Benefits of Cervical Total Disc Replacement (TDR) versus Anterior Cervical Discectomy and Fusion (ACDF)

The procedures TDR and ACDF are similar in that they are both approached through the front of the neck. Dr. Brusovanik accesses the spine using minimally invasive technique. He does a small incision in the neck that is made on the front left side usually over a neck crease. With this technique there is no muscle injury. The disc is removed in both the TDR and ACDF.

In an ACDF (CPT code: 22551) an interbody device with bone graft is placed with a plate and four screws to hold it in place. Over the next few months, bone grows in the disc space connecting the two vertebrae causing fusion and stopping movement at this level.

In the Total Disc Replacement (CPT code: 22856) an artificial disc is placed in the disc space therefore normal motion of the neck is preserved at this level.

Common post operative symptoms in both procedures include soreness in the back of the neck and painful swallowing, sometimes these symptoms are less with a total disc replacement. Patients can walk the same day after surgery, they usually leave the hospital the next day. The day after surgery patients are able to go back to their activities of daily living 1-2 days after surgery.

According to the The American Academy of Orthopedic Surgery (AAOS), studies have shown that risk of adjacent level disease, which is breakdown of a disc level above or below, is less with total disc replacement than with fusion.

Facts to Know About Minimally Invasive Surgeries

If you or someone you know suffers from neck and back pain, you might be looking for an effective treatment option. The treatment depends on the nature or source of the neck or back pain. Recent advances in the medical field have ushered in the “superior” minimally invasive surgery (MIS). Read on to learn more about the benefits of this treatment option.

Benefits of MIS technique
+ LESS PAIN
Nerve pains can be your worst nightmare. Subjecting yourself to additional pain can be equally devastating. Minimally invasive surgical techniques can take care of these nerve pains. Patients that have undergone a spinal operation in Miami can attest to the fact that MIS is less painful since no muscle cutting is involved vs stripping the muscles wide open with the old fashioned techniques.

+ LOW CHANCES OF DEVELOPING COMPLICATIONS
Minimally invasive surgical practices reduce the likelihood of suffering from postoperative complications. This is attributed to the fact that incisions made on the patient during the operation are very small. Notwithstanding, the success rate is also high, and patients can start moving and walking around immediately after the surgery.

+ REDUCED SURGICAL TIME
Ideally, shorter operation times mean better efficiency and patients also spend less time under anesthesia than in open surgeries. However, the time taken depends on the proficiency or experience of the doctor. For instance, the duration of a compressive fracture surgery should take anything between 30-45 minutes.

+ MIS vs. Open surgeries
Any experienced surgeon should look at the pros and cons of having a minimally invasive surgery over an open one. In most instances, MIS is highly preferred over an open surgery. That said, MIS techniques are superior to open surgeries. It is important to note that MIS procedures are surgical operations, and therefore have some risk involved. Also, the surgeon might be forced to convert an MIS to an open one if the circumstances dictate.