Disc Replacement Surgery Singapore: A Comprehensive Guide

What is disc replacement surgery?

Disc replacement surgery is a treatment option for chronic back or neck pain caused by a damaged or worn spinal disc. During the procedure, the damaged disc is replaced with an artificial one, helping to restore mobility and maintain flexibility in the spine. This approach is commonly used to address issues in the lumbar (lower back) or cervical (neck) regions.

If you're experiencing persistent back pain, request an appointment with our specialists at Thomson Medical for an accurate diagnosis and tailored treatment plan.

Types of disc replacement surgery

• Lumbar disc replacement: 

  • This procedure is performed in the lower back. It is often used to treat conditions like degenerative disc disease (DDD) or herniated discs that cause chronic lower back pain.

• Cervical disc replacement: 

  • This surgery is performed in the neck to treat conditions such as cervical disc degeneration, which can cause neck pain, arm pain, or weakness. 

What happens during a lumbar disc replacement?

• Preoperative preparation: 

  • Before surgery, you may undergo imaging tests such as an MRI or X-ray to determine if disc replacement is the right choice for you.

• Surgery:

  • Anaesthesia: The surgery is typically performed under general anaesthesia.

  • Incision: A small incision is made either in the front (anterior) or back (posterior) of the body, depending on the location of the disc.

  • Disc Removal: The damaged disc is removed, creating space for the artificial disc.

  • Implantation: The artificial disc is inserted into the disc space. The surgeon ensures that it is aligned properly to allow for optimal movement.

• Postoperative:

  • Patients usually stay in the hospital for a few days after the surgery.

  • Physical therapy is often recommended to regain strength and flexibility. 

Disc replacement recovery timeline

• First few days: 

  • Hospital stay for monitoring, pain management, and light mobility training.

• Weeks 1-4: 

  • Gradual return to light activities, avoiding heavy lifting or twisting.

• Months 2-3: 

  • Start light exercises and physical therapy to rebuild strength and flexibility.

• Months 4-6: 

  • Return to most daily activities. Full recovery can take several months, depending on your overall health.

Risks and complications

While disc replacement surgery is generally safe, there are some risks to consider, including:

• Infection

• Nerve damage

• Implant dislocation or failure

• Blood clots

• Ongoing pain or stiffness

Learn more about orthopaedic surgical procedures and treatments here. 

Disc replacement surgery can be an effective solution for those suffering from chronic back or neck pain due to damaged discs. With proper medical guidance and postoperative care, many patients experience significant improvement in their quality of life. To discuss whether this procedure might be suitable for you, book an appointment with our experienced specialists at Thomson Medical.

FAQ

Am I a candidate for disc replacement surgery?

You may be a suitable candidate if you have chronic back or neck pain that hasn’t improved with treatments like physical therapy, medication, or injections. Your doctor will evaluate your condition before making this decision.

How long does disc replacement surgery take?

The procedure usually takes 2–3 hours, depending on the complexity and the number of discs being replaced.

Will I need to wear a brace after surgery?

Most patients don’t need a brace, but your doctor may recommend one if extra support is necessary during recovery.

What is the success rate of disc replacement surgery?

Disc replacement surgery has a high success rate, with studies showing 75%–90% of patients experience pain relief and improved mobility.

Are there alternatives to disc replacement surgery?

Yes. Alternative options include spinal fusion, physical therapy, medications, or minimally invasive procedures. Your personal treatment plan will depend on your condition.

How long do artificial discs last?

Most artificial discs are designed to last 10-20 years, but this can vary based on activity level and implant type.

What can I not do after disc replacement surgery?

During recovery, it is important to avoid activities involving heavy lifting, bending, and twisting. Your doctor will provide detailed activity guidelines and exercises tailored to your specific situation.

Can I return to work after surgery?

Many patients can return to light work within 4-6 weeks, depending on the nature of their job. If your work involves heavy lifting or physical activity, it may take several months to fully return to work.

What kind of physical therapy will I need?

Physical therapy will focus on core strengthening, improving flexibility, and restoring spinal mobility. The exact plan will need to be customised to fit your individual needs.

Does insurance cover disc replacement surgery?

Most insurance plans cover disc replacement surgery if deemed medically necessary. Check with your provider for specific coverage details and pre-approval requirements.

The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice, please consult a specialist at Thomson Medical. Book an appointment with Thomson Medical today.