During artificial disc replacement, North Texas spine surgeon Dr. Kendall Carll will remove the painful degenerated disc and implant a prosthetic device that will mimic the function of the disc, or at least provide proper spacing between the vertebrae. Artificial discs have been used by spine surgeons for more than two decades in the U.S. and even longer in Europe. With artificial disc replacement, also known as a total disc arthroplasty or total disc replacement (TDR), the intention is to relieve pain by removing the defective disc and to preserve some range of motion. It is a useful alternative to a discectomy and fusion procedure. The procedure is typically performed only after conservative treatment has been applied for six months or more and failed.
Dr. Carll is board certified and fellowship trained, and has performed hundreds of artificial disc replacement surgeries to address both lower back pain and neck pain. His surgical team has experience with a wide range of disc replacement devices and understands there is no one-size-fits-all solution when it comes to artificial disc replacement. Visit Spine Care of North Texas for more information.
"I recently experienced a pinched nerve that severely affected my ability to use my right hand. I contacted Dr. Carll who immediately went to work on my behalf. Knowing that this was a time sensitive situation Dr. Carll went out of his way to ensure that I received the appropriate MRIs, CAT scans, and nerve studies to properly diagnose my situation. After reviewing all the test Dr. Carll exhibited true professionalism and integrity by referring me out to Dr. Patty Young (I am so thankful for your referral) who specialized in the surgery that I would need. Dr. Carll could’ve chosen to operate because I had several degenerative disc, however he chose ethics over profit. Dr. Carll is a true professional that will put your health over profit! When it comes to your health there’s nothing more important than having a doctor that you can trust to be professional and ethical. Thank you Dr. Carll for providing me with both!"- K.H. / Google / Aug 29, 2018
"Dr. Carll is THE BEST!!! I had to have an A-lift spinal fusion and never before have I seen such a caring doctor and staff. They held my hand through my fears were actually there for me and more throughout the process. I don't believe there is a more caring, more compassionate doctor than Dr. Carll. Thanks to him and his amazing abilities I can feel my right leg again and now live without pain. I will forever be grateful to this office and Dr. Carll for being there for me as a person and as a patient.-Nicole Baucum"- Anonymous / Healthgrades / May 17, 2019
"Excellent care - Very compassionate doctor! Truly cares about your pain and issues."- Anonymous / Vitals / Feb 12, 2019
"Excellent Care!! - I had put off my 360 Spinal Fusion for over a decade, relying on epidurals to deal with the pain. After doing two years of thorough research, I chose Dr. Kendall Carll at the Spine Care of North Texas. Being that I’m in the medical industry, I did ask around, too.From the initial consultation, all staff involved were very supportive and explained all aspects of the procedure; including what I could expect during and after the procedure. Because I never really experienced “excruciating” pain, I stopped taking all pain meds three days after the procedure. I was up and walking the day of the procedure and followed all directives. I was up several times a day walking and learning how to use steps; since I my place is two levels.The staff did a great job setting up my home health care; which included a nurse and a physical therapist. They, too, did an outstanding job. A large part of my job involves air travel. I felt so “good” I reached out to see if I was ok to travel. I followed all restrictions, primarily lifting, and was able to take a two-hour flight. This is amazing considering it was only 23 days post-surgery.If you’re like me and will use insurance, be sure to do the match; to make sure your rehab will be completed by the end of the year.“I am 100% satisfied with my experience with Spine Care of North Texas. Every single person on staff was terrific, and the system worked flawlessly. I now refer all my friends and family to them."- Anonymous / Vitals / Feb 04, 2019
"From the initial consultation, all staff involved were very supportive and explained all aspects of the procedure; including what I could expect during and after the procedure. Because I never really experienced “excruciating” pain, I stopped taking all pain meds three days after the procedure. I was up and walking the day of the procedure and followed all directives. I was up several times a day walking and learning how to use steps; since I my place is two levels. They are the best!!!"- E.E. / Healthgrades / Feb 04, 2019
Not everyone is a good candidate for artificial disc replacement. Most physicians will rule out patients who have spondylolisthesis (the slipping of one vertebral body across a lower one), patients who have osteoporosis, vertebral body fractures, allergies to materials that may be in the device, patients who are morbidly obese, individuals who have undergone significant changes to their facet joints, and those who have autoimmune problems or who use steroids on a regular basis. Also, total disc replacements are designed to be implanted from an anterior approach. Patients who have had previous abdominal surgery or who have compromised blood vessels in front of the spine are also not good candidates for artificial disc replacement.
Artificial disc replacement surgery is performed in a hospital setting under general anesthesia. After you have fallen into a deep sleep, Dr. Carll will make an incision in your abdomen, where he will move your organs and blood vessels to the side to access your spine. Next, the damaged disc will be removed and replaced with the new artificial disc. Your organs and blood vessels will then be placed back into their normal positions and your incisions will be closed. Upon the conclusion of the surgery, you will be closely monitored until you wake up. Then you will be lead to a recovery room where you will stay for the next couple of days.
What to Expect
As is to be expected with any surgery, you may be uncomfortable while you heal. Pain medication may be prescribed to help control the discomfort during this time. You will be encouraged to stand and begin moving around within the first day. Careful instruction will be given to ensure that your movements are proper and productive. As healing progresses, you will be encouraged to walk and stretch on a regular basis. Disc replacement surgery will drastically improve your pain but may not eliminate it altogether.
Head Toward Healing
Although artificial disc replacement surgery may seem like an intimidating procedure, it can offer incredible pain relief. With more than 15 years of experience treating complex back conditions, Dr. Carll understands that back pain can be debilitating and life altering. If you have attempted conservative methods for pain relief but are still suffering from back pain, schedule a consultation at Spine Care of North Texas at your earliest convenience. It’s time to head toward healing and fight back against back pain.