Another surgical option for the treatment of painful lumbar discs in the India is artificial disc replacement. With artificial disc replacement, the procedure is designed to bring about pain relief by removing the painful disc, and motion at that spinal segment is maintained with the use of a prosthetic implant. This is more similar in theory to the artificial hip and knee joint surgeries that orthopedic surgeons have been using for more that 40 years to maintain motion and relieve the pain of arthritic joints. However, there is a significant difference in that only one of the three joints that are present at each vertebral level is being replaced, whereas a hip or knee joint the total joint is typically replaced. Fusion surgery is still by far the most prevalent surgery, and many patients will not be eligible for a disc replacement as it can only treat limited types of disc pathology. Some of the considerations are the same for certain types of fusion and for artificial disc replacement. For example, an anterior approach (from the front) is used for both an anterior lumbar interbody fusion and artificial disc replacement, which means that the risks and potential complications are similar for this aspect of both surgeries. However, for the most part, there are unique considerations for each type of surgery, and patients are well-advised to become as educated as possible when considering the two surgeries and discuss their options thoroughly with their treating physician(s).
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