Information on Artificial Cervical Disc Surgery

This Content Was Written by the Tulsa Spine Surgery Experts at the Offices of Dr. Kris Parchuri D.O.

At Tulsa Spine Surgery, we are experts in artificial cervical disc, having performed as many artificial disc procedures in the Tulsa, Oklahoma area. In many circumstances, a cervical disc becomes incompetent because of injury or wear and tear and historically treatment was designed to fuse the 2 vertebral bodies together across the broken disc. With advancements in artificial disc technology, most often the treatment of choice is motion preserving, maximizing rehabilitation, flexibility, and performance. An anterior cervical disc replacement surgery is performed exactly the same as an anterior cervical interbody fusion surgery, and the time tested results across the board are equivalent with regard to safety and efficacy. Dr. Kris Parchuri D.O. once you know that you are in good hands and every pick up the phone and call 539-664-8444. Take care of our patients here at Tulsa Spine Surgery.

The major advantage in artificial disc surgery over cervical fusion surgery is that the intermediate to long term performance, range of motion, and functionality is significantly improved with artificial disc surgery. There is also a theoretical advantage to artificial disc surgery in that it does not provide the same degree of stress at adjacent disc levels and theoretically does not have the same risk of needing yet another surgery at the disc above or below the treated disc failure level.

The recovery period for artificial cervical disc surgery is also considerably different from an anterior cervical fusion procedure. The typical artificial disc patient will begin passive range of motion postoperative day 1. We will initiate an aerobic and cardio exercise program to last the first several weeks with gradual passive and active range of motion based on severity of muscular pain and spasms. In many cases, the patient is able to return to full activity as early as 6-8 weeks. This compares with anterior cervical fusion surgery where 6-9 months is usually the required time for return to normal activity because it takes several months for the fusion to mature to the point of security and safety. In the athlete or highly skilled worker, this provides substantial advantage in that the individual is able to return to his activity at a higher level earlier with less time loss and with more conditioning than in the fusion patient, ultimately allowing for more functionality, less work loss, and better performance.

We want to help you focus on striving and not just surviving in your day-to-day life, you don’t have to live with pain whenever you get Tulsa Spine Surgery. We have proven techniques and instrumentation that helps our patients recover in shorter periods of time than traditional surgeries.

Information on Microsurgical Disectomy

This Content Was Written by the Tulsa Spine Surgery Experts at the Offices of Dr. Kris Parchuri D.O.

At Tulsa Spine Surgery, a microsurgical discectomy is performed with image guidance and microsurgical dissection through a 15mm hole to a highly defined target based on clinical symptomatology, history of illness, symptom progression and mapping, and ultimately the imaging correlates associated with the clinical syndrome. When a patient fails conservative therapy and undergoes a microsurgical decompression, the principal goal is to alleviate pressure on the symptomatic nerve root while minimizing potential harm to the spine and the treatment approach. Dr. Kris Parchuri D.O. can get rid of the chronic pain that is plaguing your life. Our minimally invasive surgeries at Tulsa Spine Surgery can do everything including microsurgical disectomy.

Our typical incision approach is 15mm or ½ inch. The time in surgery is between 30-45 minutes. Blood loss is minimal. Most often, this is an outpatient procedure. The patient can begin a walking program the first postoperative day, assuming clinical improvement is readily seen. In the first 2 months, care is taken to avoid twisting, turning, bending, and lifting out in front while maintaining excellent posture, gait, and stance and focusing on correction of any poor learned behavior or compensations.

A symmetrical vertical cardiac program and water therapy is ideal in recuperating and preparing for return to normal activity after 2-3 months. At Tulsa Spine Surgery, we have procedures that allows for all phases of the decompression, reconstruction, and stabilization to be done via a single incision in a posterior midline approach. This includes not only the decompression, the posterior segmental titanium hardware for stabilization, the intervertebral graft products for intervertebral body fusion and reconstruction, and further reduction of deformity or spondylolisthesis. Dr. Kris Parchuri D.O. will allow for the least invasive surgical lumbar spine reconstruction methodology in the Tulsa area.

Due to the improvements in methodology and technique associated with our procedures, many athletes and industrial laborers are able to return, without reservation, to previous activity despite a confirmed spinal fusion. Unparalleled results are being seen in current patients compared with more traditional time tested reconstruction strategies performed over the last 20 years. The fundamental goals of minimal invasive surgery are accomplished by the use of high level intraoperative imaging and navigation, advanced microsurgical techniques and specific preoperative planning, allowing for precise targeting and decision making.