Spine & Orthopedic Pain Centers

Artificial Disc Replacement Surgery



A lumbar disk replacement is a type of back or spine surgery, performed commonly for degenerative disk disease. Disks between the vertebrae work like cushions to allow the vertebrae to rotate and move without the bones rubbing against each other.

The lumbar vertebrae and disks are at the bottom of your spine. Lumbar disk replacement involves replacing a worn or degenerated disk in the lower part of your spine with an artificial disk made of metal or a combination of metal and plastic.

Lumbar disk replacement is generally seen as an alternative to the more common spinal fusion surgery.

The main reason you would need a lumbar disk replacement is to treat low back pain.

In general, lumbar disk replacement surgery might be recommended if:

  • Your back pain mostly comes from only 1 or 2 disks in your lower spine
  • You have no significant joint disease or compression on the nerves of your spine
  • You are not excessively overweight
  • You haven’t previously had spinal surgery
  • You don’t have scoliosis or another spinal deformity

An analysis of previous clinical trials found that total disc replacement (TDR) is “as good as or better than” spinal fusion for treating lumbar degenerative disc disease (DDD). People who underwent TDR experienced greater improvements in their functioning and were more satisfied with the procedure. They were also less likely to require additional surgery within five years, compared to people who had spinal fusion. TDR may decrease degeneration in adjacent discs, which could reduce the need for additional surgery later on.

"Great staff and Dr Johal very caring Dr."
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Richard T.
“Dr. Johal has always been attentive to my health problem and I was greatly impressed when he was in my operation.”
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"Dr. Johal gave me my life back! Can’t say enough good thing about him or his practice. My wife is now also seeing him for her neck pain!"
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Inderbir Johal, M.D.

Interventional Pain Medicine Specialist
Anesthesiologist

Dr. Inderbir Johal, M.D. is a highly-skilled interventional pain management physician. Following a rigorous residency program in anesthesiology at Rush University Medical Center, Dr. Johal completed an intensive fellowship at John H. Stroger, Jr. Hospital of Cook County.

Dr. Johal is passionate about his patients and their experience at Prestige Pain. Compassionate in his clinical approach, Dr. Johal uses leading-edge, minimally-invasive approaches to address acute and chronic pain effectively.

Dr. Johal welcomes your correspondence.

Gurbir Johal, M.D.

Interventional Pain Medicine Specialist
Anesthesiologist

Dr. Gurbir Johal is a highly-skilled interventional pain management physician. Following a rigorous residency program in anesthesiology at the prestigious University of Chicago Medical Center, Dr. Johal completed an intensive fellowship in pain medicine at the University of Chicago Pain Medicine Center.

Dr. Johal is passionate about his patients and their experience at Prestige Pain. Compassionate in his clinical approach, Dr. Johal uses leading-edge, minimally-invasive approaches to address acute and chronic pain effectively.

Dr. Johal welcomes your correspondence.