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Total disc replacement is a type of back surgery that is done to treat worn or damaged spinal discs that are causing chronic pain. The procedure involves replacing the problematic disc with an artificial device, relieving discomfort while preserving normal motion and function.


An artificial disc is designed to replicate the size and function of your normal spinal discs. Some of these devices are composed of metal, while others are made of both metal and plastic. The device features two plates that attach to the vertebrae on either side of your problematic disc.


We can determine your candidacy for total disc replacement during a physical examination at our Long Island office. To begin, we will order an X-ray to identify the extent of your pain and spinal damage, and to determine if your condition is appropriate for this procedure. In some cases, we may also order an MRI or CT scan to gather additional information that can aid in this process.

In general, we will recommend total disc replacement if you:

  • Experience chronic back pain that is caused by one or two intervertebral discs
  • Have pain that is not responsive to conservative treatments
  • Experience weakness or numbness in your arms and legs
  • Have no facet joint disease or spinal nerve compression
  • Are not significantly overweight or obese
  • Suffer from neck pain and stiffness
  • Have not had prior spine surgery
  • Do not have spinal deformities


Total disc replacement is done under general anesthesia and takes about two to three hours to complete.

For lumbar disc replacement in your lower back, we will create an incision in your abdomen and move your organs and blood vessels aside. This allows us to access the spine without interfering with the adjacent nerves. From there, we will open and expose the disc space, remove the problematic material, and replace it with an artificial disc.

For cervical disc replacement, we will create an incision in the front of your neck. Through that opening, we will move muscles and tissue in the area aside. From there, we will remove the problematic disc and replace it with an artificial one.

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You will need to stay in the hospital for two to four days after your procedure so that we can monitor your progress. During that time, we will help you stand and walk around as soon as possible, as doing so can result in a quicker recovery period.

Once you are cleared to return home, you will need to avoid hyperextending your back for several weeks. It is also important to walk and stretch regularly to ensure an optimal healing process.


Most of our Long Island patients experience a marked improvement in their pain levels in the weeks and months following their total disc replacement. Although your pain may never be completely eliminated, you should notice a dramatic difference after surgery.

Practice Policy Update Regarding COVID-19

Dear Patients:

Our patients, employees and family are our top priority at Long Island Spine Specialists, P.C.

We ask you to not visit any of our locations if you have symptoms such as fever, sneezing, coughing and possible shortness of breath.

Please cancel your appointment and re-schedule once you are feeling better and are no longer suffering with symptoms.

Only non-symptomatic patients will be seen. No exceptions.

Accompanying family members – including children – are asked to remain in the waiting area and will not be allowed to enter the exam rooms.

During this time of high concern regarding the spread of COVID-19 (Coronavirus) we are taking extra precautions to maintain the highest possible standards of safety and cleanliness. Please be advised that we are carefully following recommendations from both the CDC and WHO and are here to help guide you through this time if needed.

Some steps we are taking to keeping safe:

  1. We know how important cleanliness is and always maintain the highest standards of cleanliness. To further offer you peace of mind, we have increased the frequency of the cleaning of our office.
  2. Rest assured that hand washing is strictly followed. Hand sanitizer is available to all staff and patients.
  3. Additionally, if you have recently traveled to a country with high rates of the coronavirus or have been on a cruise, please reschedule your visit for at least 14 days from your return date. We will gladly accommodate your needs to reschedule. At that time, a telehealth interface can be arranged if necessary.

Find up-to-date and accurate information on the Centers for Disease Control and Prevention (CDC) website and feel free to reach out with questions.

- Your team at Long Island Spine Specialists, P.C.

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Thank you very much for contacting Long Island Spine Specialists, P.C.

To best serve your individual needs, please choose from the following options:

New Patient Existing Patient Refer a Patient

To learn more about Long Island Spine Specialists – and to discover how we can relieve your pain and help you find an improved quality of life – please contact our office today and schedule a consultation.

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