Understanding Lumbar Disc Replacement
Lumbar disc replacement is a modern surgical option for patients with chronic lower back pain caused by damaged or worn-out discs in the lower spine. Instead of fusing the bones together (which limits motion), this procedure replaces the disc with an artificial one that allows for more natural movement.
1️⃣ Why It’s Needed
The discs in your lower back act like shock absorbers between the vertebrae.
When a disc becomes degenerated (hence DDD or degenerative disc disease), damaged, worn out, or herniated, it may cause:
⚡ Low back pain
⚡ Pain in the buttocks or legs (sciatica)
⚡ Numbness or tingling
⚡ Weakness in the legs or feet
If these symptoms don’t improve with conservative treatments (like therapy, medications, or injections), lumbar disc replacement may be an option.
2️⃣ How the Surgery Works
During lumbar disc replacement:
🗑️ The surgeon removes the damaged disc.
🧩 A specially designed artificial disc is placed in its spot.
🔄 The artificial disc is built to mimic the natural movement of your lower back, unlike fusion, which eliminates motion at that level.
👉 Dr. Katsevman uses FDA-approved Centinel Spine implants which have strong clinical data and excellent outcomes.
3️⃣ Benefits of Lumbar Disc Replacement
✔️ Relieves chronic back and leg pain
✔️ Preserves motion and flexibility in the spine
✔️ Reduces stress on nearby discs (compared to fusion)
✔️ Allows earlier return to daily activities, work, and exercise
✔️ Avoids the long-term stiffness often associated with fusion
4️⃣ The Procedure
🔹 Performed through a small incision in the abdomen (belly)
🔹 Done under general anesthesia (you’ll be asleep)
🔹 Surgery usually takes a few hours
🔹 Patients begin walking soon after surgery with guidance from the care team
5️⃣ Recovery
Most patients:
🏠 Stay in the hospital overnight
⏱️ Return to light activities within a few weeks
🏋️♂️ Resume sports, gym, and work earlier than with fusion since motion is preserved
🤸♀️ May be referred to physical therapy for strength, flexibility, and posture training
❓ Frequently Asked Questions (FAQ)
👉 Who is a candidate for lumbar disc replacement?
It’s best for patients with disc-related back pain who don’t have severe arthritis, instability, or osteoporosis. A spine specialist will determine eligibility.
👉 How long does an artificial lumbar disc last?
Lumbar discs are designed for durability. Studies show they provide lasting results with low complication rates.
👉 Is lumbar disc replacement better than fusion?
Both have benefits, but disc replacement preserves motion and may reduce stress on adjacent discs, potentially lowering the chance of future surgeries. Dr. Katsevman always prefers to do disc replacement if the situation allows, and now the Prodisc L is approved for two levels to be done at once!
👉 Will I need a brace after surgery?
Unlike fusion, no brace is required after lumbar disc replacement, which helps patients return to normal life more quickly.
👉 How soon can I return to work or sports?
Recovery is patient-specific, but most people return to work, gym, and recreational activities sooner than they would after a fusion (usually 6 weeks versus 3 months).
✅ The Bottom Line
Lumbar disc replacement offers a motion-preserving alternative to spinal fusion for patients with persistent disc-related back pain. By relieving pain while maintaining flexibility, it helps patients return to work, sports, and everyday life with fewer restrictions.
If you’re struggling with lower back pain, talk with your spine specialist about whether lumbar disc replacement could be right for you.
Contact us today to schedule a consultation.
Naples Office: (239) 649-1662
Fort Myers Office: (239) 437-1121
or click the “Contact” tab above to get scheduled.
