Low back ADRs are typically used for low back pain, while neck artificial disc replacements are used for both neck and arm pain caused by a pinched nerve from a damaged disc. Patients are generally not considered candidates for lumbar (low back) artificial disc replacement surgery unless they have failed to find relief from active therapy with or without injections and medications for a period of at least six months and are being considered and evaluated for a lumbar fusion.
- Patients with low bone density
- Patients with a significant curve of the spine
- Patients with instability or too much motion of the spine with bending
A cervical (neck) ADR may be appropriate if a patient has not responded to a minimum of six weeks of treatment with medication, therapy or injections and is being considered for a fusion. Patients with osteoporosis or fractured spines are generally not candidates. Only after being evaluated by a surgeon can it be determined if TDR is a viable option for you.
Fortunately, the surgeons at Texas Back Institute in Plano, TX are leaders in the field of disc replacement. The first Charité and ProDisc artificial disc replacements implanted in the United States were done in Plano by Texas Back Institute spine surgeons. Many U.S. spine surgeons, both orthopedic and neurosurgical spine specialists, have been trained directly by Texas Back Institute surgeons. Since performing the first ADR procedure in the United States in 2000, Texas Back Institute has performed more than 1,500 artificial disc replacement procedures with more than 14 different types of ADR devices.
Secondly, our back research page provides information about candidates for individual studies and clinics where the research is performed. Call a center near you and ask about specific trials. If you are a match for the criteria, they will send you information about what treatments are involved, the potential benefits and risks, costs and what’s required to get started. For example, you will likely be asked to complete questionnaires, have x-rays or MRI scans, and other requirements. Be aware that many studies require you to complete questionnaires and have x-rays made for several follow up visits, including annual check-ups for two to five years.