Dr. Ratish Kumar Mishra is a highly skilled and dedicated Consultant Orthopaedic and Spine surgeon currently associated with Sanjivini Hospital in Gomti Nagar, Lucknow. His areas of expertise include Neck Pain, Back Pain, Sciatica Pain, Slipped Disc, Lumbar Canal Stenosis, Spondylolisthesis, Fractures in the Spine, Spinal Cord Injury, Spine Tumors, and infections in the spine. He is also skilled in Scoliotic spine surgery and Deformity correction surgeries. He is well-versed in open, Minimally Invasive, and Endoscopic spine surgeries. He can perform anterior and posterior Cervical, Thoracic, and Lumbar spine surgery.”

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Disc Replacement

Disc Replacement

Intervertebral disc replacement, also known as artificial disc replacement or total disc arthroplasty, is a modern surgical intervention designed to address degenerative disc disease in the spine. This overview explores the principles, indications, procedural details, and expected outcomes associated with intervertebral disc replacement.

Principles of Intervertebral Disc Replacement:

  1. Degenerative Disc Disease:
    • Intervertebral disc replacement primarily targets degenerative disc disease, a condition characterized by the breakdown of the spinal discs, leading to pain and reduced mobility.
  2. Preserving Motion:
    • Unlike traditional spinal fusion, disc replacement aims to maintain natural spinal motion by replacing the damaged disc with an artificial one.

Indications for Intervertebral Disc Replacement:

  1. Symptomatic Disc Degeneration:
    • Individuals with persistent neck pain and symptoms related to degenerative disc disease, unresponsive to conservative treatments, may be candidates for disc replacement.
  2. Single Level Disc Disease:
    • Disc replacement is often recommended for cases where disc degeneration is limited to a single level of the spine.

Procedural Details:

  1. Patient Positioning:
    • The patient is positioned face down on the operating table, and the surgical site is prepped and sterilized.
  2. Incision:
    • A small incision is made in the neck, depending on the location of the damaged disc.
  3. Disc Removal:
    • The damaged disc is carefully removed, creating space for the artificial disc.
  4. Artificial Disc Placement:
    • The artificial disc, often made of metal or a combination of metal and plastic components, is inserted into the disc space.
  5. Closure:
    • The incision is closed with stitches or staples, and the patient is monitored during the postoperative period.

Expected Outcomes:

  1. Pain Reduction:
    • Intervertebral disc replacement aims to significantly reduce or eliminate chronic neck pain associated with degenerative disc disease.
  2. Preserved Motion:
    • Unlike spinal fusion, disc replacement allows for preserved spinal motion, potentially reducing stress on adjacent discs.
  3. Improved Functionality:
    • With reduced pain and preserved motion, individuals often experience improved functionality and quality of life.

Risks and Considerations:

  1. Infection:
    • As with any surgical procedure, there is a risk of infection at the surgical site.
  2. Implant Issues:
    • Complications related to the artificial disc, such as wear or displacement, may occur and may require additional interventions.
  3. Adjacent Segment Issues:
    • While disc replacement aims to preserve motion, there’s a risk of increased stress on adjacent discs, potentially leading to future issues.
  4. Incomplete Pain Relief:
    • While the majority of patients experience significant pain relief, individual responses can vary, and some may have incomplete relief or require additional interventions.

Conclusion:

Intervertebral disc replacement is a cutting-edge surgical approach that offers an alternative to traditional spinal fusion for individuals suffering from degenerative disc disease. This procedure aims to alleviate pain, preserve spinal motion, and improve overall functionality. As with any medical intervention, patients considering disc replacement should engage in thorough discussions with their healthcare team to understand the procedure, potential risks, and expected outcomes based on their specific condition.

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    Patient’s Reviews

    Dr. Ratish is an exceptional Orthopedic Surgeon whose expertise and dedication truly stand out. His meticulous attention to detail, coupled with his compassionate patient care, make him a remarkable choice for anyone seeking orthopedic treatment. With a deep commitment to improving his patients' quality of life, Dr. Ratish’s skill and professionalism are truly admirable.

    Shefali Chimnani

    Patient

    Dr Ratish is an exceptional specialist in spine care. His expertise is evident in his precise diagnoses and effective treatments. His dedication to patient well-being and extensive experience makes him a top choice for anyone seeking spine-related medical assistance.

    Aman Ahuja

    Patient