Artificial Disc Replacement (ADR)

Artificial Disc Replacement (ADR), also known as Total Disc Replacement (TDR), is a surgical procedure used to treat degenerative disc disease in the spine. It involves removing a damaged or degenerated intervertebral disc and replacing it with an artificial disc implant. The goal of artificial disc replacement is to alleviate pain, restore disc height, maintain spinal motion, and preserve the natural biomechanics of the spine.

Here is an overview of the artificial disc replacement procedure:

Anesthesia:

The surgery is typically performed under general anesthesia, which means you will be asleep and pain-free during the procedure.

Incision:

An incision is made in the abdomen or neck, depending on the location of the affected disc. The size and placement of the incision may vary.

Disc Removal:

The damaged or degenerated disc is carefully removed, typically using surgical instruments and techniques that minimize damage to surrounding tissues.

Artificial Disc Implantation:

An artificial disc implant, made of metal or a combination of metal and plastic components, is inserted into the empty disc space. The implant is designed to mimic the function of a natural disc, allowing for controlled motion and flexibility in the spine.

Closure:

The incision is closed with sutures or staples, and a sterile dressing is applied to the wound.

After the procedure, you will be monitored in the hospital for a short period to manage pain and ensure proper recovery. Physical therapy and rehabilitation may be recommended to aid in the recovery process and optimize the function of the artificial disc. Recovery time can vary, but most patients are able to return to normal activities within a few weeks to a few months.

Artificial disc replacement offers several potential benefits over traditional spinal fusion surgery, including preservation of spinal motion, reduced risk of adjacent level degeneration, and potential for a faster recovery. However, not all patients are suitable candidates for artificial disc replacement. Factors such as the location and severity of the disc disease, spinal stability, and overall health must be taken into consideration.

As with any surgical procedure, artificial disc replacement carries risks and potential complications, including infection, bleeding, nerve or blood vessel injury, implant failure, or complications related to anesthesia. Your surgeon will discuss these risks with you and provide guidance on postoperative care and activity restrictions.

It is important to consult with a spine surgeon or orthopedic specialist specializing in spinal conditions to determine if artificial disc replacement is the appropriate treatment option for your specific condition. The surgeon will evaluate your case, consider your overall health, and discuss the potential benefits, risks, and alternatives of the procedure. At Alabama Bone and Joint Clinic our spine specialist will guide you through your treatment options. Call today to schedule an appointment with our expert in spine care, Winston Capel, M.D. is board certified in neurosurgery and fellowship trained in spinal surgery.