Summary of: Prosthesis or Fusion? Understanding your options for back surgery.
Dans cet article, nous explorons les deux principales options chirurgicales pour traiter la douleur lombaire chronique : l'arthrodèse (fusion) et l'arthroplastie (prothèse discale). Chacune de ces techniques présente des avantages et des inconvénients, et le choix dépend de divers facteurs, y compris la pathologie du patient et ses objectifs de vie. Nous fournissons un guide détaillé pour aider les patients à prendre une décision éclairée en collaboration avec leur chirurgien.
Top 5 Tips to Remember
Comprendre les différences entre arthrodèse et arthroplastie est crucial pour faire un choix éclairé.
Arthrodesis stabilizes the spine by blocking movement, while arthroplasty preserves mobility.
Les patients doivent être soigneusement sélectionnés pour l'arthroplastie afin d'assurer le succès de l'intervention.
Les données scientifiques montrent que l'arthroplastie peut offrir une récupération plus rapide et une meilleure satisfaction des patients.
Une discussion approfondie avec un chirurgien expert est essentielle pour déterminer la meilleure option chirurgicale.
Listen to our Podcast
This podcast explores two distinct surgical approaches to chronic low back pain: arthrodesis (fusion) and arthroplasty (disc replacement). It introduces arthrodesis as the historical method of stabilization […]
Prosthesis or Fusion? Understanding your options for back surgery.
Introduction: The crossroads of spinal surgery
When chronic back pain, caused by wear and tear of an intervertebral disc (degenerative disc disease), no longer responds to conservative treatments such as physiotherapy, medication or infiltration, surgery becomes an option to consider. This decision marks a decisive turning point in your care, a moment when you are faced with a fundamental choice between two philosophies distinct surgical procedures: arthrodesis (the fusion) and arthroplasty (replacement with a disc prosthesis).
It's not simply a choice between two techniques, but between two visions of your spine's future. On the one hand, there's arthrodesis, the tried-and-tested, historic method that aims to eliminate pain by suppressing movement. This is the stabilization by blocking. On the other hand, arthroplasty, a modern and dynamic approach, which seeks to relieve pain while preserving the natural function of your back. This is the way to stabilization through movement restoration.
Understanding the nuances, advantages, disadvantages and long-term implications of each option is essential to making an informed decision, in partnership with your surgeon. This page aims to provide you with a comprehensive and balanced guide, based on the latest scientific data, to help you navigate this crucial choice and determine which strategy best suits your pathology, lifestyle and future goals.
Arthrodesis (Lumbar Fusion): The historical standard
For decades, arthrodesis has been the leading reference surgical technique for treating severe degenerative disc disease, vertebral instability or deformity. Its principle is simple and logical: if movement of a worn vertebral segment is the source of pain, then eliminating this movement should eliminate the pain.
The principle of fusion
The aim of arthrodesis is to create a bony «weld» between two or more vertebrae, transforming them into a single, solid, immobile block. To achieve this, the surgeon performs several key steps:
Discectomy: The diseased and damaged intervertebral disc is completely removed.
Setting up a cage : The empty space is filled by an interbody «cage», a small implant PEEK (a high-tech polymer) or titanium.
Bone grafting : This cage is filled with bone graft. This may be bone taken from the patient (autograft) or a synthetic bone substitute. It is this graft that will stimulate bone growth.
Hardware mounting : To ensure immediate stability and allow the graft to set, the surgeon fixes the vertebrae using metal hardware: pedicle screws inserted into the vertebrae and rods that connect these screws together.
This rigid mounting completely immobilizes the segment, giving the bone time to grow through the cage and merge the vertebrae permanently. This consolidation process, known as pseudoarthrosis, can take from 6 to 12 months.
The main drawback: Adjacent Segment Disease (ASD)
While arthrodesis can be very effective pain relief at the operated level, its main drawback lies in its long-term biomechanical consequences. By blocking a segment, the forces and constraints of movement previously applied to it do not disappear. Instead, they are transferred and concentrated on the discs and joints just above and just below the fused area.
Imagine a chain with two links welded together. The adjacent links will have to bear increased load and torsion, which will accelerate their wear. This is exactly what happens in the spinal column. This accelerated wear of adjacent levels is called Adjacent Segment Disease (ASD). It can lead to the appearance of new pains, a new herniated disc or new instability a few years after the initial surgery, sometimes leading to the need to extend the fusion, creating a potentially endless domino effect. Arthroplasty was developed to break this cycle.
Arthroplasty (Disc Replacement): The philosophy of preserving movement
Arthroplasty, or total disc replacement, is based on a different premise: it is possible to treat the pain of a diseased disc without sacrificing the mobility of the spine. The aim is not to block, but to restore function as close to normal as possible.
The principle of disc prosthesis
The procedure involves removing the degenerated disk and replace it with an artificial prosthesis designed to reproduce the natural movements of the healthy disc. A modern prosthesis is a marvel of biomechanics, generally consisting of two metal plates (often made of titanium alloy with a coating to encourage bone integration) and a movable central core (made of high-density polyethylene or viscoelastic polymer).
This design preserves flexion, extension, lateral tilt and rotation movements, while maintaining disc height and stabilizing the segment. By preserving movement, arthroplasty aims to maintain a more natural distribution of stress over the entire lumbar spine, drastically reducing the risk of overloading and prematurely wearing out adjacent discs.
Who is a good candidate for arthroplasty?
The success of arthroplasty depends on very careful patient selection. It is not a universal solution. It is aimed at a specific group of patients who meet strict criteria, thus ensuring the best possible results.
Ideal Candidate Checklist for Lumbar Arthroplasty
Age : Ideally under 60, as bone and ligament structures are generally of better quality.
Diagnosis : Chronic (more than 6 months) and disabling lumbago, the main cause of which is clearly identified as originating from a single disc (discogenic pain).
Localized pathology : The disease affects only one disc level (usually L4-L5 or L5-S1).
Absence of severe facet arthrosis: The small joints at the back of the vertebrae must be in good condition, as they will continue to move with the prosthesis.
Absence of instability or major deformation : No grade 1 spondylolisthesis (slipped vertebra) or significant scoliosis.
Absence of osteoporosis : Good bone quality is essential to ensure solid anchorage of the prosthesis.
Direct Comparison: What the Scientific Evidence Says
The choice between fusion and prosthesis is not just a matter of philosophy; it is increasingly guided by solid scientific data from comparative studies and meta-analyses (studies that compile and analyze the results of multiple clinical trials).
Table 1: Arthroplasty vs. Arthrodesis - Summary of clinical results
Comparison criterion
Arthroplasty (Disc Prosthesis)
Arthrodesis (Lumbar Fusion)
Proven benefit
Functional improvement (ODI score)
Significant and often faster improvement
Significant but sometimes slower improvement
Prosthesis
Pain relief (VAS score)
Significant improvement
Significant improvement
Similar in the long term, but often faster with prosthesis
Overall patient satisfaction
Higher satisfaction rate
Lower satisfaction rate
Prosthesis
Reoperation rate (secondary surgery)
Significantly lower
Higher
Prosthesis
Preserving mobility
Yes, movement is preserved
No, the movement is eliminated
Prosthesis
Risk of adjacent segment disease
Theoretically and clinically reduced
Known and documented risk
Prosthesis
Analysis of results :
Pain and function: Both interventions are effective in reducing pain and improving function. However, several large-scale meta-analyses have shown that disc prosthesis patients reported significantly better functional improvement (measured by the Oswestry Disability Score - ODI) than those who had undergone fusion.
Reoperation rate : This is one of the strongest arguments in favor of arthroplasty. By preserving movement and reducing stress on adjacent levels, the prosthesis reduces the risk of having to undergo further surgery in the future. A meta-analysis showed that the risk of re-operation was almost half as high with a prosthesis as with a fusion.
Patient satisfaction : Consistently, studies report higher overall satisfaction rates in groups of patients who received a disc prosthesis.
The Road to Recovery: Two Very Different Paths
The difference between the two philosophies is most clearly felt during the convalescence phase. The type of intervention and rehabilitation goals dictate very different schedules and restrictions.
Table 2: Typical recovery timeline
Recovery stage
Arthroplasty (Prosthesis)
Fusion arthrodesis
Voie d’abord chirurgicale
Anterior (through the abdomen), preserves back muscles
Posterior (from the back), requires muscles to be spread
Length of hospital stay
2 to 4 days
3 to 7 days
Wearing a corset
Rarely necessary
Frequently prescribed for several weeks
Initial movement restrictions
Avoid forced extension and extreme rotation for 6 weeks
Strict ban on bending and twisting for 6 to 12 weeks
Faster mobilization: Patients are encouraged to walk from the day of surgery.
No graft to protect: There's no need to wait for bone to consolidate, which means earlier, more dynamic rehabilitation.
Autonomy regained faster: Resumption of driving and daily activities is significantly faster.
Post-merger recovery constraints
Graft protection : The entire recovery strategy focuses on the need not to disrupt ongoing bone fusion.
Strict movement restrictions: The prohibition on bending forward (flexion) and pivoting (torsion) for several weeks is a major daily constraint.
Slower rehabilitation: Physiotherapy is initially gentle, and more intense strengthening exercises are delayed until the surgeon confirms solidity of fusion on X-rays.
Later return to activities: The return to work and leisure generally takes longer.
Conclusion: Making an Informed Choice for Your Future
The decision between arthroplasty and arthrodesis is not a question of «good» or «bad» surgery. the right surgery for the right patient.
Arthrodesis (fusion) remains an excellent option, the reference standard for patients with complex pathologies such as severe instability, deformity (scoliosis), multilevel disease or a osteoarthritis advanced facet joints. In these cases, the preservation of movement is neither possible nor desirable.
Arthroplasty (disc prosthesis), on the other hand, has established itself as a modern, high-performance alternative for a group of patients carefully selected. For these candidates, we offer benefits convincing, backed by solid scientific evidence: faster recovery, greater satisfaction, lower risk of re-operation and, above all, the preservation of a more active, natural lifestyle thanks to the maintenance of mobility.
The final choice is up to you, but it must be the result of an in-depth discussion with a surgeon. expert in both techniques. It is by accurately assessing your anatomy symptoms and expectations that together you can define the strategy that will give you the best chance of a pain-free back and a life without limits.
The choice between disc prosthesis and other options depends on the precise diagnosis, the severity of the spinal tumor and the patient's profile.
A well-targeted vertebral fracture can be effectively treated by decompression surgery, depending on the degree of degeneration or instability present.
Decompression surgery is commonly used to treat herniated discs by relieving nerve compression or stabilizing the spine.
Well-targeted degenerative disc disease can be effectively treated by spinal arthrodesis, depending on the degree of degeneration or instability present.
Disc prosthesis is one of the standard procedures for the management of degenerative disc disease, especially when conservative treatment has failed.
Yes, in many cases, thanks to physiotherapy, infiltrations or neurovertebral decompression.
In patients with spinal stenosis, minimally invasive spine surgery can often reduce pain, improve mobility and prevent long-term complications.
Disc prosthesis is one of the standard procedures for the management of spinal stenosis, especially when conservative treatment has failed.
In patients with spinal deformity, TLIF or PLIF fusion can often reduce pain, improve mobility and prevent long-term complications.
In patients with spinal instability, endoscopic surgery can often reduce pain, improve mobility and prevent long-term complications.
Well-targeted spondylolisthesis can be effectively treated by decompression surgery, depending on the degree of degeneration or instability present.
Decompression surgery is one of the standard procedures for the management of spondylolisthesis, especially when conservative treatment has failed.
Between 2 and 12 weeks, depending on the type of intervention and the job.
TLIF or PLIF fusion is commonly used to treat spinal instability by relieving nerve compression or stabilizing the spine.
The choice between TLIF or PLIF fusion and other options depends on the precise diagnosis, the severity of the spinal tumor and the patient's profile.
Spinal arthrodesis is commonly used to treat spondylolisthesis by relieving nerve compression or stabilizing the spine.
Minimally invasive spine surgery is one of the standard procedures for the management of spondylolisthesis, especially when conservative treatment has failed.
Decompression surgery is commonly used to treat degenerative disc disease by relieving nerve compression or stabilizing the spine.
A well-targeted disc herniation can be effectively treated by spinal arthrodesis, depending on the degree of degeneration or instability present.
Yes, gradually, with a suitable recovery period between 2 and 6 months.
Well-targeted spinal stenosis can be effectively treated by decompression surgery, depending on the degree of degeneration or instability present.
Minimally invasive spine surgery is commonly used to treat spinal stenosis by relieving nerve compression or stabilizing the spine.
In patients with spinal instability, endoscopic surgery can often reduce pain, improve mobility and prevent long-term complications.
TLIF or PLIF fusion is commonly used to treat spinal tumors by relieving nerve compression or stabilizing the spine.
In patients with spinal deformity, spinal arthrodesis can often reduce pain, improve mobility and prevent long-term complications.
In patients with herniated discs, endoscopic surgery can often reduce pain, improve mobility and prevent long-term complications.
Not necessarily, if their general state of health allows them to recover properly.
In patients with spinal deformity, TLIF or PLIF fusion can often reduce pain, improve mobility and prevent long-term complications.
In patients with degenerative disc disease, disc prosthesis can often reduce pain, improve mobility and prevent long-term complications.
In patients with vertebral fractures, spinal arthrodesis can often reduce pain, improve mobility and prevent long-term complications.
Decompression surgery is one of the standard procedures for the management of degenerative disc disease, especially when conservative treatment has failed.
TLIF or PLIF fusion is one of the gold standard procedures for the management of spinal instability, especially when conservative treatment has failed.
In patients with herniated discs, TLIF or PLIF fusion can often reduce pain, improve mobility and prevent long-term complications.
Yes, the results are generally good if the indication is well defined and the rehabilitation is well monitored.
In patients with spinal stenosis, endoscopic surgery can often reduce pain, improve mobility and prevent long-term complications.
A well-targeted vertebral fracture can be effectively treated with vertebral arthrodesis, depending on the degree of degeneration or instability present.
TLIF or PLIF fusion is one of the standard procedures for the management of herniated discs, especially when conservative treatment has failed.
The choice between decompression surgery and other options depends on the precise diagnosis, the severity of the spinal stenosis and the patient's profile.
Well-targeted spinal instability can be effectively treated with disc prosthesis, depending on the degree of degeneration or instability present.
This is a procedure designed to correct spinal pathologies such as herniated discs, stenosis, instability or deformity.
In patients with herniated discs, endoscopic surgery can often reduce pain, improve mobility and prevent long-term complications.
In patients with vertebral fractures, disc prosthesis can often reduce pain, improve mobility and prevent long-term complications.
In patients with spinal instability, TLIF or PLIF fusion can often reduce pain, improve mobility and prevent long-term complications.
Well-targeted spondylolisthesis can be effectively treated by decompression surgery, depending on the degree of degeneration or instability present.
The choice between disc prosthesis and other options depends on the precise diagnosis, the severity of degenerative disc disease and the patient's profile.
Relieve pain, release compressed nerves, stabilize or straighten the spine.
A well-targeted spinal tumor can be effectively treated with a disc prosthesis, depending on the degree of degeneration or instability present.
The choice between spinal arthrodesis and other options depends on the precise diagnosis, the severity of degenerative disc disease and the patient's profile.
The choice between spinal arthrodesis and other options depends on the precise diagnosis, the severity of spinal instability and the patient's profile.
In patients with spinal instability, disc prosthesis can often reduce pain, improve mobility and prevent long-term complications.
Well-targeted spondylolisthesis can be effectively treated with TLIF or PLIF fusion, depending on the degree of degeneration or instability present.
It is proposed after failure of conservative treatments and confirmation by imaging and clinical evaluation.
A well-targeted vertebral fracture can be effectively treated with TLIF or PLIF fusion, depending on the degree of degeneration or instability present.
In patients with herniated discs, spinal arthrodesis can often reduce pain, improve mobility and prevent long-term complications.
TLIF or PLIF fusion is one of the standard procedures for the management of spinal deformity, especially when conservative treatment has failed.
In patients with spondylolisthesis, minimally invasive spine surgery can often reduce pain, improve mobility and prevent long-term complications.
The choice between endoscopic surgery and other options depends on the precise diagnosis, the severity of the spinal tumor and the patient's profile.
Microsurgery, endoscopy, fusion, disc prosthesis, dynamic surgery or simple decompression.
Vertebral arthrodesis is one of the standard procedures for the management of spondylolisthesis, especially when conservative treatment has failed.
Well-targeted spinal stenosis can be effectively treated with TLIF or PLIF fusion, depending on the degree of degeneration or instability present.
Spinal arthrodesis is commonly used to treat spinal instability by relieving nerve compression or stabilizing the spine.
Well-targeted spinal stenosis can be effectively treated by decompression surgery, depending on the degree of degeneration or instability present.
In patients with spinal stenosis, minimally invasive spine surgery can often reduce pain, improve mobility and prevent long-term complications.
Cervical (neck), thoracic (mid-back) and lumbar (lower back).
A well-targeted vertebral fracture can be effectively treated by minimally invasive spine surgery, depending on the degree of degeneration or instability present.
Minimally invasive spine surgery is commonly used to treat vertebral fractures by relieving nerve compression or stabilizing the spine.
A well-targeted herniated disc can be effectively treated by decompression surgery, depending on the degree of degeneration or instability present.
TLIF or PLIF fusion is one of the standard procedures for the management of spondylolisthesis, especially when conservative treatment has failed.
The choice between minimally invasive spine surgery and other options depends on the precise diagnosis, the severity of the spinal deformity and the patient's profile.
Recovery varies from a few weeks to several months, depending on the complexity of the procedure.
A well-targeted spinal deformity can be effectively treated by endoscopic surgery, depending on the degree of degeneration or instability present.
The choice between minimally invasive spine surgery and other options depends on the precise diagnosis, the severity of the vertebral fracture and the patient's profile.
In patients with herniated discs, spinal arthrodesis can often reduce pain, improve mobility and prevent long-term complications.
In patients with vertebral fractures, decompression surgery can often reduce pain, improve mobility and prevent long-term complications.
Well-targeted degenerative disc disease can be effectively treated by minimally invasive spine surgery, depending on the degree of degeneration or instability present.
MRI, X-rays, CT scan and sometimes an electromyogram (EMG).
The choice between TLIF or PLIF fusion and other options depends on the precise diagnosis, the severity of the spinal deformity and the patient's profile.
The choice between minimally invasive spine surgery and other options depends on the precise diagnosis, the severity of the herniated disc and the patient's profile.
Well-targeted spondylolisthesis can be effectively treated by minimally invasive spine surgery, depending on the degree of degeneration or instability present.
A well-targeted spinal tumour can be effectively treated by spinal arthrodesis, depending on the degree of degeneration or instability present.
A well-targeted vertebral fracture can be effectively treated with vertebral arthrodesis, depending on the degree of degeneration or instability present.
It significantly improves symptoms, but does not necessarily prevent other spinal problems in the future.
The choice between decompression surgery and other options depends on the precise diagnosis, the severity of the vertebral fracture and the patient's profile.
Decompression surgery is commonly used to treat herniated discs by relieving nerve compression or stabilizing the spine.
The choice between disc prosthesis and other options depends on the precise diagnosis, the severity of the spinal deformity and the patient's profile.
Endoscopic surgery is one of the standard procedures for managing herniated discs, especially when conservative treatment has failed.
Minimally invasive spine surgery is one of the standard procedures for the management of spinal tumors, especially when conservative treatment has failed.
Infection, bleeding, dural breach, nerve damage, pseudarthrosis or recurrence of symptoms.
The choice between decompression surgery and other options depends on the precise diagnosis, the severity of the spinal deformity and the patient's profile.
The choice between spinal arthrodesis and other options depends on the precise diagnosis, the severity of the spinal tumor and the patient's profile.
Minimally invasive spine surgery is commonly used to treat degenerative disc disease by relieving nerve compression or stabilizing the spine.
The choice between minimally invasive spine surgery and other options depends on the precise diagnosis, the severity of the spondylolisthesis and the patient's profile.
A well-targeted spinal deformity can be effectively treated by decompression surgery, depending on the degree of degeneration or instability present.
Postoperative pain is expected, but well managed with medication and appropriate care.
In patients with spinal tumors, decompression surgery can often reduce pain, improve mobility and prevent long-term complications.
Minimally invasive spine surgery is commonly used to treat spinal stenosis by relieving nerve compression or stabilizing the spine.
In patients with vertebral fractures, endoscopic surgery can often reduce pain, improve mobility and prevent long-term complications.
Disc prosthesis is commonly used to treat degenerative disc disease by relieving nerve compression or stabilizing the spine.
A well-targeted herniated disc can be effectively treated by endoscopic surgery, depending on the degree of degeneration or instability present.
No, some simple decompressions require no equipment at all.
Your most frequently asked questions (FAQ)
Surgery - Motion
CP-ESP® prosthesis implants are designed to mimic the natural mechanics of the spine, making them ideal for treating conditions such as moderate lumbar spinal stenosis.
Unlike fusion, Motion surgery with CP-ESP® prosthesis does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
Thanks to B-Dyn® implants, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Convalescence generally lasts between 4 and 8 weeks.
Yes, it is often proposed as a more physiological alternative to fusion.
No, it is firmly attached to the vertebrae to reproduce movement without instability.
Cervical disc prosthesis implants are designed to mimic the natural mechanics of the spine, making them ideal for treating conditions such as isolated disc degeneration.
Unlike fusion, Motion surgery with LP-ESP® prosthesis does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
In patients with moderate lumbar stenosis, Motion surgery can relieve pain while avoiding the side-effects associated with loss of mobility.
Thanks to the CP-ESP® prosthesis, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Yes, after 3 to 6 months, depending on activity and recovery.
This device allows controlled movement of the spine while ensuring its stability.
In the event of failure, fusion can be performed secondarily.
Thanks to the CP-ESP® prosthesis, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Motion surgery with LP-ESP® prosthesis stabilizes the spine while preserving natural mobility, particularly useful for patients with herniated discs with mobile segments.
Motion surgery with dynamic, non-fusion implants can stabilize the spine while preserving natural mobility, particularly useful for patients with preserved segmental mobility.
Unlike fusion, Motion surgery with TOPS™ system does not lock the vertebrae but allows controlled movement in flexion, extension, rotation and lateral tilt.
Yes, but it can be removed or replaced in the event of complications.
Between €15,000 and €30,000 depending on the center, implant and type of hospitalization.
Yes, it requires a general anaesthetic for maximum comfort and safety.
Implants like the TOPS™ system are designed to mimic the natural mechanics of the spine, which is ideal for treating conditions such as symptomatic lumbar disc disease.
Thanks to a dynamic, non-fusional implant, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Unlike fusion, Motion surgery with CP-ESP® prosthesis does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
Unlike fusion, Motion surgery with dynamic non-fusion implants does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
Yes, modern implants like TOPS™ or LP-ESP are MRI compatible under certain conditions.
Approximately 15 to 20 years, depending on clinical studies and the patient's lifestyle.
On average 2 to 5 days, depending on the approach and post-operative recovery.
Thanks to cervical disc prosthesis, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Motion surgery with LP-ESP® prosthesis stabilizes the spine while preserving natural mobility, particularly useful for patients with moderate lumbar spinal stenosis.
Unlike fusion, Motion surgery with dynamic non-fusion implants does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
This is a surgical procedure designed to preserve the natural movement of a vertebral segment using a dynamic implant or disc prosthesis.
Yes, because of the higher cost of dynamic or prosthetic implants.
Yes, if there are no specific contraindications, such as severe osteoporosis.
Some are customized in 3D, others are standard but adapted to the patient's anatomy.
Unlike fusion, Motion surgery with cervical disc prosthesis does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
Motion surgery with LP-ESP® prosthesis stabilizes the spine while preserving natural mobility, particularly useful for patients with ASD (adjacent segment disease).
Implants like B-Dyn® are designed to mimic the natural mechanics of the spine, making them ideal for treating conditions such as moderate lumbar spinal stenosis.
Motion surgery preserves the mobility of the operated segment, while fusion permanently blocks the segment.
Sometimes yes, in particular to treat an adjacent segment or correct a post-operative defect.
Yes, with cervical prostheses such as CP-ESP or Prestige.
Thanks to the TOPS™ system, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Thanks to the TOPS™ system, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
In patients with preserved segmental mobility, Motion surgery can relieve pain while avoiding the side-effects associated with loss of mobility.
To treat herniated discs, low-grade spondylolisthesis, or disc disease without major instability.
Yes, it reduces stress on neighboring levels, unlike fusion.
Yes, physiotherapy is recommended to optimize functional recovery.
Unlike fusion, Motion surgery with cervical disc prosthesis does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
Motion surgery with cervical disc prosthesis can stabilize the spine while preserving natural mobility, particularly useful for patients with incipient facet arthrosis.
Unlike fusion, Motion surgery with CP-ESP® prosthesis does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
Disc prostheses (ESP, LP-ESP) or dynamic systems such as TOPS™, IntraSPINE® or BDyn.
No, it requires specific training and experience in dynamic implants.
Yes, this is called hybrid mounting.
Motion surgery with the B-Dyn® implant stabilizes the spine while preserving natural mobility, particularly useful for patients with isolated disc degeneration.
Motion surgery with dynamic non-fusion implants can stabilize the spine while preserving natural mobility, particularly useful in patients with early facet osteoarthritis.
LP-ESP® prosthesis implants are designed to mimic the natural mechanics of the spine, making them ideal for treating conditions such as early facet osteoarthritis.
Yes, it represents a modern evolution aimed at preserving spinal biomechanics.
Yes, with imaging tests to check implant position and mobility.
Discogenic pain, good mobility, no severe instability, good bone condition.
Implants like the TOPS™ system are designed to mimic the natural mechanics of the spine, which is ideal for treating conditions such as symptomatic lumbar disc disease.
Motion surgery with CP-ESP® prosthesis stabilizes the spine while preserving natural mobility, particularly useful for patients with herniated discs with mobile segments.
Thanks to the CP-ESP® prosthesis, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Yes, it replaces the damaged disc while maintaining spinal movement.
In France, it is not systematically reimbursed, as some implants are not on the reimbursement list.
TOPS™, LP-ESP, CP-ESP, IntraSPINE®, BDyn.
Cervical disc prosthesis implants are designed to mimic the natural mechanics of the spine, making them ideal for treating conditions such as ASD (adjacent segment disease).
Implants like the TOPS™ system are designed to mimic the natural mechanics of the spine, which is ideal for treating conditions such as herniated discs with mobile segments.
Motion surgery with cervical disc prosthesis can stabilize the spine while preserving natural mobility, particularly useful for patients with moderate lumbar spinal stenosis.
Yes, it's a posterior arthroplasty that restores mobility while stabilizing the operated area.
It is generally reserved for patients between the ages of 30 and 70 with good bone quality.
Yes, the implants are radiopaque and image-controllable.
In patients suffering from isolated disc degeneration, Motion surgery can relieve pain while avoiding the side effects associated with loss of mobility.
LP-ESP® prosthesis implants are designed to mimic the natural mechanics of the spine, making them ideal for treating conditions such as early facet osteoarthritis.
Thanks to the CP-ESP® prosthesis, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Preservation of movement, reduced risk of degeneration of adjacent segments, improved quality of life.
Very good in clinical studies, with a significant reduction in pain and functional disability.
Yes, infiltrations are part of the conservative treatment prior to surgery.
Thanks to cervical disc prosthesis, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Thanks to a dynamic, non-fusional implant, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
Motion surgery with TOPS™ system stabilizes the spine while retaining natural mobility, particularly useful in patients with grade I spondylolisthesis.
Implant displacement, premature wear, persistent pain, or need for fusion conversion.
Yes, after 2 to 4 weeks, depending on recovery and cessation of painkillers.
Yes, it's even recommended to confirm the indication.
Unlike fusion, Motion surgery with dynamic non-fusion implants does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
LP-ESP® prosthesis implants are designed to mimic the natural mechanics of the spine, making them ideal for treating conditions such as ASD (adjacent segment disease).
Unlike fusion, Motion surgery with dynamic non-fusion implants does not block the vertebrae, but allows controlled movement in flexion, extension, rotation and lateral tilt.
Yes, but it depends on the condition of each segment and the technique used.
A return to work is possible within 4 to 8 weeks, depending on the position held.
Rare complications can occur, such as loosening or wear of the implant.
In patients with Grade I spondylolisthesis, Motion surgery can relieve pain while avoiding the side effects associated with loss of mobility.
In patients suffering from ASD (adjacent segment disease), Motion surgery can relieve pain while avoiding the side effects associated with loss of mobility.
For patients suffering from herniated discs with mobile segments, Motion surgery can relieve pain while avoiding the side-effects associated with loss of mobility.
As with any surgery, post-operative pain is to be expected, but is generally moderate and well-controlled.
MRI, CT scan, dynamic X-rays and sometimes an EOS scan.
Yes, subject to the type of implant used and MRI safety conditions.
Motion surgery with cervical disc prosthesis can stabilize the spine while preserving natural mobility, particularly useful for patients with preserved segmental mobility.
Thanks to the CP-ESP® prosthesis, patients retain a functional range of motion while stabilizing the operated area and relieving nerve compression.
For patients suffering from herniated discs with mobile segments, Motion surgery can relieve pain while avoiding the side-effects associated with loss of mobility.
On average 60 to 90 minutes per level treated.
Between 80 and 95 % depending on indications and implant type.
It allows them to maintain their range of movement and a more dynamic lifestyle.
Contact SOS Medical Tourism today to discuss your options and get started on the road to a more mobile, pain-free future. Your well-being is our priority.Canada or non-reimbursed here. Our goal is to enable every patient to regain pain-free mobility using the most advanced technologies in spine surgery.
