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Artificial Disc Replacement

 

Artificial Disc Replacement

CPT Technique
Indications Complications
Contraindications Follow-up Care
Alternatives Outcomes
Pre-op Planning / Special Considerations Review References

synonyms: total disc replacement

Artificial Disc Replacement CPT

Artificial Disc Replacement Anatomy

Artificial Disc Replacement Indications

  • Severe, chronic discogenic low back pain in young motivated patient: positive diskograms, healthy facet joints (CT)
  • Recurrent HNP
  • Degenerative disc disease above a previously fused segment.

Artificial Disc Replacement Contraindications

  • Central stenosis, severe facet arthritis, degenerative spondylolisthesis
  • Lytic Spondylolisthesis
  • Scoliosis
  • Kyphosis
  • Osteoporosis
  • Obesity
  • Anxiety
  • Vascular disease
  • Previous back surgery

Artificial Disc Replacement Alternatives

  • Arthrodesis: 27% of arthrodesis patients will have adjacent segment disease requiring surgery at 6.7yrs (Ghiselli G, JBJS 2004;86A1497).

Artificial Disc Replacement Planning / Special Considerations

Artificial Disc Replacement Technique

  • Sign operative site.
  • Pre-operative antibiotics, +/- regional block.
  • General endotracheal anesthesia
  • position. All bony prominences well padded.
  • Examination under anesthesia.
  • Prep and drape in standard sterile fashion.
  • Irrigate.
  • Close in layers.

Artificial Disc Replacement Complications

Artificial Disc Replacement Follow-up care

  • Post-op:
  • 7-10 Days:
  • 6 Weeks:
  • 3 Months:
  • 6 Months:
  • 1Yr:

Artificial Disc Replacement Outcomes

Artificial Disc Replacement Review References