Artificial Disc Replacement or ADR is a newly developed and employed spinal disc procedure. It uses the anterior approach for replacing the intervertebral disc that is arthritic, painful or worn-out. The replacement of the disc for the lumbar spine is done with an artificial disc made of metal or plastic. The replacement is done for either lower spine or lumbar or upper spine or cervical. ADR is one kind of arthroplasty. It is also termed as Total Disc Replacement or TDR. ADR is developed and employed as it stands as an alternative to the existing or older spinal fusion procedure.
Artificial Disc Replacement or ADR Surgery in India has many advantage due to availability of best skilled neuro-spine surgeons and world class most advanced technology and special care for International Patients.
Need for the Surgery
Candidates, who suffer from cervical pain or lower pain, which are caused from the degenerative disc disease are eligible for this surgery.
Before the Surgery
If the candidate smokes, smoking must be quit immediately. Herbal remedies or non essential medications must be stopped, as they may react possibly with anesthesia. These precautions are discussed with the candidate by the doctor, after thorough check of the present and past medical history. The candidate should stop eating or drinking from the midnight before the surgery. Some of the surgeons may require the candidate to undergo the bowel preparation. Any activities that could improve the fitness are recommended as such activities could faster and easier the recovery process. So, walking, cycling and swimming are preferred for the candidates, who suffer from the low back pain.
A small incision is to be made on the abdomen. Then the spine would be exposed, after the abdominal contents are moved away from the way. In cases there is any collapse of the disc is found, it is restored and sometimes the disc is removed.
After the Surgery
The patient has to stay in the hospital for one to two days in the hospital after the surgery is performed. Most of the patients are able to get out of the bed and able to walk right at the evening of the surgery day. Some activities are restricted to be conducted for at least a month after the surgery and after a month, the patient can get back to the normal and regular activities. Complete list of the restricted activities are given by the surgeon.
- It helps reducing or eliminating the pain and still allows the easier and comfortable motion of the spine.
- Premature breakdown can be prevented at the adjacent levels of spine, which is happened to be a potential risk found in the fusion surgeries.
The possible and potential risks associated with the ASD are,
- Implant material to be reacted with allergy
- Implants bend, loose, move or bend
- Arm pain
- Neck pain
- Bend or break of instruments
- Bodily or local infections
- Difficulty in swallowing
- Change or impairment in the speech
Spinal cord or nerve injury that may cause paralysis or impairment
Complete recovery is possible from 6 to 8 weeks of time, after the surgery. During the recovery period, extra assistance is needed at home. It requires the preparation of the meals earlier for a few days right after returning to the home. It will take 5 to 7 days of time, to start taking the shower. It needs the shower stool, while taking shower.
The rehabilitation for most of the patients, is to stretch and walk program. It is to be continued for the first four weeks after the surgery is performed. Later this period, another program called abdominal strengthening activities are recommended, as they help the patients, who were deconditioned, before the surgery.
After the surgery, the first follow up usually starts after 4 to 6 weeks of time. The following visits can be after 3 months, 6 months, 1 year and later once in the following years. Regular yearly visits are needed for ensuring that the implants are not worn out.
Cost of Artificial Disc Replacement (ADR) Surgery
The above Package Cost is a tentative Approximate Package Estimate, which includes initial investigations & specialists screening, stay in a Private Room wherein patient’s assistant or relative can also stay with patient, doctor / surgeon fee, nursing care, medicines & consumables, Airport Pick-Up & Drop.
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