Back Conditions
- Back Conditions A-Z
- Herniated Disc
- Sprains and Strains
- Degenerative Disc Disease
- Spondylolisthesis
- Facet Arthritis
- Spinal Stenosis
- Failed Back Surgery
Back Pain Treatments
Useful Tools
Artificial Disc Replacement
- Is artificial disc replacement approved by the FDA?
- I have a morphine pump to treat my degenerative disc disease? Is there any surgery you could recommend?
- more faqs »
Artificial Disc Replacement implants began to appear around 10 years ago internationally and were finally approved by the FDA in the USA around five years ago. These are large implants that involve at least two or more components, are made of metal and plastic and must be inserted from a front or anterior approach.
The implants are used for a very narrow indication – primary painful degenerative disc disease. They are not indicated when a herniated disc or spinal stenosis is present, or, if previous surgery has been performed.
In the USA, disc replacement surgery is typically performed using an access surgeon who provides the exposure to the front of the spine through the belly. Initially, allot of enthusiasm was present, but this has waned due to less than optimal results and complications with the devices. If the implant fails, it is very difficult and dangerous to remove the device safely. Further, many insurance companies are not paying for the artificial disc implants due to a lack of consistent data and results. Most spine surgeons have moved away from artificial disc implants in the lumbar spine. Cervical disc replacement however, shows greater promise in the neck for the treatment of herniated/degenerated disc disease.
Artificial Disc Replacement can treat the following conditions:
Degenerative Disc Disease