What is Disc Replacement Surgery? 

In Disk Replacement Surgery we treats patients with a variety of ailments such as trauma, spinal stenosis, disc replacements, spinal cord injury, degenerative disc disease, and tumors. We are inspired and committed to cutting-edge patient care and the treatment of patients with spinal and neurological illnesses to satisfaction.

The following are some of the most common surgeries performed on the spine. Your particular surgery will be determined by the spinal surgeon depending on your situation.

  • Anterior Cervical Fusion
  • Posterior Cervical Fusion
  • Lumbar Discectomy
  • Lumbar Laminectomy
  • Lumbar Fusion Anterior Lumbar Interbody Fusion (ALIF)
  • Posterior Lumbar Interbody Fusion (PLIF)
  • Transformation Lumbar Interbody Fusion (TLIF)
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Dr. Arun Saroha

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Vertebral Compression Fracture

Lumbar Fusion Anterior Lumbar Interbody Fusion (ALIF)

Lumbar Fusion Anterior Lumbar Interbody Fusion (ALIF) is performed from the front side of the spine. A small incision is made on the left side of the abdomen. The disc space is removed and a bone graft and/or spacer cage is placed. The bone graft comes from the hip or bone bank. If needed, a separate incision on the back may be made for the screws and rods.

Posterior Lumbar Interbody Fusion (PLIF)

Lumbar Interbody Fusion (PLIF) is performed from the back of the spine. A partial or complete laminectomy is done. The disc is removed and a spacer cage and/or bone graft is placed.

Transformation Lumbar Interbody Fusion (TLIF)

Transformation Lumbar Interbody Fusion (TLIF) is performed from the back of the spine. This procedure approaches the spine in a similar manner as the PL IF approach, but more from the side of the spinal canal to stabilize the spinal vertebra and the disc between the vertebra.

The Minimally Invasive Approach with the minimally invasive approach, the incisions made by the surgeon are small. There is no need for muscle stripping and blood loss is minimized. Special surgical tools including a microscope allow the surgeon to achieve the same goals and objectives as with the open procedure. Patients can expect decreased post-operative pain, shorter hospital stays and can recover more quickly.

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Symptoms of Disc Replacement 

Following are symptoms that show the need for disk replacement:
  • Back pain comes mostly from 1 or 2 disks
  • Weakness in arms, shoulders, hands, or legs
  • Neck pain or neck stiffness
  • Numbness or “pins and needles” feeling in your arms

Anterior Cervical Fusion

This surgery is performed when a piece of the disc or bone spurs press on the spinal nerves. The surgery is performed from the front side of the neck. The disc and/or bone spurs are removed and the disc space is replaced with a bone dowel filled with bone graft. A small plate and screws are placed in the bone to stabilize the spine while the bones heal together.

Posterior Cervical Fusion

This surgery is performed from the posterior or backside of the neck. It is often performed in conjunction with the anterior fusion when many levels are being fused. The surgery involves placing the bone graft along with small screws and rods to stabilize the spine.

Lumbar Discectomy

This surgery is performed when part of the disc bulges and presses on the spinal nerves. The surgery is performed from the backside of the spine. A small piece of the back covering of the spinal canal is removed so the fragment of the disc can be removed.

Lumbar Laminectomy

Lumbar Laminectomy is done when the spinal canal becomes narrowed. It is performed from the back of the spine. Bone spurs are removed from the facet joints on the left and right sides of the spine. This makes more room for the nerves.

Cause of disc related problem:

The human spine is made up of bones known as vertebrae. A disk is placed between two vertebrae and work like cushions to absorb sudden shocks. These disc moves without the bones touching each other. When any of these discs show sign of degeneration or get worn then that disc need to replace using lumbar disk replacement surgery. The main cause of disk replacement is to treat lower back pain.

Pre & During Lumbar disc replacement

An anesthetic will be given through an IV line put into the vein or arm so that the patient will go into a deep sleep and keep you free from feeling pain during the surgery.  A team of the surgeon will continue further procedures together. The surgeon will make an incision in the abdomen of the patient’s and body organs will be moved to reach the patient’s spine. The surgeon will remove the disc and replace it with a new artificial disc and the incision will be closed. The IV line will still work on its place and the catheter will be attached to the patient’s gall bladder to make urinate easier. 

After Disc Replacement 

Patients may need to stay in the hospital for one or two days so that doctors will observe post-surgery indications, such as blood pressure, heart rate, etc. Pain will not stop immediately after the surgery it will decrease slowly in a day. The doctor will prescribe pain medications and physical movements will be restricted for some days. Only little movements, such as standing, walking will be allowed that too with the assistance of nurses

Result Disc Replacement Surgery

Full recovery after undergoing disk replacement depends upon the patient to patient, but in most cases it takes almost four to six weeks to come back to the normal routine. One or two visits to the surgeon may be required to remove the sutures.

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About Dr. Arun Saroha

Dr.Arun Saroha is working as Neurosurgeon with a special interest in spine surgery for the last 15 years. He specializes in Neuro-oncology, Paediatric Neurosurgery, Neurotrauma, Stroke & Cerebrovascular surgery including Transnasal surgeries. He has also been performing instrumented/ Non-instrumentation spine surgeries, including minimally invasive spine surgeries. He has performed more than 6,000 Neurosurgeries (Spine and Brain) successfully till date with patients from all over the world.

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