Artificial Disc Replacement
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Introduction[edit | edit source]
Artificial disc replacement is an modern procedure that is gaining popularity in spine surgery.[1] The first lumbar artificial disc replacement was in in the late 1950s. Most of the current available artificial disc replacement devices attempt to copy the biomechanics of an intact spinal motion segment, however replacement techniques for the the nucleus disc replacement are only being now developed.[2]
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Lumbar disk replacement involves replacing a worn or degenerated disk in the lower part of your spine with an artificial disk made of metal or a combination of metal and plastic.
The usual reason for lumbar disc arthroplasty is lumbar spinal pain that is present due to degenerative disc disease and conservative therapy has proved to be unsuccessful. Lumbar disc arthroplasty is less frequently used than lumbar fusion as it has more contraindications eg osteoporosis or osteopaenia, spinal stenosis or spinal deformities such as scoliosis.[3]
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In most cases, patients are encouraged to stand and walk by the first day after surgery. Because bone fusion is not required following artificial disk replacement, the typical patient is encouraged to move through the mid-section. Early motion in the trunk area may lead to quicker rehabilitation and recovery. Excessive motion should be limited, however, because your bone has to heal to the artificial disk. Your doctor will talk to you about limitations.
You will perform basic exercises, including routine walking and stretching, during the first several weeks after surgery. During this time, it is important to avoid any activities that cause you to hyperextend your back.
it seems that exercise programmes starting four to six weeks postsurgery lead to a faster decrease in pain and disability than no treatment, and that high‐intensity exercise programmes lead to a slightly faster decrease in pain and disability than low‐intensity programmes. No evidence suggests that these active programmes increase the reoperation rate or that patients need to have their activities restricted after first‐time lumbar disc surgery.[4]
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References[edit | edit source]
- ↑ Othman YA, Verma R, Qureshi SA. Artificial disc replacement in spine surgery. Annals of translational medicine. 2019 Sep;7(Suppl 5).Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778281/ (accessed 12.1.2024)
- ↑ Salzmann SN, Plais N, Shue J, Girardi FP. Lumbar disc replacement surgery—successes and obstacles to widespread adoption. Current reviews in musculoskeletal medicine. 2017 Jun;10:153-9. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435628/(accessed 12.1.2024)
- ↑ Radiopedia Lumbar disc arthroplasty Available: https://radiopaedia.org/articles/lumbar-disc-arthroplasty?lang=us(accessed 12.1.2024)
- ↑ Oosterhuis T, Costa LO, Maher CG, de Vet HC, van Tulder MW, Ostelo RW. Rehabilitation after lumbar disc surgery. Cochrane Database of Systematic Reviews. 2014(3).Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138272/ (accessed 13.1.2024)
