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Total disc replacement (TDR), or artificial disc replacement (ADR), is a type of arthroplasty in which degenerated intervertebral discs in the vertebral column are replaced with artificial disc implants in the lumbar (lower) or cervical (upper) spine.
The surgeon makes the necessary repairs to the spine, extracting affected disc material out through the tubular retractor and inserting medical devices, such as intervertebral spacers, rods, pedicle screws, facet screws, nucleus replacement devices, and artificial discs, through the retractor. [2] [3] [5]
The intervertebral disc is removed and replaced with a small plug of bone or other graft substitute, along with a height restoration device to un-impinge nerves, and in time, the vertebrae will fuse together. Intervertebral disc arthroplasty: also called Artificial Disc Replacement (ADR), or Total Disc Replacement (TDR), is a type of arthroplasty.
The role of artificial or total disc replacement in the treatment of spinal disorders remains ill-defined and unclear. [161] Evaluation of any new technique is difficult or impossible because physician experience may be minimal or lacking.
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Thomas Schuler, M.D., F.A.C.S is an American spinal surgeon, researcher and educator in the treatment of neck and low back conditions.He was an early adopter of stem cell therapy, [1] biologics, [2] robotics, laser and hybrid surgery and augmented reality for spinal surgery. [3]
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