There is significant excitement among surgeons as well as among patients following the recent FDA, or Food and Drug Administration, release of the Charité Artificial Disc (DePuy Spine, Inc.). The delight among patients with degenerative disc disease comes from the perception that there’s now a safe way to eliminate pain from degenerative discs while also maintaining normal movement. Several patients have developed advanced stages of disc degeneration requiring an additional fusion process or have heard about others with similar difficulties getting fusion processes before, who still continue with constant pain or had more than one effort at fusion. They’ve also discovered the successful results following disc arthroplasty in Europe which has been highly publicized by the media in America.
That is certainly an exciting new addition to the variety of therapies and methods for treating degenerative disc disease. An almost amazing quantity of progress has been made when looking at the way in which the evaluation and treatment for degenerative disc disease has developed over recent years. Many healthcare professionals are now able to recognize disc disorder with MRI and pain generators with discography and facet blocks. Now they could be performed through incisions that are barely observable either anteriorly through the abdomen or through the back where only a decade past, lumbar fusions were being performed through substantial posterior incisions. With the usage of instrumentation that is presently available, achievement rates for one amount fusions approach 90 to 95 percent. Regrettably, not every patient who has degenerative disc disease and contains a successful fusion has a successful clinical result. There’s still a number of patients for whom fusion will not effectively relieve pain.
Disc replacement arthroplasty has the prospect of the treatment of most of the spinal motion segment illnesses which are currently being treated both successfully and not by one of the numerous fusion techniques. At this comparatively early phase of disc replacement development, many healthcare specialists don’t know all of the issues which will be encountered following these procedures. Because the surgical strategy is via the abdomen either retroperitoneal or transperitoneal, in other words, around or through the gut, there are several foreseeable complications including vascular injury, thrombophlebitis, or vein inflammation accompanied by blood clot formation, nerve root injuries, injury to the ureter, and retrograde ejaculation in men.
It’s also known that several disc replacements have failed and have been converted to some fusion with varying clinical consequences. Removing artificial discs, especially at the L4-5 level, poses a substantial risk of vascular injury due to scarring round the prosthesis. Surely, it’s known that artificial joints produce wear debris where that is obviously not an issue with fusion and an inflammatory reaction which could escalate over time.
Spine specialists and other healthcare professionals in general are very positive and excited about total disc arthroplasty, and suitably so. Appropriate training via cadaveric labs and courses will help minimize the learning curve of the procedure, to avoid other possible complications. There will without a doubt be many improvements and modifications in the prosthetic layouts.
Early results are surely encouraging in the hands of the investigational surgeons but are fraught with the numerous problems common to the creation of a procedure that is new. Total disc arthroplasty is likely to be an option that is better than fusion for several degenerative disorders of the lumbar spine as layout advancements continue being made and as further encounter defines the indicators because of its use.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Brain injuries are common complications in our modern world. Approximately 2 million individuals experience a head injury in the United States alone each year. Although most brain or head injuries are not considered life threatening, they could sum up to billions of dollars in annual revenue. Brain injuries are often categorized according to patient response. Only 1 out of 4 reported brain injuries are considered moderate or severe.
.video-containerposition: relative; padding-bottom: 63%; padding-top: 35px; height: 0; overflow: hidden;.video-container iframeposition: absolute; top:0; left: 0; width: 100%; height: 100%; border: none; max-width:100%;
The information herein on "Can Artificial Discs Solve Degenerative Disc Disease?" is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional.
Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
We are here to help you and your family.
Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
My Digital Business Card
Prescription Medications: Sciatica is a term used to describe neuropathic/nerve pain. It is a prevalent… Read More
Introduction The sciatic nerve is considered the largest in the lower half of the body that helps… Read More
Introduction Inside the body are countless nerves that intertwine with each other and are all… Read More