The Spine Journal: Long-Term Outcomes of Arthroplasty for Cervical Myelopathy vs Radiculopathy, and Arthroplasty vs Arthrodesis for Cervical Myelopathy – Advanced Disc Replacement

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Centinel Spine – prodisc® SMART™ Total Disc R

Centinel Spine – prodisc® SMART™ Total Disc Replacement Clinical Study

This study is seeking patients who need surgery at two cervical levels, and will compare the prodisc® C Vivo and prodisc® C SK cervical discs with the FDA approved Mobi-C®. This randomized clinical trial is enrolling patients with neck and arm pain who have not had a previous cervical spine surgery.

You could be eligible if you:

* Are between ages 18-69
* Are experiencing continued symptoms after trying physical therapy or medication
* Have no autoimmune disorders or cancer
* BMI < 40

Please contact frontdesk@spine.md or call 310-385-7766 for more information. You may also visit ClinicalTrials.gov (identifier NCT04012996) at https://clinicaltrials.gov/ct2/show/NCT04012996

Many patients are hesitant about undergoing ADR su

Many patients are hesitant about undergoing ADR surgery, assuming there’s a long and painful recovery process. However, the average recovery time for Artificial Disc Replacement surgery is just 3-5 weeks. While it does vary from patient to patient, and some may not be at their full activity levels for up to 3 months, most can return to desk work and other light activities within a week.

Recovery time for Artificial Disc Replacement is shorter than for fusion because the vertebrae do not need to fuse together to heal. Link for more information in bio.

Who Can Benefit From Back Surgery? Chronic neck an

Who Can Benefit From Back Surgery? Chronic neck and back pain can be the result of a degenerative disease to our vertebral discs, a sturdy, but pliable and cushioned shock-absorbing layer for our vertebrae. Unfortunately, almost everyone over 40 experiences degenerative disc disease to some extent.

Back surgery is never anyone’s desired first intervention to back pain and, often, Dr. Lanman and Dr. Cuéllar treat patients who have undergone spinal surgeries in the past. For most patients, attempting to relieve back pain for at least six months through non-surgical techniques is advised. If their pain persists after a minimum of six months of interventions like heat treatment, maximal tolerated activity, physical therapy, oral analgesics, and corticosteroids, they may be a candidate for back surgery such as Advanced Disc Replacement.

Learn more about ADR vs. Spinal Fusion in our blog post - link in bio.

When a disc herniates, usually people feel a sudde

When a disc herniates, usually people feel a sudden onset of pain in their back or neck. It might feel like a pulled muscle, but it is actually pain triggered by an irritated or pinched nerve.

If the pinched nerve is in the neck, it will send a shooting pain through the shoulder and arm along with possible numbness and weakness. If it is in the back, the pain will shoot through the leg and buttock with numbness, tingling, and possible weakness.

Usually, this pain gets better in 8-10 weeks. If it doesn’t, always seek professional treatment.

Learning from the Best and Inspiring the Next Gene

Learning from the Best and Inspiring the Next Generation of World-Changers

Incoming junior from Brown University Justin Perry had the opportunity to intern with Dr. Lanman for a week here at ADR Advanced Disc Replacement Center & Lanman Spinal Neurosurgy. We were happy to have this young Ivy Leaguer on board, introducing him to the day-to-day activities of a spinal neurosurgeon and showing him first-hand the impact of artificial disc replacement in many lives.

Part of being at the forefront of spinal neurosurg

Part of being at the forefront of spinal neurosurgery is providing the necessary feedback through official studies so physicians can gain a better understanding of how the body reacts to various treatments.

Dr. Lanman participated in a 2016 study on physician observations about the advancements made in the understanding of alternative biomaterials, like polycarbonate urethane and carvosil steel, two biomaterials used in disc replacement surgery. He was one of several physicians who shared their expert knowledge regarding the human body’s reaction to various devices and surgical techniques, and this insight informed bearing selection as well as future disc design to improve ADR surgery for future candidates.

Read more about this study at the link in bio.

A healthy spine is important to staying active and

A healthy spine is important to staying active and healthy throughout our lives, but for professional athletes and performers, spinal mobility and flexibility are especially important.

Dr. Lanman has a legacy treating many athletes, A-list film and TV talent, and legendary musicians, many of which found themselves immobile and in pain due to degenerative disc disease.

Through his proprietary 4D Health process, Dr. Lanman incorporates a comprehensive approach to identify the cause of the problem and the best solution on an individual basis that will allow for greater mobility and flexibility long-term – whether through ADR, robotics surgery, or other treatment options – so these elite athletes and performers can get back to doing what they love.

We strive to provide our patients with the best su

We strive to provide our patients with the best surgical care, which is why we employ the use of the most advanced robotic guidance technology available to assist with the precision and predictability of the various surgical procedures we perform.

The Mazor X Stealth™ Edition Robotic Guidance System can visualize and perform corrections designed for the nuances of your unique and individual anatomy.

With the combination of a computer and specialized software and instruments, we use this system to plan where and how we operate on your spine. The automated robotic “arm” holds key surgical instrumentation in place, while the robotic guidance assists in performing each surgery with precision.

Find Dr. Lanman in the latest brochure for prodisc

Find Dr. Lanman in the latest brochure for prodisc® L! As both a recipient and spine surgeon, Dr. Todd Lanman has seen firsthand how quickly the prodisc® L can return patients to full activity. In addition, prodisc® L studies have shown high levels of patient satisfaction, a lower re-operation rate, and continued mobility at the operated level of the spine.

If you have questions about lumbar ADR or the prodisc® L disc, reach out to our team at 310.385.7766 or frontdesk@spine.md.

ADR’s future-focused technology and 4D approach

ADR’s future-focused technology and 4D approach to spinal health ensure an enhanced quality of life for every patient we treat.

If you’re experiencing neck or back pain, are suffering from degenerative disc disease, or are limited in mobility due to past spinal fusions, there is hope. Will you choose to thrive with the help of the world’s foremost innovators in spinal restoration?

Reach out to a member of our team at (310) 385-7766 or frontdesk@spine.md.

Dr. Lanman is now licensed in the state of Florida

Dr. Lanman is now licensed in the state of Florida and currently booking telemedicine appointments. He's looking forward to serving the Sunshine State!

Link in bio for full story.

Known for its world-class patient care and as a leader in advancements in spine medicine, Beverly Hills, CA-based Advanced Disc Replacement Spinal Restoration Center will continue its cross-country expansion to Florida, as founder and preeminent spinal surgeon Dr. Todd H. Lanman has now received his license to practice medicine in the state.

The leading motion preservation and restoration specialist will immediately begin accepting patients throughout the Sunshine State, including areas such as Miami and Tampa/Sarasota, who have been suffering from neck and back pain and other spinal ailments without relief. They are asked to contact the practice directly to arrange initial telemedicine-based health consultations.

Last month, Dr. Lanman’s clinical partner Dr. Jason M. Cuéllar also became licensed to practice in Florida.

Dr. Lanman is a chief leader in spinal research, serving as principal investigator on the majority of clinical trials involving the cervical and lumbar spines, most often leading to their FDA trials and approval.

He has overseen many advancements, primarily centered around artificial disc replacements devices. He is adamant that fusion surgery is an outdated method for treating patients, as it unnecessarily limits their quality of life and severely restricts their motion.

He recently pioneered what he has designated ‘Restorative Motion Surgery,’ an off-label procedure to replace a patient’s prior fusions with artificial discs to restore their motion and allow them to once again lead full and active lifestyles free of pain.

In addition to surgical options like artificial disc replacement, robotic spine surgery, and treatments for a wide array of spinal conditions, Floridians can look forward to a future-forward approach to aging management and bone health as part of the center’s proprietary 4D Health Approach, focusing on continued movement and flexibility beyond just surgical procedures.

Patients are regularly asking me about spine condi

Patients are regularly asking me about spine conditions and available treatments as the majority of the time we don’t recommend spine surgery. I’m looking forward to sharing this educational series with you this fall. Any topics you’d like for me to cover? Comment below. #drtoddlanman

#behindthescenes #educationalseries #spine #conditions #treatments

In the latest prodisc® L brochure, Centinel Spine

In the latest prodisc® L brochure, Centinel Spine highlights ADR partner Dr. Jason Cuéllar as both a spine surgeon using the disc in his practice and a recipient of the prodisc® L.

The prodisc® L total disc replacement can give those living with degenerative disc disease or a lumbar disc herniation the opportunity to make a comeback. Through clinically proven technology, the prodisc® L has been shown to facilitate a quicker return to active life, helping patients retain their full range of motion with flexibility over the long term. With over 225,000 prodisc® implantations worldwide since 1990, it’s an artificial disc you can trust.

Learn more about lumbar ADR surgery with the prodisc® by visiting our website.

ADR founder Dr. Todd Lanman has served as lead inv

ADR founder Dr. Todd Lanman has served as lead investigator and participated in many clinical trials for the artificial discs used in ADR and Restorative Motion Surgeries®, including one for the Prestige LP Cervical Disc. This 2017 clinical trial shows the successful results of a randomized study on the outcomes of the Prestige LP for two-level ADR surgeries. For the full details of the study and to learn more about Dr. Lanman’s involvement, visit the link in bio.

How to Select the Right ADR Spine Surgeon - Part 3

How to Select the Right ADR Spine Surgeon - Part 3

The third thing to remember is that the right surgeon should keep an open mind to learn more about you and your complete health picture before determining the best treatment option.

If you have never had spinal surgery before, your surgeon should confirm that you have taken all the appropriate steps for your case to determine if there is another solution. To qualify for spinal surgery, most patients must have experienced at least 6 months of neck or back pain that has not been relieved by nonsurgical interventions like physical therapy, oral analgesics or corticosteroids, heat, and maximum tolerated activity.

Even so, some patients may not be candidates for spine surgery because of damage from prior spinal surgeries, or conditions like poor bone quality, osteoporosis of the spine, (retro)vertebral compression, or ankylosing spondylitis, which can make successful spinal surgery more complex. For Dr. Lanman, these situations don’t automatically rule a patient out; he will often work with patients to improve their bone density, among other lifestyle and nutritional changes, before performing ADR when their body is optimized to respond well to the surgery.

Learn more about how to choose the right ADR spine surgeon in our latest blog post. Link in bio.

How Aging Affects Your Cervical Spine – While

How Aging Affects Your Cervical Spine –

While not everyone develops neck pain as they get older, the aging process can affect the cervical spine, neck, upper back, and arms in different ways as a result of the wear and tear we put our spines through. Ultimately, this can lead to degenerative spinal conditions such as osteoarthritis, spondylosis, and dysphagia.

Learn more about the cervical spine anatomy and how degenerative spinal conditions can affect the neck as you age at the link in bio.

Despite the wide availability of safe and effectiv

Despite the wide availability of safe and effective artificial devices to replace cervical and lumbar discs, spinal fusion surgery is the most common surgical treatment for chronic neck or back pain.

Not all patients are candidates for artificial disc replacement, but for those who are candidates, it is generally in the surgeon’s best interest to choose fusion. Spinal fusion is usually easier for the surgeon to perform, and therefore faster and allows more patients to be treated in a given day. Reimbursement rates for spinal fusion surgery are higher than they are for Artificial Disc Replacement Surgery. But for patients, the recovery time after spinal fusion surgery is longer, and they miss out on the motion preservation benefits of artificial disc replacement.

For these reasons, Drs. Todd Lanman and Jason Cuéllar have worked to change the field of spine surgery so that we all can move beyond fusion. To learn more about ADR as an alternative to spinal fusion that supports motion preservation, visit the link in our bio.

Pictured: Dr. Jason Cuéllar

In the next decade, spine surgeons will move furth

In the next decade, spine surgeons will move further toward a multidisciplinary approach to care, with robotics becoming the standard of care for instrumentation placement, fewer fusions being performed and more total disc replacements.

Here's what surgery will look like in 2030 according to @drtoddlanman:

"In the next nine years, I think that spine surgeons will look back at the number of fusions that were performed and how debilitating and often restrictive this type of surgery was for a patient's health.

As artificial disc replacements and motion preservation surgery continue to develop, these will become the mainstays of treatment in the future. Fusions will become very limited in their usage, mostly reserved for severely arthritic degenerative or scoliotic spines, but not for the general cases of patients that need spine care. Most of these patients can be treated using artificial disc replacements. As we are finding out now, the indications for artificial disc replacements are being expanded greatly.

For example, patients that are believed to have arthritic joints once required a fusion, but this is indeed not true, particularly in the cervical spine where most patients who have somewhat arthritic facet joints in the can undergo artificial disc replacements with certain discs that help unload or offload the facet joints, lessen facet pain and keep mobility and function."

Link to full article in bio.

Cervical Disc Replacement surgery can solve severa

Cervical Disc Replacement surgery can solve several causes of neck and upper back pain.

A cervical artificial disc replacement is a spine surgery procedure to remove a damaged vertebral disc and replace it with an artificial one. This artificial cervical disc is made of metals, and/or hard and soft plastics or polymers. Because a damaged cervical disc is often the source of pain, numbness, or tingling, once it is removed and replaced with an artificial one, the pain is relieved.

The artificial disc replacement acts similarly to a natural vertebral disc. Once the patient heals after cervical artificial disc replacement surgery, the spine can rotate, bend, and flex without causing pain, maintaining mobility and full functionality.

Learn more about cervical ADR and how this procedure may benefit you if you’re suffering from degenerative disc disease in your neck by reaching out to our team at 310.385.7766 or emailing frontdesk@spine.md

Pictured: Dr. Jason Cuéllar

The second thing you should keep in mind when sele