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If you’re struggling with chronic neck pain or lower back pain that hasn’t improved with physical therapy, injections, or medications, disc replacement surgery may be an advanced treatment option worth considering.
Disc replacement surgery—also called artificial disc replacement—is a modern, motion-preserving spine procedure designed to relieve pain while maintaining normal spinal movement. For many patients, it offers a powerful alternative to traditional spinal fusion.
As a fellowship-trained orthopaedic spine surgeon in Los Angeles, I specialize in evaluating whether disc replacement is appropriate and safe for each individual patient.
Disc replacement surgery involves removing a damaged or degenerated spinal disc and replacing it with an artificial disc implant designed to replicate natural motion.
Unlike fusion surgery, which permanently joins two vertebrae together, disc replacement:
Preserves motion at the treated level
Reduces stress on nearby spinal segments
Maintains flexibility and biomechanics
Disc replacement can be performed in:
The cervical spine (neck)
The lumbar spine (lower back) in select patients
Disc replacement surgery is most commonly used to treat:
Degenerative disc disease
Discogenic neck or back pain
Herniated discs causing nerve compression
Arm or leg pain related to disc pathology
Persistent symptoms despite conservative treatment
Not every patient is a candidate. Proper diagnosis and imaging review are critical to achieving excellent outcomes.
Cervical disc replacement is a well-established procedure with strong long-term outcomes.
Common reasons patients choose cervical disc replacement:
Neck pain with arm pain or numbness
One- or two-level disc degeneration
Desire to preserve neck motion
Faster recovery compared to fusion
Lumbar disc replacement is more selective and requires careful patient selection.
It may be appropriate if:
Pain is isolated to one disc level
There is minimal facet joint arthritis
There is no spinal instability
The patient is active and motivated
A thorough evaluation determines whether lumbar disc replacement is safe and effective.
Patients who are good candidates for disc replacement often experience:
Preservation of spinal motion
Faster recovery compared to fusion
Reduced adjacent segment degeneration
Improved function and quality of life
Return to work and activities sooner
For active individuals, athletes, and patients who want to maintain mobility, disc replacement can be a game-changing option.
| Feature | Disc Replacement | Fusion |
|---|---|---|
| Motion preserved | ✅ Yes | ❌ No |
| Stress on adjacent discs | Lower | Higher |
| Recovery time | Often faster | Longer |
| Long-term flexibility | Maintained | Reduced |
Fusion remains appropriate in many cases, but when motion preservation is possible, disc replacement may offer meaningful advantages.
You may be a good candidate if:
You have isolated disc degeneration
Conservative treatments have failed
You do not have advanced arthritis or instability
Your symptoms correlate with imaging findings
You may not be a candidate if:
You have severe facet joint arthritis
Multilevel spinal instability
Significant deformity
Osteoporosis or infection
An in-person evaluation with advanced imaging is essential to determine candidacy.
Disc replacement surgery is technically demanding and requires specialized training and experience. Outcomes depend heavily on:
Proper patient selection
Precise implant placement
Understanding spinal biomechanics
Managing both surgical and non-surgical options
Choosing a fellowship-trained spine surgeon with experience in disc replacement significantly improves safety and long-term success.
At BAO Spine, disc replacement surgery is approached with one goal in mind:
achieving lasting pain relief while preserving motion and function.
Patients receive:
Fellowship-trained orthopaedic spine expertise
Comprehensive evaluation and imaging review
Honest, individualized recommendations
Advanced surgical techniques when surgery is appropriate
Surgery is never rushed—and is only recommended when it is truly the best option.
If you are researching:
Disc replacement surgery in Los Angeles
Cervical disc replacement
Lumbar disc replacement
Alternatives to spine fusion
You deserve expert guidance and clear answers.