Artificial Disc Replacement in Plano, TX

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.

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. 

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.

How long does an artificial disc replacement last?
An artificial disc replacement is designed to last for many years — typically 10 – 20 years or more, depending on factors like the patient's activity level and overall health. While it may eventually need attention or replacement, many patients experience long-lasting relief from their symptoms.

Are there any risks with artificial disc replacement?
Like any surgery, artificial disc replacement carries potential risks, including infection, nerve damage, and implant issues. However, these complications are relatively rare, and we take every precaution to minimize risks and ensure a successful outcome tailored to your needs.

Should I have an artificial disc replacement or spinal fusion surgery?
Both artificial disc replacement and spinal fusion surgery offer unique benefits, depending on your specific condition. Artificial disc replacement preserves motion in the spine, which can be ideal for maintaining flexibility. On the other hand, spinal fusion stabilizes the spine and is often used for more severe cases. Dr. Carll specializes in a range of spinal treatments and will work closely with you to choose the right approach based on your needs and goals.

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.