Lumbar Spine

Although many people learn to live with neck pain and lower back pain, when the condition starts restricting everyday activities, it is time to seek an effective solution. Total Disc Replacement (TDR), also called or Artificial Disc Replacement (ADR), or Spinal Arthroplasty, is an effective treatment option for spinal conditions in both the neck and lower back. An alternative to a cervical or lumbar spinal fusion, TDR is typically recommended when all non-surgical treatments have failed to deliver the desired results or when nerve function is compromised. Physicians who are members of the Texas Health Spine and Orthopedic Center referral line perform various types of spine surgery including artificial disc replacement. In this post, we provide an overview of total disc replacement surgery, the types of implants, and risks.

What is Total Disc Replacement Surgery?

Total disc replacement is similar to an artificial knee, hip, and shoulder joint surgery. TDR is a minimally invasive procedure wherein the surgeon replaces a damaged or compressed disc with a prosthetic implant that provides stability and helps eliminate or reduce pain caused by conditions in the neck or low back. The prosthesis is engineered to absorb compressive load and facilitate movement of the vertebrae, enabling patients to return to their active lifestyle.

Types of Implants


Mobi-C artificial disc is made up of a patented Mobile Core Technology™ which permits the polyethylene core to self-adjust by sliding and rotating inside the disc in the cervical spine. This technology allows the Mobi-C to react to the normal motion in the cervical spine. Mobi-C provides bone sparing fixation without chisel cuts into the small vertebral bodies of the cervical spine, making it safe for implantation at two levels.

Prodisc- C
ProDisc-C is a Total Disc Replacement (TDR) device that provides a surgical alternative to spinal fusion. The ProDisc-C implant has a ball and socket design which allows the potential for motion in the joint. The implant uses a central keel on the top and bottom endplates to secure to the bones (vertebrae) in the spine. A coating has also been applied to all the implant surfaces that contact bone to allow for the bone to grow onto the implant.

Read More : Answering 5 FAQs about Shoulder Replacement Surgery


The activL Artificial Disc is used for single level use in the lumbar spine. It is a weight-bearing integrated implant with two end plates and a polyethylene inlay. The activL is designed to allow controlled motion at the surgery level.

Prodisc-L Disc
The Prodisc-L disc implant, based on a ball-and-socket design with central keels and lateral spikes, aims to reduce pain and improve motion at one level between L3 and S1 spine. The artificial implant allows the disc to fix to the vertebral bodies, and has plasma-sprayed titanium coating that helps promote bony integration.

Read More : Troubled by Arthritis? Here are 5 Alternatives to Knee Replacement Surgery


As with any surgery there are risks. Your surgeon should discuss all risks with you prior to surgery. Surgery should be done as a last resort when conservative measures do not provide an acceptable outcome.

Is Artificial Disc Replacement Right for You?

Doctors may recommend artificial disc replacement surgery to patients with a herniated disc, painful disc degeneration, radicular syndrome and other cervical or lumbar spine problems. If you or someone you know has neck pain or lower back pain, the physicians who are members of the referral line at Texas Health Spine & Orthopedic Center can help. To schedule an appointment, simply call 1-888-608-4762, or fill out this form.


Disclaimer: Physicians who are members of the referral program practice independently and are not employees or agents of Texas Health Spine and Orthopedic Center.