Case study 71 - lumbar degenerative disc disease treated w/ lumbar disc replacement explained

Case study 71 - lumbar degenerative disc disease treated with lumbar disc replacement

A lumbar disc replacement is a type of back or spine surgery. Your spine is made up of bones called vertebrae that are stacked on top of each other. Discs between the vertebrae work like cushions to allow the vertebrae to rotate and move without the bones rubbing against each other. The lumbar vertebrae and disc are at the bottom of your spine. Lumbar disc replacement involves replacing a worn or degenerated disc in the lower part of your spine with an artificial disc.
Lumbar disc arthroplasty is generally seen as an alternative to lumbar fusion. Fusion permanently joins 2 vertebrae together.

#neurosurgery #casestudy #sundaycasestudy #ladyspinedoc #learnonyoutube
#healthcareworker #hospital #surgery #neurosurgeon #medicalschool #medstudent #medicalstudent #nursing #pastudent #paschool #nursingschool
#backpain #motionpreservation #lumbardegenerativediscdisease #degenerativediscdisease #lumbarfusion #discreplacement #discarthroplasty

[ssjess]

That's exactly me! I've had DDD for almost 20 years so this was so interesting. It took a long time for it to get diagnosed. I had countless MRIs and other imaging. They thought it was my hips, the SI joints etc. I have been through every treatment option possible with the exception of a fusion or disc replacement and that's the next step so I appreciate all this info

[denisewilliams]

Thank you! That was fascinating. I worked for a state workers' compensation agency for 40 years and learned so much about back injuries. If your patient interaction is anything like the way you present yourself in these videos, they are very lucky patients.

[Kelsi_]

My dad suffered with severe back and neck pain..had spinal surgery back in 2012 he has c3 thru c7 removed plates put in replace and 2 rods...he was also diagnosed with degenerative dics disease..flat back syndrome..parkinsons disease..prostate issues where he had to get a suprapubic catheter..along with alot of other things..they also thought he has stiff person syndrome but he was so far gone medically at that point wasn't worth finding out..and obviously became bedridden towards the last year of his life..I never seen someone suffer as much as he did I quit my job and took care of him last 2 years of his life..but the pain he endured I wouldn't wish that on anyone

[lisahenderson]

I love learning from you! I am an NP and never recommend surgery unless last resort. So many people have been sent straight to spinal fusion. I love the patient focused care you provide Thank You!!

[kimberleyx]

I love how well you explain the procedures. I wish all doctors were like you. ❤

[joshrichardson]

Wish my neuro listened to me like you do. Told me im not a candidate for surgery and its just aging (im 39) and can no longer outrun my 3 year old with severe pain from bone on bone l5 s1. Getting a second opinion after watching this 😊

[AnnePeaceWithGod]

I have severe DDD of S1 L5 diagnosed since 2013 never had any surgery's because im only 36. I've adjusted to the pain, i know my limits, I just deal and keep postive. Im sure in the future I will eventually need to do something.

[wendy]

I am so glad that I found you I really need another diagnosis 51 years old DD disease L4L5 spinal stenosis they said they needed to go in from the front in my belly and then Go through the back I'm terrified I'm in so much pain Don't know where to go from here, edit, when sitting I'm in no pain but standing up and walking for a few minutes it's horrible

[meredithe]

What would be another option? I need this surgery but have held off because I have a history of rejecting implants. Happened with screws in my knee and a plate in my ankle. Don’t want it to happen in my spine…..

[jennifert]

I appreciate you sharing all these cases. They are very fascinating. In addition, I also appreciate that you link to the answer in your other video so that it’s easy for us to find. I appreciate you.❤

[rastaptc]

My back MRI looks much worse than his. Had a bilateral laminotomy on L4/L5, I think. Helped my stenosis and saved my life. Less is always more when it comes to back surgery.

[jaimelane]

I have l5 s1 issues and had my left leg go numb for about 6 months. Yesterday my foot started having nerve pain on the outside. I can’t believe how painful nerves are!

[gaylewagner]

You are so damn smart. I love your channel!❤

[stephaniehorne]

Love your videos! This one gives me hope for what we will have in the future!

[robinc]

Thank you for caring so much about your patients...your amazing.

[valerie]

I'm one of those that says that lol! It absolutely has to do with the Dr and promising a bill of goods he couldn't deliver. I was 36 when I had my XLIF fusion on 3/4 4/5 and tell everyone unless I could be paralyzed I wouldn't have had it done and wouldn't do it again. Thank you for being a wonderful and compassionate Doc :)

[Sssilentlaugh]

Awesome 👏 thank you for actually listening to the patient

[ashleybatra]

I don't usually comment ever. But this was wonderful. I'm a first year vet student and it's great to hear about case studies to get me in the game for clinical years. Please keep it up!!!

[ktbworm]

Hi! I love your videos. Have you ever had a case where there is a connection between a tongue tie and strain on the cervical spine? I am 28 and until January of this year had been seeing a chiropractor for 12 (!!) years. I have had serious forward head posture and cervical spine issues. I had a frenectomy about 4 weeks ago. It is insane how much less strain is on my cervical spine especially C1 and C2. I have been doing dry needling with a craniofacial PT since January as well. When my PT would palpate those vertebrae pre-surgery - I would feel the pain in my tongue. I find this connection very interesting and was just curious if you’ve ever had a case like that!

[fragilefleur]

Ohhh I didn’t pause long enough to see the loss of disk height in l-5 S-1. I can see some wear and tear on the end plates there. Does the surgery shave off the end plates to install the new disk? So interesting and I’m very very happy this guy got relief without needing a fusion. Also opening up his foramenal nerve canal is a great bonus. So so cool. I love this so much for myself and so happy for your patient to have some relief. Is the disk above the fracture a concern though or do you just ignore it if there is no pain?