolysis, laser procedures, radiofrequency, analgesic and pharmacological therapy, ozone therapy, spinal cord stimulation, and more. This is an essential resource for trainee and practicing physicians in the fields of neurosurgery, orthopaedic surgery, pain medicine, and interventional medicine. |
| problems with artificial disc replacement: Radiologic Guide to Orthopedic Devices Tim B. Hunter, Mihra S. Taljanovic, Jason R. Wild, 2017-05-11 A comprehensive reference on radiologic appearance, uses and complications of orthopedic devices, for radiologists, orthopedists, physicians, and students. |
| problems with artificial disc replacement: Balloon Kyphoplasty Stephan Becker, Michael Ogon, 2008-04-05 This is the first book to cover minimal-invasive treatment of osteoporotic, tumorous and traumatic vertebral fractures in the English language. In addition to detailed descriptions of the techniques, including tips and tricks from experts, the book contains a chapter about the medical treatment of osteoporosis, which is indispensable in the interdisciplinary approach to osteoporosis. This acclaimed innovative concept unites several treatment aspects. More conservative treatment methods are also presented in this work. All chapters reflect new developments and clinical findings in the field of orthopaedics, surgery, traumatology and neurosurgery. |
| problems with artificial disc replacement: Biomechanics of the Spine Fabio Galbusera, Hans-Joachim Wilke, 2018-04-23 Biomechanics of the Spine encompasses the basics of spine biomechanics, spinal tissues, spinal disorders and treatment methods. Organized into four parts, the first chapters explore the functional anatomy of the spine, with special emphasis on aspects which are biomechanically relevant and quite often neglected in clinical literature. The second part describes the mechanics of the individual spinal tissues, along with commonly used testing set-ups and the constitutive models used to represent them in mathematical studies. The third part covers in detail the current methods which are used in spine research: experimental testing, numerical simulation and in vivo studies (imaging and motion analysis). The last part covers the biomechanical aspects of spinal pathologies and their surgical treatment. This valuable reference is ideal for bioengineers who are involved in spine biomechanics, and spinal surgeons who are looking to broaden their biomechanical knowledge base. The contributors to this book are from the leading institutions in the world that are researching spine biomechanics. - Includes broad coverage of spine disorders and surgery with a biomechanical focus - Summarizes state-of-the-art and cutting-edge research in the field of spine biomechanics - Discusses a variety of methods, including In vivo and In vitro testing, and finite element and musculoskeletal modeling |
| problems with artificial disc replacement: Laser Spine Surgery Junseok Bae, Sang-Ho Lee, 2021-07-06 This book describes and illustrates state-of-the-art techniques in laser spine surgery. Laser technology has revolutionized surgeries in many specialties to perform minimally invasive and cutting-edge procedures. Recent advances in spinal surgery have led to the increasingly widespread use of minimally invasive techniques based on endoscopy and microscopy. Nevertheless, the application of laser in the context of spinal surgery remains less well known, and the aim of this book is to present practical usage of laser in spine surgery to our readers. A wide variety of minimally invasive approaches to spine surgery using CO2, Ho: YAG, and Nd: YAG lasers are presented in detail, with a discussion of equipment and specific recommendations on laser settings. Care has been taken to ensure that the content is faithful to the fundamental principles of spine surgery and evidence-based medicine. The book will be an essential resource for all who use or are intending to use lasers in spine surgery. |
| problems with artificial disc replacement: Advances In Tissue Engineering Julia M Polak, Sakis Mantalaris, Sian E Harding, 2008-08-20 Advances in Tissue Engineering is a unique volume and the first of its kind to bring together leading names in the field of tissue engineering and stem cell research. A relatively young science, tissue engineering can be seen in both scientific and sociological contexts and successes in the field are now leading to clinical reality. This book attempts to define the path from basic science to practical application. A contribution from the UK Stem Cell Bank and opinions of venture capitalists offer a variety of viewpoints, and exciting new areas of stem cell biology are highlighted. With over fifty stellar contributors, this book presents the most up-to-date information in this very topical and exciting field./a |
| problems with artificial disc replacement: Endoscopic Spine Surgery Daniel H. Kim, Gun Choi, Sang-Ho Lee, 2018-01-10 Endoscopic technology has advanced to the point where practitioners can now access, visualize, and treat spine pathologies previously only accessible through open surgical approaches. Endoscopic Spine Surgery 2nd Edition provides a comprehensive background on endoscopic spine surgery and covers an unparalleled number of minimally invasive spine procedures that have revolutionized the spine treatment paradigm. Readers will greatly benefit from many years of expertise and wisdom shared by master spine surgeons Daniel Kim, Gun Choi, Sang-Ho Lee, and Richard Fessler, and their expert contributors. Due to the narrow endoscopic view, subtle microanatomical differences in the lumbar, thoracic, and cervical regions are not always easy to visually discern. To address this challenge, the book contains detailed procedural descriptions and images mirroring endoscopic views spine surgeons encounter in the OR. Organized anatomically, 53 chapters guide readers systematically through lumbar, thoracic, cervical, and craniocervical junction procedures for pathologies ranging from low back pain and deformities to tumors, lesions, infections, and trauma. Key Features More than 1000 high quality images including color procedural photographs and medical illustrations provide in-depth visual understanding. Spinal pathologies and procedures delineated in 75 videos accessible via the Media Center - from case studies to step-by-step technique tutorials. Covers the full spectrum of spine endoscopy including percutaneous approaches, microdiscectomy, laminectomy, discectomy foraminotomy, hemilaminectomy, thoracic decompressions, fusion, fixation, and thoracoscopic procedures. The use of state-of-the-art technology such as ultrasonic bone dissectors, endoscopic radiofrequency denervation, the video telescope operating monitor (VITOM), minimally invasive tubular retractors, and 3D stereo-tubular endoscopic systems. Neurosurgical and orthopaedic residents, spine fellows, and seasoned spine surgeons will all greatly benefit from the significant knowledge and insights revealed in this remarkable multimedia resource. This book may also be of interest to neurosurgical and orthopaedic nurses, physical therapists, chiropractors, and medical device professionals. |
| problems with artificial disc replacement: Joint Replacement Technology Peter A. Revell, 2021-07-28 The third edition of Joint Replacement Technology provides a thoroughly updated review of recent developments in joint replacement technology. Joint replacement is a standard treatment for joint degradation and has improved the quality of life of millions of patients. Collaboration between clinicians and researchers is critical to its continued success and to meet the rising expectations of patients and surgeons.This edition covers a range of updated and new content, ranging from chapters on materials analysis and selection, to methodologies and techniques used for joint replacement and clinical challenges of replacing specific joints. Key topics include tribological considerations and experiments; challenges in joint bearing surfaces; cementless fixation techniques; healing responses to implants. Clinical challenges and perspectives are covered with the aid of case studies.Thanks to its widespread collaboration and international contributors, Joint Replacement Technology, Third Edition is useful for materials scientists and engineers in both academia and the biomedical industry. Chemists, clinicians, and other researchers in this area will also find this text invaluable. - This third edition provides an updated comprehensive review of recent developments in joint replacement technology - Reviews a range of specific joints, biological and mechanical issues and fixation techniques - Includes revised and new content, such as sections on regulatory affairs, AI techniques and 3D printing |
| problems with artificial disc replacement: Motion Preservation Surgery of the Spine James J. Yue, Rudolph Bertagnoli, Paul C. McAfee, Howard S. An, 2008-06-11 New motion-preserving devices are revolutionizing spine surgery...but the learning curve for these operations is steep, and great attention must be given to patient and device selection and the perfect execution of each procedure. Only one reference spells out exactly how to perform these new techniques...and its peerless author team, comprised of key investigators involved in the devices' actual clinical trials, is uniquely qualified to help you get the best results! These global leaders in this area discuss the advantages and disadvantages of the full range of non-fusion technologies...and present the step-by-step, richly illustrated operative guidance you need to achieve optimal outcomes! Select the best device and approach for each patient! * cervical total disc arthroplasty * lumbar total disc arthroplasty * lumbar partial disc replacement: nucleus replacement * lumbar posterior dynamic stabilization: pedicle screw based * lumbar posterior dynamic stabilization: interspinous based * lumbar facet replacement Produce optimal outcomes with detailed advice on... * advantages and disadvantages of each option * indications and contraindications * patient selection * interpretation of imaging studies * surgical anatomy and biomechanics * surgical techniques * tips and pearls See how to perform each technique, thanks to step-by-step, full-color illustrations |
| problems with artificial disc replacement: Spine Disorders J. D. Bartleson, H. Gordon Deen, 2009-07-23 An essential information source for all healthcare providers treating patients with cervical, thoracic and lumbar spine disease. |
| problems with artificial disc replacement: I've Got Your Back Nathaniel L. Tindel, 2011-11-11 According to Dr. Nathaniel Tindel, there is an alternative to back surgery in 19 out of 20 cases. This authoritative and plain-spoken guide to what back surgery can and can't do reveals behind-the-scenes information on back pain, back doctors, and back treatments delivered candidly, using case studies and clinical evidence. It arms readers with the information and the courage to ask the right doctors the right questions, so that they can make the right decisions. Topics covered include: What causes back pain and sciatica -- Why surgery doesn't always work -- The truth about disc replacement -- The key to successful pain management -- Back-pain emergencies -- Types of surgery and non-surgical alternatives -- Surgical risks--Publisher. |
| problems with artificial disc replacement: Unilateral Biportal Endoscopic Spine Surgery Dong Hwa Heo, Cheol Woong Park, Sang Kyu Son, Jin Hwa Eum, 2022-05-22 Biportal endoscopic spine surgery has been rapidly developed recently, and Unilateral biportal endoscopic spine (UBE) surgery may be new stream in spine surgery. UBE surgery is a new concept of surgery that is different from the existing one portal endoscopic surgery, and has the advantage of being familiar with spinal surgeons as the surgical anatomy is similar to a general surgical method, and the learning curve period is short. The 4mm diameter endoscope provides a very clear image, and it can be safely operated under magnified and clear endoscopic view. It is also available to use general surgical instruments in addition to endoscopic surgical instruments during UBE approaches. Currently it is being performed not only in the lumbar spine, but also in the cervical and thoracic spine. In addition, simple laminectomy, disc removal, and spinal fusion are possible. With the advancement of UBE surgery, spinal surgeons from various countries have been performing UBE in recent years, and it is gradually spreading to the world. This will be the first book summarizing from basic to advanced techniques with abundant illustrations and video aid for easy understanding. |
| problems with artificial disc replacement: Chemonucleolysis Joseph E. Brown, Eugene J. Nordby, Lyman Smith, 1985 |
| problems with artificial disc replacement: Low Back Disorders Stuart McGill, 2007 This second edition of 'Low Back Disorders' provides research information on low back problems and shows readers how to interpret the data for clinical applications. |
| problems with artificial disc replacement: Spine Injuries in Athletes Andrew Hecht, 2017-01-06 Navigate the unique clinical issues involved in treating athletes who have spinal injuries. A team of peerless authorities in sports medicine share their unparalleled expertise in Spine Injuries in Athletes, published in partnership with the AAOS. This unique and practical clinical reference culls today’s best approaches for managing these injuries, optimizing function, and ensuring quick but safe return to play whenever possible. |
| problems with artificial disc replacement: Minimally Invasive Spine Surgery Techniques Gabriel Tender, 2018-03-07 This book includes operative videos and teaches the reader how to perform all currently available minimally invasive spine surgery (MISS) techniques. Each chapter covers a MISS procedure and includes an introduction, indications and contraindications, surgical technique, pitfalls and pearls, discussion, conclusion, references, videos and figures. Minimally Invasive Spine Surgery Techniques is aimed at spine surgeons who are interested in learning or improving their MISS skills. |
| problems with artificial disc replacement: Surgery for Low Back Pain Marek Szpalski, Robert Gunzburg, Björn L. Rydevik, Jean-Charles Le Huec, Michael Mayer, 2014-12-13 Low back pain is a very common problem that is increasingly being treated surgically. This book aims to evaluate carefully the possible surgical approaches to low back pain, with detailed appraisal of the factors leading to their success or failure. It begins by explaining the scientific basis for surgery and considering the different diagnostic techniques that may be employed, thereby elucidating the surgical rationale, indications, and contraindications. The value of conservative options is also assessed to help the reader weigh the need for surgery. The various surgical modalities, including the most recent, are then fully described and evaluated with the aid of numerous illustrations. The book concludes with a chapter devoted to evidence-based analysis of the outcome of surgery in patients with low back pain. This book will be invaluable to orthopaedic and neurosurgeons, rheumatologists, neurologists, and all who are concerned with the effective treatment of this often debilitating condition. |
| problems with artificial disc replacement: Clinical Biomechanics of the Spine Augustus A. White, Manohar M. Panjabi, 1990-01-01 Combining orthopedic surgery with biomechanical engineering, this reference and teaching text reviews and analyzes the clinical and scientific data on the mechanics of the human spine. This edition adds new material on vibration (i.e. road driving) and its effect on the spine; anatomy and kinematics |
| problems with artificial disc replacement: Lateral Access Minimally Invasive Spine Surgery Michael Y. Wang, Andrew A. Sama, Juan S. Uribe, 2016-11-26 This well-illustrated textbook is the first comprehensive and authoritative source of information on minimally invasive lateral access spine surgery. It covers all aspects of the subject, including patient selection, approach and monitoring techniques, soft tissue management, application in a variety of pathologies, technical nuances, and the prevention and management of complications. In addition, current controversies in the field are discussed and the biomechanics of lateral spinal reconstruction, the physiologic benefits, and cost implications are explained. As use of the lateral approach in spinal surgery has become more popular, so its diversity and complexity have increased. Nevertheless, publications devoted entirely to the technique are lacking, and Lateral Access Minimally Invasive Spine Surgery is designed to fill this vacuum. Written by the world’s experts on the topic, it will be an excellent resource for both beginning and experienced surgeons. |
| problems with artificial disc replacement: Textbook of the Cervical Spine E-Book Francis H. Shen, Dino Samartzis, Richard G Fessler, 2014-12-03 Authored by a multi-disciplinary team that includes orthopedists and neurosurgeons, Textbook of the Cervical Spine is a practical, clinically focused medical reference for treating patients with the full range of cervical spine disorders. From degenerative spine conditions and inflammation, to trauma and infections, it guides today's spine surgeons, orthopaedic surgeons, neurosurgeons and residents through state-of-the art surgical and fixation techniques, today's emerging technologies, and possible complications. - Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. - Accurately handle complex situations with image-guided techniques for the management of cervical spine pathology, as well as helpful information on patient management and surgical decision making. - Stay up to date on hot topics with recent case studies that orient you toward important clinical information in the field. - Quickly find the information you need with succinct chapters that focus on highlights, key points, tips, and tricks. |
| problems with artificial disc replacement: The Danger Within Us Jeanne Lenzer, 2017-12-12 Did you know... Medical interventions have become the third leading cause of death in America. An estimated 10 percent of Americans are implanted with medical devices -- like pacemakers, artificial hips, cardiac stents, etc. The overwhelming majority of high-risk implanted devices have never undergone a single clinical trial. In The Danger Within Us, award-winning journalist Jeanne Lenzer brings these horrifying statistics to life through the story of one working class man who, after his cure nearly kills him, ends up in a battle for justice against the medical establishment. His crusade leads Lenzer on a journey through the dark underbelly of the medical device industry, a fascinating and disturbing world that hasn't been written about before. What Lenzer exposes will shock readers: rampant corruption, elaborate cover-ups, shameless profiteering, and astonishing lack of oversight, all of which leads to dangerous devices (from artificial hips to pacemakers) going to market and into our bodies. In the vein of America's Bitter Pill and A Civil Action, The Danger Within Us is a stirring call for reform and a must-read for anyone who cares about the future of American healthcare. Before you get anything implanted in your body, read this book.-Shannon Brownlee, author of Overtreated |
| problems with artificial disc replacement: Surgical Management of Spinal Deformities Thomas J. Errico, MD, Baron S. Lonner, MD, Andrew W. Moulton, MD, 2008-11-11 A who's who in this challenging field brings you state-of-the-art approaches to the full range of surgical management options-including reconstructive procedures-for the pediatric and adult patient with spinal deformity. Experts discuss the course of treatment for patients in different age groups and take into consideration the extent of the curve at the time of diagnosis and during follow-up, the patient's stage of bone growth, the amount of pain and deformity associated with the condition, and the patient's willingness and ability to withstand surgery. Plus, a section on general information such as practical surgical anatomy, imaging, applied biomechanics, and instrumentation helps you approach each patient more effectively. Emphasizes technical skills and surgical decision making, including pearls, pitfalls, and illustrative case studies, offering you expert advice on technically challenging surgeries. Provides the very latest information on minimally invasive endoscopic and mini-open approaches to broaden your surgical options and minimize post-operative complications. Discusses peri-operative considerations, including anesthesia, blood loss management, bone graft and fusion enhancement, neural monitoring, and complications, keeping you prepared for any event. Presents full-color line artwork of surgical procedures as well as diagnostic and clinical photographs for superb visual guidance. Offers a consistent format throughout and a full-color design for ease of reference. |
| problems with artificial disc replacement: Arthroplasty of the Spine Robert Gunzburg, Michael Mayer, Marek Szpalski, Max Aebi, 2003-12-02 Joint replacement is a logical step in the treatment of severe joint pathologies with irreversible lesions resisting conservative therapy. At the spinal level, arthrodesis became, very early, the gold standard of treatment for severe intervertebral disc pathologies. The next logical step was to envision functional replacement, and this step was taken as early as 1956, when the first intervertebral implant was described. However, it took many more years and a great variety of proposed implant designs before clinical applications could be attempted. |
| problems with artificial disc replacement: Spine Surgery Edward C. Benzel, 2005 This best-selling resource explores the full spectrum of surgical techniques used in spine surgery, and describes how to avoid and manage complex problems. It emphasizes how to achieve successful outcomes and minimize risks. The 2nd Edition delivers more than 25 brand-new chapters, as well as extensive revisions and updates throughout, to reflect all of the latest advances in the field. It also features contributions from an increased number of orthopaedic surgeons to round out the strong coverage provided by the many neurosurgeon contributors. Features contributions from well-known neurosurgeons and orthopaedic surgeons, for well-rounded, authoritative coverage from beginning to end. Offers more than 825 outstanding illustrations that demonstrate how to perform every procedure step by step. Provides more than 25 brand-new chapters, as well as extensive revisions or total rewrites to the majority of existing chapters-to present all of the most up-to-date information available on every aspect of spine surgery. Includes chapters on hot topics such as Nonspinal Pathology Masquerading as Spinal Disease · Bone Void Fillers: Bone and Bone Substitutes · Data Management · Posterior Lumbar Interbody Fusion · Ankylosing Spondylitis and Related Disorders · Craniocervical Junction Deformities · Pediatric Spinal Deformities · Subsidence and Dynamic Spinal Stabilization · and The Nonoperative Management of Neck and Back Pain. With 267 additional contributing experts. |
| problems with artificial disc replacement: Scoliosis Hope Dr Tony Nalda, 2019-05-15 Traditional scoliosis treatments prescribe years of watching and waiting instead of decisive action. The chiropractic-centered approach to treating scoliosis is proactive, effective and hopeful. Surgery can often times be avoided. Patients can live rich, full, and active lives. This book shows you how it is all possible. |
| problems with artificial disc replacement: Spinal Instrumentation Edward C. Benzel, 1994 Designed to meet the evolving needs of the practising spinal surgeon, this modern and definitive volume adopts a regional and technique–specific approach to surgical spinal stabilisation and spinal implants. Appropriate specialists offer a thorough appraisal of the theory of design of implants (including design contraints), and optional surgical procedures available to the surgeon are fully reviewed. Full procedural descriptions are accompanied by numerous illustrations and detailed discussion of the complications which can arise during treatment is included. Medico–legal and ethical issues are also appraised. |
| problems with artificial disc replacement: Spinal Arthroplasty Richard Guyer, Jack Zigler, 2015-07-04 This is an exciting time for those involved in the care of patients with back pain. Generally, the goal in treating back pain patients is to reduce pain and increase function. Traditionally in spine surgery, as was the case many years ago for other joints, this goal has been pursued by eliminating motion of the symptomatic joint. Great progress was made years ago for hips and knees with the development of total joint replacements that allowed painless motion of what had been a painful and disabling degenerative joint. Since the mid 1980s similar progress has been made for the spine. Spinal Arthroplasty: A New Era in Spinal Care provides a comprehensive overview of the philosophy of motion-sparing technology in the evolving arena of spinal arthroplasty. This book describes the type of patients being treated with these devices, the historical development of the implants, the techniques and technologies of spinal arthroplasty, clinical results, and a preview of the possibilities for the next generation of treatments. The contributing authors are experts in their respective areas of spinal arthroplasty, and, in some cases, they are the inventors of the devices. The experience and wisdom the editors and authors share give the reader a balanced understanding of the importance of motion preservation and stability in the management of degenerative disease. Spinal Arthroplasty: A New Era in Spinal Care will serve as an introduction to the less experienced in this philosophy of care as well as a reference tool for more experienced spinal care providers endeavoring to gain a greater understanding of the science that supports the preservation of motion in spinal reconstruction. |
| problems with artificial disc replacement: The Slipped Disc James Henry Cyriax, 1980 |
| problems with artificial disc replacement: Lumbar Segmental Instability Robert Gunzburg, Malcolm Henry Pope, 1999 This volume provides a review of the definition, biomechanics, physiopathology, clinical presentation, diagnosis and treatment of lumbar segmental instability. The contributors address the controversies surrounding this condition and offer clinicians guidance in choosing appropriate and cost-effective therapy. |
| problems with artificial disc replacement: Clinical Efficacy and Outcome in the Diagnosis and Treatment of Low Back Pain James N. Weinstein, 1992 |
| problems with artificial disc replacement: Issues in Bioengineering and Bioinformatics: 2011 Edition , 2012-01-09 Issues in Bioengineering and Bioinformatics: 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Bioengineering and Bioinformatics. The editors have built Issues in Bioengineering and Bioinformatics: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Bioengineering and Bioinformatics in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Bioengineering and Bioinformatics: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/. |
| problems with artificial disc replacement: Intervertebral Disc Regeneration Benjamin Gantenbein, 2022-01-11 This book provides a brief snapshot of recent research on the subject of intervertebral disc degeneration and how this specific organ could be regenerated. It provides stimuli to the reader in representing research from different angles in this cross-disciplinary field of spine surgeons, mechanical engineers and biologists. In particular, it is instructive as to how disc herniations could be successfully induced in vitro and, also, to how novel cell-based therapies using rare autochthonous stem cells could potentially be used in the future. |
