Artificial disc replacement is the process involving the removal of a damaged spinal disc and replacing it with an artificial one made of titanium and medical-grade plastics. The artificial disc is inserted between the spinal bones, functioning like a natural disc.
Modern designs for artificial discs incorporate advanced engineering from around the world and are highly effective.
Stem cell technology to regrow natural discs is still years away, despite media hype.
Tens of thousands of patients worldwide have had successful artificial disc replacement surgery, and many are satisfied with the results. The technology and procedure are now well-established and routine for experienced surgeons.
Success largely depends on the quality of the decision-making process leading to the procedure. As with any surgery, there are a myriad of factors to weigh up when deciding whether to deploy an artificial disc, or find a different option to improve your quality of life.
There is a famous saying among surgeons which rings true for me: “Success is 20% physical skill and 80% decision making skill.”
Yes, when performed by experienced surgeons, it is considered safe.
Modern technology and computer-guided systems have made this a reliable and effective procedure. Engineers continue to improve the technology, further enhancing patient outcomes.
There are some risks related to artificial disc replacement surgery. The main ones are:
These can include blood clots, urinary tract infections, skin injuries from prolonged bed rest, and other complications like heart or kidney issues, though these are rare due to modern anaesthetic practices.
Very rare and prevented thanks to modern medical practices including:
In rare cases, symptoms may persist even after surgery.
Rarely, the artificial disc may break, move, or fail, but modern engineering has greatly reduced this risk.
Rarely causes a problem.
Recovery is generally quick, but it’s common to stay 1 or 2 nights in hospital.
To get the best result, you need to commit to a full recovery period. Like compound interest, the sooner (and more) you invest in your recovery, the better the result.
Recovery doesn’t mean complete rest. I will encourage you to stay active to regain your confidence quickly, and you’ll be surprised at how much you can do immediately after surgery.
I will guide you through your specific recovery plan during your consultation.
Generally, there are minimal long-term side effects.
Artificial disc technology, developed in the 1960s and refined in the 2000s, was designed to reduce the long-term complications of spinal fusion surgery.
Sometimes spinal fusion is the right procedure, and not everyone is a candidate for artificial discs. Factors such as symptoms, exam findings, scan results, and lifestyle all play a role. I will work through these details with you during a consultation. Contact my team to book an appointment.
Yes, artificial disc replacement is one of the most common spinal surgeries worldwide, with tens of thousands performed globally.
I perform this procedure in both the neck and back.
With keyhole surgery, recovery is usually short—just a few days to one week. The goal is to restore your quality of life and activity level.
Artificial discs can be placed in the neck (cervical) or lower back (lumbar).
The procedure is similar to fusion surgery. The disc is accessed from the front, either in the neck or lower back.
The damaged disc is removed, leaving an empty space between two spinal bones. If a fusion is performed, the space is filled with a permanent spacer. For artificial disc replacement, the artificial disc is inserted into the space.
The artificial disc is not screwed in place. Instead, it has small teeth on its surfaces that grip the bone, securing it and allowing the spine to move naturally.
Surprisingly, it does not cause much pain. Because it’s a keyhole operation, there is minimal injury to your spine.
This depends on your condition. I will discuss non-surgical options with you.
Yes, I will discuss the available alternatives after assessing your condition, scans, and lifestyle.
The scar typically heals well and becomes barely noticeable within three months. I’ve even performed this surgery on people in the public eye.
There is one small cosmetic suture to remove after one week, which I will do in my clinic.
I recommend at least 2 weeks off work to regain your confidence and comfort level.
Physiotherapy is helpful for loosening muscles after surgery. I will coordinate with your physiotherapist to ensure the best outcome.
