Press

Keep up to date with our latest press features and news coverage.

Leading Surgeon at ADR Spinal Restoration Center Announces Presentation on Converting Spinal Fusions to Total Disc Replacement Leading Surgeon at ADR Spinal Restoration Center Announces Presentation on Converting Spinal Fusions to Total Disc Replacement
Global Newswire •  Jan 31, 2023

Leading Surgeon at ADR Spinal Restoration Center Announces Presentation on Converting Spinal Fusions to To

Dr. Todd Lanman shares his experience removing failed and solid fusions and placing artificial discs with a panel of ar

Dr. Todd Lanman Presents Breakthrough in Total Disc Replacement Dr. Todd Lanman Presents Breakthrough in Total Disc Replacement
BECKER'S SPINE REVIEW •  Jan 31, 2023

Dr. Todd Lanman Presents Breakthrough in Total Disc Replacement

Todd Lanman, MD, a neurosurgeon at ADR Spinal Restoration Center in Beverly Hills, Calif., has performed a breakthrough

25 Spine Practices To Know In 2023 25 Spine Practices To Know In 2023
BECKER'S SPINE REVIEW •  Jan 27, 2023

25 Spine Practices To Know In 2023

Here are 25 spine practices to know going into 2023

What 6 Spine Surgeons Are Most Proud of in 2022 What 6 Spine Surgeons Are Most Proud of in 2022
BECKER'S SPINE REVIEW •  Dec 26, 2022

What 6 Spine Surgeons Are Most Proud of in 2022

From honing minimally invasive surgical skills to establishing an independent spine practice and attracting more patien

Spine Robots Need ‘A Giant Leap Forward’: 12 Surgeons’ Wishlist for the Next Generation of Robots Spine Robots Need ‘A Giant Leap Forward’: 12 Surgeons’ Wishlist for the Next Generation of Robots
BECKER'S SPINE REVIEW •  Dec 07, 2022

Spine Robots Need ‘A Giant Leap Forward’: 12 Surgeons’ Wishlist for the Next Generation of Robots

The spine surgical robotic systems are primarily designed for pedicle screw insertion and guiding the screws roboticall

Blog & Insights

Stay informed on the latest insights from Advanced Disc Replacement.

Hand Numbness After Cervical Spine Surgery Hand Numbness After Cervical Spine Surgery
ADR •  Dec 14, 2022

Hand Numbness After Cervical Spine Surgery

While cervical surgery is quite safe, as with any surgery, there are some risks. One possible consequence of cervical s

Pinched Nerve in Lower Back or Degenerated Disc Pinched Nerve in Lower Back or Degenerated Disc
ADR •  Dec 02, 2022

Pinched Nerve in Lower Back or Degenerated Disc

We have many names for a pinched nerve in the lower back: pinched nerve, slipped disc, bulging disc, herniated disc, de

Surgery for Sciatica Pain Relief Surgery for Sciatica Pain Relief
ADR •  Nov 21, 2022

Surgery for Sciatica Pain Relief

Surgery may be the quickest way to sciatica pain relief, but surgery is not usually the first treatment for sciatic pai

Spinal Implants: Types & What They Treat Spinal Implants: Types & What They Treat
ADR •  Nov 11, 2022

Spinal Implants: Types & What They Treat

If you experience back pain, your doctor will perform a comprehensive consultation to accurately diagnose the source an

What To Expect After Lumbar Epidural Steroid Injection What To Expect After Lumbar Epidural Steroid Injection
ADR •  Nov 01, 2022

What To Expect After Lumbar Epidural Steroid Injection

Living with chronic lower back pain can negatively impact so many areas of your life - from limiting you from favorite

Research Studies

The latest spinal research and studies from our team.

Real World Evidence (RWE) <br>Lumbar Fusion Study Real World Evidence (RWE) <br>Lumbar Fusion Study
ADR •  Sep 01, 2022

Real World Evidence (RWE)
Lumbar Fusion Study

A Prospective Study of Lumbar Facet Arthroplasty in the Treatment of Degenerative Spondylolisthesis and Stenosis: Early Cost-effective Assessment from the Total Posterior Spine System (TOPS™) IDE Study A Prospective Study of Lumbar Facet Arthroplasty in the Treatment of Degenerative Spondylolisthesis and Stenosis: Early Cost-effective Assessment from the Total Posterior Spine System (TOPS™) IDE Study
ADR •  Mar 30, 2022

A Prospective Study of Lumbar Facet Arthroplasty in the Treatment of Degenerative Spondylolisthesis and St

Single and Multilevel Lumbar Total Disc Replacement Adjacent to L5-S1 ALIF (Lumbar Hybrid): 6 Years of Follow-up Single and Multilevel Lumbar Total Disc Replacement Adjacent to L5-S1 ALIF (Lumbar Hybrid): 6 Years of Follow-up
ADR •  Oct 25, 2021

Single and Multilevel Lumbar Total Disc Replacement Adjacent to L5-S1 ALIF (Lumbar Hybrid): 6 Years of Fol

Outpatient Versus Inpatient Anterior Lumbar Spine Surgery: A Multisite, Comparative Analysis of Patient Safety Measures Outpatient Versus Inpatient Anterior Lumbar Spine Surgery: A Multisite, Comparative Analysis of Patient Safety Measures
ADR •  Oct 25, 2021

Outpatient Versus Inpatient Anterior Lumbar Spine Surgery: A Multisite, Comparative Analysis of Patient Sa

Prospective, multicenter clinical trial comparing M6-C compressible six degrees of freedom cervical disc with anterior cervical discectomy and fusion for the treatment of single-level degenerative cervical radiculopathy: 2-year results of an FDA investigational device exemption study Prospective, multicenter clinical trial comparing M6-C compressible six degrees of freedom cervical disc with anterior cervical discectomy and fusion for the treatment of single-level degenerative cervical radiculopathy: 2-year results of an FDA investigational device exemption study
ADR •  Oct 20, 2020

Prospective, multicenter clinical trial comparing M6-C compressible six degrees of freedom cervical disc w

Video Channel

Watch for appearances from our team with our latest insights.

Prodisc C Surgical Technique
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Why Prodisc C?
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Prodisc L Surgical Technique
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Why Prodisc L?
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The Condition Of Neck Pain
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Frequently Asked Questions

What is ADR?

Artificial disc replacement is a comprehensively studied approach to disc replacement that has emerged as a leading surgical procedure to treat chronic neck or back pain as an alternative to spinal fusion. Similar to how hips and knees are replaced using an artificial joint, ADR replaces a diseased intervertebral disc with an artificial joint that allows the spine to bend, flex, and rotate similar to a healthy, natural disc.

 

“It’s important to note that ADR is no longer considered experimental,” says Dr. Lanman, who has served as principal investigator on several ADR clinical trials. “It’s so well proven, it just doesn’t qualify as an experimental surgery any longer.”

How long does ADR last?

Whereas artificial knee and hip joints often require a replacement in 15-25 years, ADR will typically last for 70+ years without a revision. The polyethylene core is incredibly long-lasting and is designed to last a lifetime. Most sources report that artificial disc replacement lasts 10 years because this is the timeline of most clinical trial follow-ups. As these clinical trials age, we expect to see the lifespan of the discs continue to report success in patient follow-ups. Finally, the most critical component to the question of longevity is not about the material of the disc, but about the quality of the surgery itself. Working with a highly qualified and skilled surgeon to ensure that your disc is placed correctly is the factor that will determine how long your disc will last for you.

 

“I’ve been putting discs in for 20 years. I have yet to see one wear out or show decreased height,” says Dr. Todd Lanman. “I’ve looked at films from Europeans that have been in 35 years that show no wear. The outlook for the longevity of this technology is incredibly positive.”

What are the types of ADR?

Artificial disc replacement replaces both diseased cervical and lumbar discs. Cervical disc replacement surgery is used to resolve diseased discs causing pain in the neck, upper back, and arms or pinched nerves in the upper spine. These conditions can cause pain, numbness, tingling, or muscle weakness that extends down the arm.

 

In the lumbar, the 5 vertebral bones and intervertebral discs between the rib cage and pelvis. Artificial disc replacement removes a damaged disc in the lower spine and replaces it with an artificial lumbar disc. Typically, to qualify for lumbar disc replacement, a patient is experiencing specific lower back problems that are not responding to other treatments.

Who is ADR right for - and who is not a candidate for ADR?

The good news is that many people are candidates for artificial disc replacement surgery, and the best way to find out is to consult with a highly skilled and qualified spinal surgeon. This is because each patient and case are different and, where a less-qualified spinal surgeon may see a specific condition, like osteoporosis, as a disqualifying factor for surgery, a highly-experienced spinal neurosurgeon, like Dr. Lanman, will make the decision based on that patient’s unique case.

 

In general, but not always, patients who qualify for artificial disc replacement have severe enough back and neck pain to significantly interfere with their ability to work, pursue active hobbies, or participate in sports. They also have likely not responded to other recommended treatments for the past 6 months, including heat, maximum tolerated activity, physical therapy, oral analgesics, and/or corticosteroids. The best outcomes have been found in patients from 18-70 years old.

 

Patients who still may not be ideal candidates, or may need additional treatments to qualify, are those who have experienced failed spinal surgery, have osteoporosis of the spine, (retro)vertebral compression, or ankylosing spondylitis.

 

The only way to know for sure is to have a consultation with a spinal surgeon who is skilled and experienced in ADR.

What’s better: ADR or Spinal Fusion?

In most cases, artificial disc replacement will give patients more mobility, less recovery time, and decrease the likelihood of future surgeries than spinal fusion. In spinal fusion, the diseased vertebrae are fused together using a bony graft in order to eliminate the movement that causes pain. Unfortunately, this can greatly reduce a patient’s mobility and impact their quality of life. In spinal fusion, there is also an increased risk of adjacent disks becoming damaged and diseased.

 

Artificial disc replacement has a low complication rate, eliminates the need for a bone graft, allows for faster recovery, and improves the quality of life after recovery due to a better range of motion than spinal fusion surgery, combined with the elimination or reduction of back pain. For more detail on this topic, please read our comprehensive article on Disc Replacement vs. Spinal Fusion.

What is ADR surgery like, and what are the potential risks and complications of ADR surgery?

Artificial disc replacement is an advanced form of spinal surgery and, as with any surgery, there is some risk. However, the complication rate for ADR is very low and, while it is not a minimally-invasive procedure, it’s fairly straightforward when you are working with a seasoned spinal neurosurgeon like Dr. Lanman. In cervical disc replacement surgery, which is a shorter surgery than lumbar disc replacement, the procedure takes about 45 minutes to 1 hour per disc. In both cervical and lumbar disc replacement surgeries, the key is working with experienced, skilled surgeons who have approached these procedures thousands of times.

What is the recovery time from ADR surgery?

On average, artificial disc replacement recovery time is just 3-5 weeks, but it does vary from patient to patient. Most patients can return to light activities and desk work within one week, but some may not be at full activity levels for up to 3 months.

 

Because the vertebrae do not need to fuse together after ADR surgery, the recovery time is shorter than it is for spinal fusion.

How much does ADR cost?

Cost is an important consideration and it will come down to a variety of factors unique to your health insurance guidelines. Any spine surgery can be expensive, so it’s important to work with your insurer to understand how much they will be willing to cover, as well as the deductible and any other portion you will be responsible for. The surgery itself involves costs including:

  • Facility cost
  • Operating Room (OR) time
  • Surgeon Fee
  • Anesthesiologist fee

 

Additionally, you may have costs associated with:

  • Radiology studies (CT and MRI)
  • Pre-op physical, bloodwork
  • Recovery time in hospital
  • Time off work for recovery

How do you select the right surgeon?

This is the most important question of all! Finding the right surgeon for your artificial disc replacement is the most critical component to the success of your surgery. We recommend speaking to more than one surgeon before making a decision and suggest asking them the following questions. Remember, no reputable surgeon should feel threatened if you ask for a second opinion - that is your right as a patient and it is prudent, particularly when it comes to something as important as your spine.

 

The surgeon performing your artificial disc replacement should have extensive experience in this field. For reference, Dr. Lanman has been a spinal neurosurgeon for over 30 years, has 20 years of experience with artificial disc replacement, and has performed over 5,000 ADR surgeries. These numbers are important as you want to be sure your surgeon has the skills and experience to give you the lasting relief and results you are looking for. Take note of how much the surgeon wants to know about you, your goals, and your lifestyle. It’s important to consider the patient comprehensively and take into consideration their full health picture from nutrition to exercise to lifestyle habits like sleep and stress reduction. We call this 4D Health - and it’s central to our approach.

 

Here are a few questions to ask the surgeons you interview:

  • Are you an orthopedic surgeon or neurosurgeon?
  • Are you a dedicated Spine Surgeon?
  • Are you certified by the American Board of Neurological Surgery or the American Board of Orthopedic Surgery?
  • Do you specialize in Artificial Disc Replacement?
  • Do you perform both cervical and lumbar ADR and cervical and lumbar Spinal Fusion?
  • How many disc replacements have you performed? (50 or more ADRs is optimal)
  • What is your complication rate, and how does that compare to published reports?
  • What type of anesthesia will be administered (patients who cannot tolerate general anesthesia may not be good candidates for ADR)
  • What pain control will be administered after the surgery? If opioids, when can they be substituted for non-opioid pain medication?
  • What will my recovery be like? What is the difference in recovery between ADR and Spinal Fusion?

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