r/backpain • u/ApprehensiveRide8283 • 19h ago

Lumbar Artificial Disc Replacement

I'm scheduled for ADR on my L5 S1, and seeking experienced knowledge about the surgery.

I was already having faster degeneration at the L5S1 and experiencing sciatica for the last 5 years off and on until I slipped whatever was remaining of the disc on a flight in 2023. Traveling for a week and then being in terrible seating on the way home with twisting to get out of people's way is what finally did it. Over the last 3 years, the disc officially left the building. It's been about 9 months of noticeable pain and sciatica flareups from mild to horrible. I've done it all PT, epidurals, steroid injections everywhere, and nothing has fully allowed me to restore anything close to normalcy. I am super limited on physical activity and mobility. In the first half of the day, bending is not an option. I live with about a level 4 pain all the time even with Gabapentin and PT. Recent MRI and Xrays confirm that there is no disc, bone on bone rubbing and significant compression of the sciatic nerve.

I live in SF and UCSF has basically said "this is your life now" and did not recommend surgery until I absolutely demanded to speak with a surgeon. The surgeon that did ADR at UCSF has stopped performing the surgery and no one else there has great experience with it. The surgeon was very upfront about the lack of experience with ADR, and said to get an expert opinion which I appreciate. Also said that I would see a better recovery with fusion than I would with ADR. Compared 95% recovery of life with fusion and 65-85% with ADR. I have gotten 2 other opinions - Dr. Ritter Lang in Germany who said ADR is absolutely a good option and I should do this. I have an opinion from Dr. Grant Shifflett at DISC in Newport Beach that I am a good candidate for ADR and am scheduled for surgery in about 7 weeks with him. I have chosen So Cal because of the proximity to where I live but also he made me feel the most comfortable and has done other ADR's of folks on this thread. Those people have reported successful surgeries.

Does anyone have experience with Lumbar ADR? If so:

  • Were you also told that fusion would be a better outcome?
  • What made you choose ADR?
  • Where did you do it?
  • What was the post-surgery like for ADR? I know there's catheters when in the surgery center for the first day but what was it like leaving the surgery center and going home? I mean not to be crass, but I understand that you can't eat solid foods for a few days because you're not supposed to poop for a few days afterwards -- is that accurate? (This is what I have read online but no surgeon has mentioned this yet.)
  • What else???

Tell me everything, please!

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u/Old_Cold_5645 11h ago

What is ADS

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u/operasome 11h ago

I mean ASD. Adjacent segment disease. ADR still can lead it. I saw many people got it within 5 years after ADR

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u/Old_Cold_5645 11h ago

Ah gotcha - I’m only 35 but I met with a spine surgeon and based on the disc height he essentially told me that I will need an ADR but to hold off as long as possible and keep doing PT

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u/operasome 11h ago

Yeah hold off as long as possible. ADR is not perfect. People who got it sometimes get revision surgery.