Dr. Hirsch in the operating room wearing surgical loupes
MOTION-PRESERVING SURGERY

Lumbar Disc Replacement

Treats lumbar disc disease while keeping motion at the treated level, avoiding the adjacent-segment stress that fusion can cause.

Preserving Motion at the Problem Level.

Lumbar fusion is the right answer for many patients. For some, disc replacement is an alternative. It removes the degenerated disc and replaces it with a device that lets the spine keep moving, without shifting extra load to the levels next to it.

Three-dimensional render of a lumbar artificial disc implant showing its articulating core
Lumbar artificial disc implant components separated to show the endplates and mobile bearing

Who It May Be Right For.

Lumbar disc replacement is an option for patients with disabling back pain from disc degeneration who have not improved with conservative treatment. Patient selection is the most important factor in outcomes, and Dr. Hirsch reviews imaging and discusses goals in detail before recommending this procedure.

What to Expect.

The surgery is performed through an anterior approach, from the front of the abdomen. The recovery timeline is reviewed with you beforehand, based on your procedure and goals.

Intraoperative fluoroscopy showing instrument positioning at the disc space
Intraoperative fluoroscopy showing the disc space prepared for implant placement
Intraoperative fluoroscopy showing instruments seated at the treated level
Intraoperative fluoroscopy confirming implant position at the treated level
Intraoperative lateral fluoroscopy showing the artificial disc implant in final position

Dr. Hirsch is board-certified and Yale-trained. Read his full background.