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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We’re grateful for our freedom – the freedom t

We’re grateful for our freedom – the freedom to pursue life on our terms, speak our minds, and move freely, fully, and without pain – today and every day. Happy 4th of July from ADR!
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#HappyFourthOfJuly #Happy4thOfJuly #IndependenceDay #AmericanFlag #AmericaTheBeautiful #Freedom #FourthOfJuly2022
#ADRSpine #DrToddLanman #DrJasonCuellar #artificialdiscreplacement #spinehealth #discreplacement

Part of being at the forefront of spinal surgery i

Part of being at the forefront of spinal surgery innovations is investigating long-term complications to improve the efficacy of disc implants throughout a patient’s lifetime. In 2020, Dr. Lanman participated in a study exploring the mechanical failure of the Mobi-C cervical disc implant in four cases.

Dynamic imaging revealed segmental kyphosis at the implant level, which can occur either immediately after surgery or at a delayed time. To avoid this in the future, investigators recommended increasing vigilance with surgical technique and patient selection as well as utilizing dynamic radiographs for all patients who have neck pain following cervical disc replacement. While still an alternative to fusion, cervical ADR should be reserved for select, especially younger and high-functioning, patients.

Learn more about these findings - link in bio.
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After cervical ADR surgeries, you may find you hav

After cervical ADR surgeries, you may find you have a bit of a sore throat due to the anterior incision, but patients typically experience more soreness in the muscles in the back of the neck and the traps because the surgeon must stretch the ligaments to replace the degenerative disc. There may be a few weeks of an achy neck, but it’s worth it if it could possibly be the very last neck ache you have.

After lumbar ADR surgeries, you’ll experience mild soreness through the abdomen where the incision was made. The lower back will be sore too, but you’ll be up and walking out of the outpatient facility in 4-to-6 hours following the procedure.

All you’ll need is a simple pain pill to manage the discomfort during the first 4-5 days. After that, the pain begins to taper, you’ll start to feel better and recover your mobility.
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Deformity correction surgery to fix a patient who

Deformity correction surgery to fix a patient who was fused in a bad position of relative kyphosis, also known as “flat back deformity”. That’s right, Drs. Cuellar and Lanman of Advanced Disc Replacement and Spinal Restoration Center don’t just do disc replacement surgery, sometimes they have to perform complex revision fusion surgery such as this one.

This patient could hardly stand up right for more than 10 minutes without severe low back and leg pain.

This case highlights the importance of having the right spinal surgeon and surgery the first time to avoid the need for complex revision surgery.

For east coast patients you now have the option to be seen in Florida if you prefer. Call 305-459-3175.

Dr. Lanman recently presented at the International

Dr. Lanman recently presented at the International Society for the Advancement of Spine Surgery (@ISASS_Official) conference to share his insights and findings on the new frontier of artificial disc replacement. Dr. Lanman spoke with attendees at the conference at the Atlantis Hotel on various areas of his expertise, including restorative motion fusion, the ongoing debates around hybrid motion surgery vs. fusion, normal and abnormal bone changes seen following ADR, and controversies surrounding insurance companies and their perspectives of cervical disc replacement vs. fusion.
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#ADRSpine #DrToddLanman #LanmanSpinalNeurosurgery #DrJasonCuellar #artificialdiscreplacement #spinehealth #discreplacement #RestorativeMotionSpineSurgery #lumbardiscreplacement #neckpain #backpainrelief #neurosurgeon #backpain #backpaintreatment #spinesurgery #spinesurgeon #chronicpain #cervicaldiscreplacement #hybridmotionsurgery

By stimulating around 20,000 neuromuscular contrac

By stimulating around 20,000 neuromuscular contractions in a 20-minute session, Emsculpt can support an active recovery post-spinal surgery for active patients who are eager to strengthen and rehabilitate their abs, arms, and gluteal muscles and get back to their lives.

The Advanced Disc Replacement Spinal Restoration Center in Beverly Hills is the first in California to offer Emsculpt as a pre- or post-surgery treatment for patients. Contact our office at frontdesk@spine.md to learn more or schedule an appointment.
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There’s more to you and your spine than just 2D

There’s more to you and your spine than just 2D x-rays. We take a 4D health approach with our patients because your neck or back pain stems from more than just your bone anatomy. We consider the lifestyle you live, your health history, age, activity, nutrition, and more to get a 360º view of who you are and how we can improve your spine health, flexibility, and mobility.
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Even though artificial disc replacement provides b

Even though artificial disc replacement provides better neck and back range of motion than spinal fusion, the procedure is more technically challenging, and not every spine surgeon performs it.

When searching for the right spine surgeon, whether you’re interested in fusion or ADR, here’s what to look for:

• A board-certified spine surgeon
• Extensive experience performing both spinal fusion surgery and ADR
• A holistic view of the issue and patient
• Options to choose from an assortment of surgical and non-surgical treatments

Cervical Hybrid Surgery is a combination of fusion

Cervical Hybrid Surgery is a combination of fusion and ADR. It’s performed similarly to every cervical surgery. Dr. Lanman explains here.
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This weekend Dr. Cuéllar (@cuellarspine) had the

This weekend Dr. Cuéllar (@cuellarspine) had the honor of teaching other spine surgeons how to use the ProDisc to treat low back and neck pain with artificial disc replacement surgery, in Miami. Such luck that Dr. Thierry Marnay, the inventor of ProDisc, was able to join them from France! What a great course with Drs. Hall and Ross among others.
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#ADRSpine #DrToddLanman #LanmanSpinalNeurosurgery #drjasoncuellar #artificialdiscreplacement #spinehealth #discreplacement #RestorativeMotionSpineSurgery #lumbardiscreplacement #neckpain #backpainrelief #neurosurgeon #ProDisc #Miami

Swimming good for back pain? Sure is! The biggest

Swimming good for back pain? Sure is! The biggest reason why swimming is a great form of exercise for people with back pain is because the water takes pressure off the spine. Everyone is buoyant in water to a certain degree. In other words, the water suspends some of your weight so your spine doesn’t have to support the entire load. Swimming can strengthen your arms, legs, core muscles and cardiovascular system without shocking your spine.

Link in bio to access the full article.
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In a new study that Dr. Lanman participated in, re

In a new study that Dr. Lanman participated in, researchers focused on understanding the healthcare economic impact of the novel Total Posterior Spine (TOPS™) System investigational device, a new artificial disc device being tested in large FDA trials.

From a health system perspective, assuming a 50/50 split between Medicare and private payers, the TOPS system becomes cost-effective 2 years postoperatively, and it becomes dominant regardless of the payer mix after 6 years.

These results show that the TOPS device is cost-effective compared with Transforaminal Lumbar Interbody Fusion and becomes the dominant economic strategy over time.

Learn more at the link in bio.
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In some cases, degenerative disc disease can lead

In some cases, degenerative disc disease can lead to numbness and tingling in the arms and legs or muscle weakness. This is a sign that the damaged discs may be affecting your nerves.

Emsculpt is a quick, in-office electromagnetic therapy with no pain or downtime that can help strengthen the muscles that degenerative discs have weakened over time. In just 20 minutes, Emsculpt can stimulate around 20,000 neuromuscular contractions to improve both strength and tone.

Curious about Emsculpt? Contact our front desk at frontdesk@spine.md or call (310) 385-7766.
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#ADRSpine #DrToddLanman #LanmanSpinalNeurosurgery #DrJasonCuellar #artificialdiscreplacement #spinehealth #discreplacement #RestorativeMotionSpineSurgery #lumbardiscreplacement #neckpain #backpainrelief #neurosurgeon #backpain #backpaintreatment #spinesurgery #spinesurgeon #chronicpain #emsculpt

How a second lumbar fusion is done entirely depend

How a second lumbar fusion is done entirely depends on the first fusion. If the second surgery is a revision of a failed disc, Dr. Lanman may be able to replace the fusion and use an artificial disc in its place. If it’s to fuse another disc, he may opt to place an artificial disc above or below the fused disc in that case.

Replacing fusion can restore motion and provide relief. In this video, Dr. Lanman shares a story about a real patient whose failed lumbar fusion he recently replaced with an artificial disc, producing life-changing results.
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#ADRSpine #DrToddLanman #LanmanSpinalNeurosurgery #DrJasonCuellar #artificialdiscreplacement #spinehealth #discreplacement #RestorativeMotionSpineSurgery #lumbardiscreplacement #neckpain #backpainrelief #neurosurgeon #backpain #backpaintreatment #spinesurgery #spinesurgeon #chronicpain #LumbarFusion #Lumbar

After dealing with pain and a lack of mobility for

After dealing with pain and a lack of mobility for years, finding relief with artificial disc replacement can bring back the life you’ve missed for so long.
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Thank you veterans for your service and sacrifice.

Thank you veterans for your service and sacrifice. Today we remember and honor you.
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#memorialday #memorialday2022 #memorialdayweekend #thankyouforyourservice #redwhiteandblue #landofthefreebecauseofthebrave #landofthefree #honorthefallen #memorialday🇺🇸 #thankyouforyoursacrifice

As one of the nation’s top spine experts, Dr. La

As one of the nation’s top spine experts, Dr. Lanman was recently chosen as a key member of the newly-formed 50-physician medical and scientific board for The National Spine Health Foundation, a nonprofit for spine health education and advocacy. The establishment of the board was part of the foundation’s 20th anniversary celebration and will provide educational resources to the public through the organization’s platform, Spine-Talks.org.

Learn more about the 50 surgeons joining the board and the goals of the NSHF at the link in bio.
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What happens during ADR surgery? • First, anesth

What happens during ADR surgery? • First, anesthesia is administered. Then, a small, anterior incision is made in the spine (either in the neck for cervical surgery or the abdomen for lumbar surgery) and after cleaning the disc and moving nerves out of the way, the diseased or damaged disc is removed. Next, the disc or discs are restored to normal disc height to make room for an artificial one, which is put in place using special equipment for guidance. Once complete, tissue is restored to its natural position and the incision is sewn up. Call our office today to see if ADR is right for you.
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Most Common ADR Questions • Patients today do th

Most Common ADR Questions • Patients today do their research, but it’s still normal for them to have questions to go over with their specialist. One of the most common questions Dr. Lanman receives during new patient appointments is, “Am I a candidate for artificial disc replacement?”

They know the results they’re after – motion preservation and living pain-free – so the first thing they hope to hear is that they are a perfect candidate for ADR.

The next question that usually follows is, “Which disc is right for me?” There are several approved discs for the cervical spine, and two approved for the lumbar spine. If you’re a good candidate for the procedure, Dr. Lanman will walk you through the available options to find the best fit for your unique body and lifestyle.
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In Becker’s most recent Ask Spine Surgeons serie

In Becker’s most recent Ask Spine Surgeons series, the publication spoke with top spine surgeons around the country to learn more about challenges and threats affecting spine care.

Here’s a bit of what Dr. Lanman had to say:

“The biggest threats to spinal surgeons who perform motion-preservation surgery are the insurance companies themselves. They routinely use third-party administrators to review authorization, and predictably, artificial disc replacement procedures are frequently denied reimbursement. Our practice finds it difficult to get approvals for even simple disc replacement surgeries that should be authorized without question.”

Link in bio to full article.
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