What to Look for in a Spine Surgery Second Opinion

Choosing to undergo spine surgery is never a decision to take lightly. For many patients, it is one of the most significant medical decisions of their lives. At ADR Spine, we regularly meet with individuals seeking second opinions—often after being told they need a spinal fusion or that they are not a candidate for artificial disc replacement. In many cases, we find that patients have more options than they were told initially.

A second opinion can open the door to less invasive, motion-preserving procedures and provide clarity before undergoing a permanent structural change to the spine. If you’ve been advised to have a fusion, or your treatment options feel limited, it may be time to seek another perspective, especially from a surgeon experienced in artificial disc replacement.

Why a Second Opinion Matters

Avoiding Unnecessary or Outdated Procedures

Spinal fusion has been a long-standing surgical approach, but it is not the only option available today. Patients are sometimes offered fusion by default, even when motion-preserving techniques could be a better fit. A second opinion can help you avoid unnecessary fusion procedures, especially if your doctor does not perform alternatives like artificial disc replacement (ADR).

Exploring Less Invasive or Motion-Preserving Options

With the advancement of spinal implants and minimally invasive techniques, many patients now qualify for treatments that preserve flexibility and function. These procedures can improve long-term outcomes and reduce the risk of adjacent segment degeneration, a common side effect of fusion.

Peace of Mind Before a Major Decision

Surgery carries inherent risks. Getting a second opinion ensures that your diagnosis is accurate, your treatment plan is well-matched to your condition, and you’re fully informed before proceeding. It’s not about undermining your current provider—it’s about making the most informed decision possible.

Key Questions to Ask During a Second Opinion

Are There Alternatives to Spinal Fusion?

If a spinal fusion has been recommended, ask whether there are non-fusion options available. You may be a candidate for ADR or a minimally invasive decompression procedure, depending on your spinal anatomy, diagnosis, and health history. In many cases, fusion is offered by default simply because the surgeon is more familiar with it.

Am I a Candidate for Artificial Disc Replacement?

Patients are often told they are not candidates for ADR, only to later discover they are. As Dr. Lanman notes, “Half the patients I see who’ve been told they’re not candidates for disc replacement actually are.” Many surgeons do not perform ADR regularly and may not be up to date with current device approvals or expanded indications. If you’ve been told no without a thorough explanation, it’s worth re-evaluating with an ADR specialist.

What Are the Risks, Benefits, and Success Rates?

Every surgical option has risks and potential outcomes. Ask about complication rates, long-term recovery, motion preservation, and patient satisfaction. A qualified surgeon will give you a balanced view of both benefits and limitations and will tailor their answers to your specific case, not rely on broad generalizations.

Red Flags to Watch Out For

One-Size-Fits-All Surgical Recommendations

Every spine is different, and your treatment plan should reflect that. Be wary if your provider jumps to surgery without discussing non-surgical options or doesn’t consider your unique goals for recovery and lifestyle.

Lack of Experience With ADR or Motion Preservation

If a surgeon does not routinely perform artificial disc replacement, they may dismiss it as a viable option, not because you aren’t a candidate, but because they aren’t equipped to offer it. Ask how many ADR procedures the surgeon has performed, and how recently.

No Discussion of Conservative Treatment Options

Before proceeding to surgery, a reputable specialist will often explore conservative therapies like physical therapy, anti-inflammatory medications, or targeted injections. If surgery is presented as the first and only step, it’s reasonable to question whether other options have been considered.

What Sets Top Spine Surgeons Apart

Board Certification and Fellowship Training

These credentials ensure that your surgeon has undergone extensive education and specialized training in spinal procedures. It’s also important to consider ongoing contributions to the field, such as participation in clinical trials or leadership in professional societies.

Experience with Advanced Techniques Like ADR

Artificial disc replacement is a technically demanding procedure that requires advanced training and experience. Look for a surgeon who has a deep experience in their field and in the devices they choose. For example, Dr. Lanman has not only extensively performed ADR surgeries but has also been involved in its development, testing, and refinement, and led clinical trials for multiple FDA-approved devices.

Personalized Approach to Your Specific Diagnosis

Your spine surgeon should take the time to review your imaging, understand your symptoms, and factor in your lifestyle and goals. There is no universal solution for back or neck pain. A great surgeon will customize their recommendation to help you achieve the best possible outcome.

Considering a Second Opinion? Start with ADR Spine

Dr. Todd H. Lanman is a world-renowned spinal neurosurgeon who has dedicated his career to restoring mobility and improving outcomes for patients with complex spinal conditions. He strongly encourages patients to seek a second opinion if they have been recommended a fusion and told they are not a candidate for ADR.

When you consult with ADR Spine, you’re gaining invaluable insight from one of the leading authorities in motion-preserving spinal surgery. Whether you’re facing a fusion, have already had surgery that didn’t relieve your symptoms, or are looking to understand your options more fully, we’re here to help you take the next step with confidence.