Artificial Disc Replacement
Artificial Disc Replacement
Spinal fusion has classically been the only definitive surgical treatment option for painful discogenic degenerative disc disease in the lumbar spine. Although very effective in some patients, spinal arthrodesis can be associated with several unwanted consequences such as limitations in mobility, pseudoarthrosis and accelerated adjacent level degeneration. Artificial disc replacement (ADR) surgery offers patients a very attractive new option. ADR is a novel technology designed to replace degenerated or injured discs with a prosthesis that allows for normal physiologic movement of the spine, restore disc space height, preserve motion segment flexibility and stability, re-establish the normal lordotic angle, and reduce or eliminate pain from abnormal motion or nerve compression. By preserving normal motion at the level of the surgery, additional stress and load sharing at the adjacent levels is avoided, thus reducing accelerated degeneration to the adjacent levels associated with fusion.
As a Principle Investigation Center for multiple United States Food and Drug Administration (FDA) studies for artificial disc replacement surgeries, Boulder Neurosurgical Associates has led the field in clinical testing and evaluating these devices. Boulder Neurosurgical Associates is also unique in being able to offer multiple different types of artificial disc prostheses, both currently approved by the FDA or undergoing clinical trails. Thus, we are able to select the most suitable artificial disc for the patient based on the clinical symptoms rather than on a select availability of the various implants to a particular surgeon.
BNA neurosurgeons are among a select group of the most experienced arthroplasty surgeons in the nation. It has been widely discussed in the literature that one of the primary reasons for early disappointing reviews involving spinal artificial disc replacement involves poor indications for surgery and inexperience of the surgeon performing the procedure. These are the same reasons why this type of surgery should be trusted to a surgeon who not only has had the required training, but also experience with multiple such devices and implantation techniques. BNA surgeons are very select in only choosing patients with appropriate indications, and have achieved very satisfying results for our patients. We feel that this is exactly what makes medicine rewarding.
BNA surgeons and supporting staff are working closely with insurance companies to get the spinal disc replacement procedures approved for our patients. We understand and appreciate how frustrating it is when coverage is denied and to know that sometimes this is the best procedure for a patient. When insurance companies deny approval, we are often able to enroll a patient in an ongoing clinical study and get this procedure paid by the sponsors that support the study.
Read papers that BNA physicians published on cervical (Cervical Total Disc Replacement Part 1 [PDF] and Part 2 [PDF]) and lumbar (Lumbar Total Disc Replacement Part 1 [PDF] and Part 2 [PDF]) artificial discs or get more information about ongoing clinical trials.