Elon Musk Disc Replacement surgery - Spine surgeon explains
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- Опубликовано: 9 фев 2025
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Elon Musk ruptured a disc in his cervical spine many years ago. He underwent a disc replacement and recently tweeted about its success and recommended the procedure. This caused a lot of discussion and controversy in the spine care community. In this video, I discuss disc replacement surgery and the scenarios where it may be of benefit and some alternative options.
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Just a question on spine surgery.
Been watching endoscopic laser surgery. Duke laser disc repair. Any thoughts/coments.
@pavlerufov6058 This video outlines my personal views. I think endoscopic discectomy has its place, but I don't see the value in using a laser when you are at the target..ruclips.net/video/xYewArtY2Do/видео.htmlsi=vV6UI8mwuMs1CbEL
Thank you very much Dr Ghosh for this fantastic, informational video. What is the meaning of narrowing of the C3/C4 to C6/C7 intervertebral disc spaces associated with end-plate sclerosis?
Best regards. Alfred
Indeed a very good informative Vid. Thank you. For me had, L5/S1 fusion May 2022. Had some issues regarding bone union after 6 months. But seemed to settle down. Though now 2 yrs and 6 months past have gone right back to where I was! Despite the hardware, the actual bone fusion was very limited. I am a plasterer and do loads of bending. Sadly all going bad yet again? Ultimately it might settle down with some rest, but will likely happen again in the future. There is a fracture within the fusion ATM and I have been on pain killers for 3 weeks now. Sadly very hard to get the NHS interested in helping me at all? Can feel my spine shifting around at that point despite the metal clamps in place!
Hi Dr,
So with Elon Musk……He promoted in having a disc replacement surgery which he did indeed had it. I think sometime after a bit like me now started to get back his symptoms and he revised it for a fusion surgery and now he is doing great. I think he was criticised due to what transpired after the first surgery so he would not promote disc replacement surgery. It’s a common trend that a lot of people are getting out these discs around the word labelling it the next big thing…….but in fact is one of the biggest surgeries to be revised. A ridged Fusion is the best and I regret not listening to my first surgeon and I got a second opinion. I have learnt a valuable lesson session.
9:40 dude how in the world can you ignore the fact that a herniated disk has lost height? I mean you should know that on a disk replacement the height is recovered and thats what generate reliefe on the zone..
Thanks for your interest. Height is also restored with fusion carried out with a cage. Herniated discs do not always lose height, especially shallow herniated disc. The evidence suggests we over exaggerate the correlation of disc height and back or neck pain.
What about unloading the facet joints by replacing the disc and restoring disc height. You have not thought of that one do you ? 😉 What about getting an rfa rizothomy to relieve facet joint pain after surgery?
He does not mention deterioration of endplate cartilage caused by compression and trauma.Niether does he mention deterioration othe the cartilage name annulas fibrosus. The annulas fibrosus wraps around the vertabrae to stsbilize it,when it wears out the vertabrae and disc become hyper mobile . The result is further deterioration and nerve damage,so I currently have the afore mentioned condition but doctors ignore it, insisting old age
@NaturalMeAmerica thanks for watching. The annulus fibrosis is the outer lining of the disc. Tearing if this and associated dehydration of the disc is a common finding on over 60% of people who do not have neck or back pain and gets over played unfortunately. I dicuss this in detail in other videos and further tests I request (e.g. SPECT CT) to decide whether a specific level is the pain generator.
@SpineMDT Annulas fibrosis is the cartilage who' s purpose is to hold the vertabrae in place.Structures in the spine all have a purpose.
@NaturalMeAmerica the ligaments hold the vertebrae together (around the joints). Annulus fibrosis contains the disc and is mostly made of Type 2 collagen..similar to scar tissue. Following a tear, collagen fibres are laid down to repair this. We intervene when the herniation through the tear is causing nerve compression (that isn't settling down) or if a spondylolisthesis with instability has resulted.
I stand corrected on what the annulas holds in place,yes it is the disc.You say deterioration of cartilage is natural with age,yet now you are saying the cartilage holding the disc repairs itself,so that would mean there should be no deterioration and damage to the facet cause it would heal itself.
@@NaturalMeAmerica annulus is not cartilage. So the material in the facet joint (cartilage) is different to annulus and the joint behaves differently when this wears.
Truth is if you have a bad disc….its likely you have painful facet joint at that same level…..fusion addressed and fixes both pathologies, but disc replacement only addresses one problem so its a crap surgery…
99% of all problems with the back and the neck are caused by spasmed, tense and weak muscles. Therefore, 99% of all back surgeries are useless - they do not solve the problem. Moreover, they are harmful. I had such problems myself. It took me 7 months to stretch the QL, the psoas, the iliac and muscle and the glutes, and now I am pain-free and bend and stretch like a teenager (I am over 50)
Could you share me your experience please? I cannot withstand the pain
@@yohannesg.medhin687 Willingly. I suffered for several years from severe low back pain and SI joint pain on the same side. And then I started experiencing pain and other problems with the hip joint on the same side. My back would actually "go off" once in a while, but some 4 years ago I had a major accident when I tried to lift something when working in the yard. As I now understand, it was a severe muscle spasm of the QL muscle on the problem side. For several months after that I was unable to bend - I could not put on socks, pants, shoes, etc. and to sit on a toilet without experiencing a severe pain. I could not fall asleep without pain killers. I was sure I had a ruptured disc, and was considering procedures like DiscSill and stem cells injections. Then I learned about other people who had the same problem that fixed it by stretching muscles. I started with stretching the QL muscle (it was easy: I simply bent to the side opposite to the affected side). I had a huge relief after only half an hour of exercises. But the muscle would get tight again the next day, so I continued for about a month. Then the SI joint pain and the hip pain got worse - as I now understand, other muscles (the psoas, the iliac, glutes) became tight as a compensation mechanism for the tight QL muscle. So, I started stretching those muscles too. It took me 8 months to fix all the problems and to become pain-free. Now, after waking up and still lying in a bed, I perform stretching exercises for 5-10 minutes. I invented some of these exercises myself, but you can find all the necessary exercises on @DrRowe channel - the best channel on this topic, in my opinion
Well, good for you...I hope it stays that way.
I'm guessing that at 50+ but under 60, you have not yet experienced arthritic degeneration of the vertebrae or any stenosis in either the spinal nerve canal ,the facets, or foraminal openings????
I am 74. I played football, basketball, and baseball through mid and high school. I then had a job called "beef lugging." That required me to lift a quarter of a beef off a rail hook onto my shoulder, then run it into a refer truck to be rehung.
Did that 10 hours a day for a couple of years. My back is a mess---and painful as F**K!
Currently, my doctor wants me to get an epidural injection of steroids. I'm hoping (very much) that that procedure helps. If not, then the next move may be surgery.
@@BigMike1925 Well, my back was a mess too - I could not put my pants, socks and shoes on and sit down on a toilet - thanks to the QL muscle that was like a bunch of taught strings pulling with hundreds of pounds of force behind the spine. Over time, the psoas became tight too to balance the QL, which doubled the compression force acting on my discs. it's this pressure that causes early disc degeneration. Then the iliac and glutes became tight to balance the pelvis, which caused problems with the hip joint on the same side. Luckily, I discovered several useful channels (the most useful being @DrRowe) that helped me stretch the muscles
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