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D Spine Clinic provides assessment and Artificial Disc Replacement Surgery in Mumbai for patients with cervical or lumbar disc disease where preserving movement at the treated level may be appropriate.
Artificial disc replacement (ADR), or disc arthroplasty, replaces a diseased disc with an artificial implant designed to maintain motion. It is not suitable for every slipped or degenerated disc. Dr. Dhanish Mehendiratta evaluates symptoms, examination findings, imaging, spinal stability and bone and joint health before recommending ADR.
Artificial disc replacement may be recommended if:
An MRI showing disc degeneration alone does not determine whether ADR is appropriate.
Cervical Disc Replacement
Cervical ADR may be considered in selected patients with symptomatic cervical disc disease, particularly when a damaged disc is causing arm pain, numbness, weakness or other neurological symptoms.
Lumbar Disc Replacement
Lumbar ADR may be considered in carefully selected patients with disc-related lower-back pain. Suitability depends on the affected level, facet joints, spinal stability, bone quality and other possible sources of pain.
Spinal fusion stops movement at the treated level. ADR aims to preserve movement by replacing the diseased disc with a mobile implant.
Choosing ADR over spinal fusion can offer several advantages:
Before recommending ADR, Dr Dhanish reviews the patient’s symptoms, neurological findings, previous treatment and imaging.
Assessment may include X-rays for alignment and movement, MRI for the discs and nerves, CT for detailed bone assessment and bone-density testing where required.
The aim is to determine not only whether surgery is needed, but whether artificial disc replacement is the right operation.
Dr Dhanish Vinod Mehendiratta is an Orthopaedic Spine Surgeon with specialist training in cervical and lumbar spine surgery, including fellowships at Hinduja Hospital, the Indian Spinal Injuries Centre and Nottingham University Hospitals.
Patients already advised spinal fusion or disc replacement can also consult for a second opinion.
Consult Dr Dhanish Mehendiratta for evaluation of cervical or lumbar disc disease, review of scans, surgical planning or a second opinion.
The consultation includes a review of your symptoms, neurological examination, previous treatment and available imaging. Dr Dhanish assesses whether the painful or compressed level is suitable for disc replacement and whether another treatment may be more appropriate.
Not necessarily. Bring any recent MRI, X-rays or CT scans you already have. After reviewing your symptoms and existing investigations, Dr Dhanish can advise whether additional or updated imaging is required.
If surgery is appropriate, the planning considers the spinal level involved, nerve or spinal cord compression, spinal alignment, bone quality and the condition of nearby joints. The type of artificial disc and surgical approach are selected according to the individual case.
Hospital stay varies according to whether the procedure is cervical or lumbar, the number of levels treated and how the patient recovers after surgery. The expected stay is discussed before the procedure.
Patients are generally encouraged to begin walking once it is safe after surgery. Return to work, driving and routine activities depends on pain control, neurological recovery, the type of work involved and whether the surgery was cervical or lumbar.
Rehabilitation is planned according to the procedure and individual recovery. Some patients may benefit from guided physiotherapy, mobility work or strengthening exercises as they progress after surgery.
Many patients can return to a broad range of normal activities after recovery. Long-term restrictions, if any, depend on the spinal level treated, the condition of the rest of the spine and whether the patient performs heavy physical work or high-impact sport.
Follow-up visits are used to review wound healing, pain, neurological recovery, movement and implant position. Imaging may be advised during follow-up depending on the procedure and the patient’s progress.
The information on this page is intended for general patient education and does not replace a medical consultation, diagnosis or individual treatment advice. Suitability for artificial disc replacement depends on a patient’s symptoms, clinical examination, imaging and overall spinal condition. Treatment recommendations may vary from person to person.