Lumbar Disc Replacement

Lumbar disc replacement replaces a damaged or diseased disc in the lower back with an artificial one. Unlike spinal fusion, which eliminates motion at the problem segment, disc replacement aims to maintain or restore mobility, offering a path to pain relief with a potentially quicker recovery for the right candidates.

What Is Lumbar Disc Replacement?

Chronic lower back pain affects millions of people and can significantly diminish quality of life. Traditional treatments include medication, physical therapy, or spinal fusion. Lumbar disc replacement is an advanced alternative for selected patients.
 
The damaged disc is removed and replaced with an artificial disc that mimics the form and function of a natural one. Because the segment keeps moving, disc replacement may offer greater range of motion than fusion. The type of artificial disc depends on your condition and anatomy.

Conditions Disc Replacement Treats

Who Is A Candidate?

Candidates for lumbar disc replacement typically have chronic lower back pain due to degenerative disc disease that has not responded to conservative treatment. Ideal candidates do not have significant spinal instability or deformity. A thorough evaluation of medical history, physical examination, and diagnostic imaging determines suitability.
 
If you already have MRI imaging, you can sign up for our free MRI review.

The Lumbar Disc Replacement Procedure

Preparation includes medical evaluations, medication adjustments, stopping smoking, and improving fitness. On the day of surgery:

  1. 1

    General anesthesia

    You are fully asleep for the procedure.

  2. 2

    Anterior approach

    An incision, usually through the abdomen, reaches the spine with minimal disruption to the back muscles.

  3. 3

    Removing the disc

    The damaged disc is removed from the disc space.

  4. 4

    Inserting the artificial disc

    An artificial disc matched to your anatomy is placed in the space.

  5. 5

    Early walking

    Patients are encouraged to walk as soon as they are able.

Recovery And Rehabilitation

Recovery starts immediately after surgery.

Procedure day

Up and walking

Patients walk as soon as they are able; stays are short and may be outpatient.

First weeks

Gentle activity

Walking and light activity while the incision heals.

Weeks to months

Rehabilitation

Physical therapy strengthens the back and supporting structures, with a return to normal activities.

Frequently Asked Questions

What is lumbar disc replacement?

Lumbar disc replacement removes a damaged or diseased disc in the lower back and replaces it with an artificial disc designed to mimic the form and function of a natural disc.

How is it different from spinal fusion?

Spinal fusion eliminates motion at the problem segment. Disc replacement aims to maintain or restore motion, potentially offering a greater range of motion and a quicker recovery.

Who is a good candidate?

Candidates typically have chronic lower back pain from degenerative disc disease that has not responded to conservative treatment, without significant spinal instability or deformity.

How is the procedure performed?

Under general anesthesia, the surgeon usually approaches the spine through a small incision in the abdomen, removes the damaged disc, and inserts an artificial disc into the space.

How long is the hospital stay?

Hospital stays are typically short, and in many cases the procedure can be performed on an outpatient basis.

What is recovery like?

Patients are encouraged to walk as soon as they are able. Physical therapy strengthens the back, with a return to normal activities expected within weeks to months.

How should I prepare for surgery?

Preparation involves a medical evaluation, adjusting medications, quitting smoking, and improving physical fitness. A pre-operative consultation reviews expectations, risks, and recovery.

How do I know if I am a candidate?

A thorough evaluation of your history, examination, and imaging determines suitability. Request a free MRI review or call (321) 499-4646.

Benefits Of Lumbar Disc Replacement

For the right candidate, lumbar disc replacement may offer:

  • Relief of chronic lower back pain from a damaged disc.
  • Preserved motion at the treated level.
  • A potentially quicker recovery than fusion.
  • Short hospital stays, with outpatient surgery in many cases.
  • Less disruption to the back muscles through an anterior approach.

Disc Replacement Or Fusion?

Both treat a painful, damaged lumbar disc. They differ in whether the segment keeps moving.

Lumbar disc replacement

Motion preserving

An artificial disc mimics a natural one

  • Aims to maintain or restore spine mobility.
  • Potentially quicker recovery.
  • Not suited to significant instability or deformity.

Spinal fusion

Stabilizing

The segment heals into solid bone

  • Eliminates painful motion at the segment.
  • Suited to instability and spondylolisthesis.
  • Learn more about TLIF.

Your surgeon will recommend the option that fits your spine.

Related Treatments

Our Patients Stories

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Why Choose Total Spine and Orthopedics

Expert, ultra-minimally invasive spine and orthopedic care, close to home.

  • Ultra-minimally invasive and endoscopic techniques

    We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.

  • Same-day, outpatient procedures

    Most patients walk in and return home within hours, rather than facing an overnight hospital stay.

  • Board-certified, fellowship-trained surgeons

    Our team includes early leaders in endoscopic spine surgery.

  • A complimentary MRI review

    Understand your diagnosis and options from a board-certified specialist before committing to any treatment.

  • Trusted by our community

    More than 1,100 patient reviews at a 4.6-star average, and over 50,000 patients treated.

  • Motion-preserving options, not only fusion

    For the right candidates, disc replacement relieves pain while keeping the spine moving.

  • Comprehensive spine and orthopedic care

    From injections to advanced procedures, your full continuum of care is handled in one place.

  • Convenient locations across the Space Coast and Orlando

    Care close to home in Melbourne, Orlando (Lake Nona), and Titusville.

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