Press

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

How 6 Spine Surgeons Are Upping Their Patient Referral Game How 6 Spine Surgeons Are Upping Their Patient Referral Game
BECKER'S SPINE REVIEW •  Nov 17, 2021

How 6 Spine Surgeons Are Upping Their Patient Referral Game

A growing number of patients are using online platforms such as Facebook, LinkedIn and Youtube to seek out healthcare p

ADR innovator Todd Lanman becomes first in US to perform reversal of prior 3-level cervical fusion ADR innovator Todd Lanman becomes first in US to perform reversal of prior 3-level cervical fusion
ORTHOPAEDIC PRODUCT NEWS •  Sep 30, 2021

ADR innovator Todd Lanman becomes first in US to perform reversal of prior 3-level cervical fusion

Artificial disc replacement innovator Dr Todd H Lanman, founder of the national ADR Advanced Disc Replacement Spinal Re

ADR innovator Todd Lanman becomes first in US to perform reversal of prior 3-level cervical fusion ADR innovator Todd Lanman becomes first in US to perform reversal of prior 3-level cervical fusion
SPINAL SURGERY NEWS •  Sep 16, 2021

ADR innovator Todd Lanman becomes first in US to perform reversal of prior 3-level cervical fusion

Artificial disc replacement innovator Dr Todd H Lanman, founder of the national ADR Advanced Disc Replacement Spinal Re

Spine surgeon leader to know: Dr. Jason Cuellar Spine surgeon leader to know: Dr. Jason Cuellar
BECKER'S SPINE REVIEW •  Sep 02, 2021

Spine surgeon leader to know: Dr. Jason Cuellar

Jason Cuellar, MD, PhD, is a spine surgeon practicing in Beverly Hills, Calif., and Los Angeles.

4 spine, orthopedic surgeons expanding to Florida 4 spine, orthopedic surgeons expanding to Florida
BECKER'S SPINE REVIEW •  Aug 10, 2021

4 spine, orthopedic surgeons expanding to Florida

In the past year, Becker's has reported on four prominent surgeons with practices in California, Colorado an

Blog & Insights

Stay informed on the latest insights from Advanced Disc Replacement.

The Future is Bright: What will Spine Surgery Look Like in the Next 10 Years? The Future is Bright: What will Spine Surgery Look Like in the Next 10 Years?
ADR •  Oct 14, 2021

The Future is Bright: What will Spine Surgery Look Like in the Next 10 Years?

Introducing the Advanced Disc Replacement Spinal Restoration Center in Miami, Florida Introducing the Advanced Disc Replacement Spinal Restoration Center in Miami, Florida
ADR •  Sep 23, 2021

Introducing the Advanced Disc Replacement Spinal Restoration Center in Miami, Florida

With the opening of the ADR Spine Restoration Center in Miami, residents of the southeastern United States will now hav

California spine practice using electromagnetic therapy to enhance patient recovery California spine practice using electromagnetic therapy to enhance patient recovery
BECKER'S SPINE REVIEW •  Jun 18, 2021

California spine practice using electromagnetic therapy to enhance patient recovery

Beverly Hills, Calif.-based Advanced Disc Replacement Spinal Restoration Center is reportedly the first in the state

Dr. Todd Lanman Expands Spinal Neurosurgery Practice With The Launch Of His Advanced Disc Replacement Spinal Restoration Center Dr. Todd Lanman Expands Spinal Neurosurgery Practice With The Launch Of His Advanced Disc Replacement Spinal Restoration Center
ADR •  Jun 17, 2021

Dr. Todd Lanman Expands Spinal Neurosurgery Practice With The Launch Of His Advanced Disc Replacement

After 30 years of practicing spinal neurosurgery at Lanman Spinal Neurosurgery in Beverly Hills, Dr. Todd Lanman, toget

Artificial Disc Replacement (ADR) FAQs: What You Need To Know Artificial Disc Replacement (ADR) FAQs: What You Need To Know
ADR •  May 24, 2021

Artificial Disc Replacement (ADR) FAQs: What You Need To Know

Electing to undergo Artificial Disc Replacement (ADR) surgery is not a single decision, it’s a journey

Research Studies

The latest spinal research and studies from our team.

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

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 Patien

Long-Term Clinical And Radiographic Outcomes Of The Prestige LP Artificial Cervical Disc Replacement At 2 Levels: Results From A Prospective Randomized Controlled Clinical Trial Long-Term Clinical And Radiographic Outcomes Of The Prestige LP Artificial Cervical Disc Replacement At 2 Levels: Results From A Prospective Randomized Controlled Clinical Trial
ADR •  Apr 10, 2017

Long-Term Clinical And Radiographic Outcomes Of The Prestige LP Artificial Cervical Disc Replacement A

Cervical Disc Arthroplasty With The Prestige LP Disc Versus Anterior Cervical Discectomy And Fusion, At 2 Levels: Results Of A Prospective, Multicenter Randomized Controlled Clinical Trial At 24 Months Cervical Disc Arthroplasty With The Prestige LP Disc Versus Anterior Cervical Discectomy And Fusion, At 2 Levels: Results Of A Prospective, Multicenter Randomized Controlled Clinical Trial At 24 Months
ADR •  Mar 31, 2017

Cervical Disc Arthroplasty With The Prestige LP Disc Versus Anterior Cervical Discectomy And Fusion, A

Access Strategies For Revision Or Explantation Of The Charité Lumbar Artificial Disc Replacement Access Strategies For Revision Or Explantation Of The Charité Lumbar Artificial Disc Replacement
ADR •  Jul 12, 2016

Access Strategies For Revision Or Explantation Of The Charité Lumbar Artificial Disc Replacement

Many lumbar disc prostheses are constantly in development. The goal in each is to preserve mobility in patients with de

Video Channel

Watch for appearances from our team with our latest insights.

Cervical ADR Costs
Play
Lumbar ADR Costs
Play
Is the cost worth it?
Play
Lumbar Disc Replacement Surgery Process
Play
What Can You Expect After Lumbar Surgery
Play

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?

REQUEST CONSULTATION

Ready to reclaim your life? Get in touch today.

Loading