Demos and Tutorials
Artificial Disc Designs
Our latest Q & A column features Dr. Willem Zeegers, a pioneer in the field of arthroplasty and one of the most experienced spine doctors in world. We sifted through some of the tricky questions the patient community had on bone density testing.
Charite Surgical Paper from Depuy/JnJ
This authoritative paper directly from the manufacturer of the Charite artificial disc offers excellent technical insights into the ADR procedure. Though intended for medical professionals, it's a solid technical primer for patients, and some say a "must read."
First Q&A with ADR Doctors Introduced
Our inaugural column focuses on some vexing questions from our global community: ADR patient selection criteria, differences among disc designs, subsequent anterior lumbar procedures, tricky discography results, ADR and adjacent level degeneration. Our thanks to the professionals at TBI!
Artificial Disc Replacement Paper Debuts
Dr. John Regan, MD is Director of the Cedars-Sinai Institute for Spinal Disorders. Prior to joining Cedars-Sinai, Dr. Regan served as a principal at the Texas Back Institute. He is internationally recognized as one of the leading experts in minimally invasive spine surgery. He was a principal investigator for the clinical trial of the SB Charite' III ADR.
We are honored to offer readers the first available copy of "Lumbar Total Disc Replacement: Charité Artificial Disc." This paper provides technical insights into the disc replacement procedure and is geared towards very well-informed patients considering artificial disc replacement, as well as medical professionals new to ADR.
Artificial Disc Study Completed
Check out the Sept. 04 article written by top U.S. doctors on the Charite’ intervertebral disc study. A special thanks to the authors, including doctors: Geisler, Blumenthal, Guyer, McAfee, Regan, Johnson and Mullin. This article is featured in the Sept. 04 issue of Journal of Neurosurgery. Click here to render the PDF doc.
Many risks are inherent in any spinal procedure. ADR risks include infection (internal and external), excessive bleeding, reactions to anesthesia, nerve damage and related spinal complications such as heterotopic ossification. Unfortuntately, there is little published in the area of post-op complications, which is tragic if you are a patient assessing the risks of a spinal procedure. Thus, the lack of references cited below.
The following post-op complications are loosely ranked in terms of actual occurrence (after an artificial disc replacement procedure):
- Infection, Internal: http://www.spineuniverse.com/displayarticle.php/article235.htm
- Infection, External: http://www.goaskalice.columbia.edu/2109.html
- Vascular Damage
- Anesthesia Reaction
- Risk of impotence, sterility, or retrograde ejaculation in males
- Risk of injury to ureters and lymphatic ducts
- Facet Joint Complications
- Bowel Obstruction
- Heterotopic Ossification: www.emedicine.com/pmr/topic112.htm
There are other complications that can and do occur post operatively. Additional post op risks include thrombophlebitis, lung problems, implant migration (including subsidence), spinal cord injury, transitional syndrome and pseudoarthrosis. A succinct summary article describing these conditions is found at:
If you are considering ADR as a surgical option, research these conditions to help you converse intelligently with your doctor(s). Visit Interactive Tutorials or Spine Research Sites to learn more.
- This paper was written by this web site author: Read ADR Recovery PDF
- What is Post-Operative Care? http://www.spineuniverse.com/displayarticle.php/article613.html
- Conserving Energy During Recovery http://www.spineuniverse.com/displayarticle.php/article1527.html
- Surgery Recovery: From Hospital to Home http://www.spineuniverse.com/displayarticle.php/article1867.html
- Surgical Wound Care: Questions and Answers http://www.spineuniverse.com/displayarticle.php/article1787.html
The year of 2004 was a big year for artificial disc replacement, as final approval of the Charite artificial disc was granted in October. This milestone press release is here.
News Across the U.S.
On a daily basis, we sift through thousands of articles, and select the most interesting or relevant news and post it to our article library within our discussion board. Get the latest news here, occasionally peppered with comments from the patient community.
Thank you WCVB TV !
In case you missed the ADR news segment hosted by Dr. Timothy Johnson, check out the news which delves into the Charite' artificial disc technology. It features Dr. Robert Banco, a Boston ADR surgeon who healed the founder of this web site! Click here to see the article and short video.