Still hesitant or afraid when the doctor recommends lumbar disc replacement (LDR) surgery?
It's human nature to be doubtful or afraid, but doubt or fear won't improve the condition. Instead, it will slowly reduce the patient's quality of life. Many people still don't know that lumbar disc replacement (LDR) is a minimally invasive surgical procedure to remove damaged spinal discs in the lower back and replace them with artificial implants. Lumbar disc replacement (LDR) surgery is generally safe. However, some patients are still afraid to undergo this surgery, but there are still patients who come to the doctor and immediately ask for lumbar disc replacement (LDR) surgery. These patients have previously seen or communicated with someone who has previously undergone lumbar disc replacement (LDR) surgery at EMC Hospital, Tangerang. In FDA clinical trials, the potential for neurological problems or serious complications was found to be only around 4.4%. Post- lumbar disc replacement (LDR) care is also relatively short, only approximately 2-3 days after surgery, although longer care can occur if certain conditions arise.
Of course, in the medical world, nothing can guarantee 100% safety or success. However, the success and safety of lumbar disc replacement (LDR) are largely determined by the patient's condition (complaints/diagnosis/activity/age, etc.) and, of course, other factors, including:
1. Expert and experienced doctor
The doctor will conduct a clinical examination of the patient and supported by necessary medical examinations (MRI/CT-Scan/X-ray/etc.). Determining the correct diagnosis by the doctor certainly plays an important role in determining the right action. The doctor will determine the right patient candidate for lumbar disc replacement (LDR) . Not all spinal/lumbar problems can be treated with lumbar disc replacement (LDR) , including if the patient has Osteoporosis, because weak bones increase the risk of implant displacement. Generally, lumbar disc replacement (LDR) is most appropriate for patients with chronic low back pain whose main source comes from degenerated discs. Spine Center RS. EMC Tangerang by dr. Harmantya Mahadhipta, Sp.OT. Subsp.OTB (K) has successfully performed hundreds of levels of lumbar disc replacement (LDR) operations . This experience will certainly provide positive value for patients. Quoting what was once conveyed by dr. Harmantya Mahadhipta, Sp.OT. Subsp.OTB (K) "Doctors are like mechanics, the more often they take apart machines, the more expert they become."
2. Experienced and competent team of doctors and nurses
The primary operating surgeon cannot work alone during lumbar disc replacement (LDR) surgery . An anesthesiologist is needed to safely administer anesthesia to the patient and ensure a smooth operation. Competent assistant surgeons and surgical nurses will also significantly assist the primary operating surgeon throughout the lumbar disc replacement (LDR) surgery process , from start to finish. The role of these supporting surgeons extends beyond the operating room to the patient's recovery area. Together with the Patient's Responsible Physician (DPJP)/primary operating surgeon, they strive for the patient's recovery after surgery.
3. Medical support equipment and equipment in the operating room
As mentioned above, radiological examinations such as MRI, CT scans, X-rays, and others are necessary to confirm a diagnosis. During the procedure in the operating room, medical equipment is also crucial to the smoothness of the procedure. For example, the 3D C-ARM provides images of implants within the body, and, equally important, the IOMN monitoring device monitors the patient's nervous system in real time during surgery. Additionally, other medical equipment, such as operating tables, monitors, and sophisticated and modern surgical instruments specifically for lumbar disc replacement (LDR) surgery , also plays a crucial role in ensuring the smoothness and success of the procedure.
4. Selection of the right implant / medical material / medication according to the patient's needs / The doctor in charge of the patient / the operating doctor based on the patient's clinical / diagnosis will determine which implant / medical material / medication is best for the patient, because this will support the patient's recovery process and quality of life in the future . The scientific factors and experience of the operating doctor are very important.
There are other important factors to consider to ensure a smooth and safe lumbar disc replacement (LDR) surgery , including quality control, instrument sterilization, and more. However, where and by whom the lumbar disc replacement (LDR) surgery is performed are key factors .
Lumbar disc replacement (LDR) surgery is generally safe and not only that, the lumbar disc replacement (LDR) surgery technique also maintains the patient's motion , so the patient will be able to continue their activities.
Prompt and appropriate treatment is crucial and will help improve the patient's quality of life.
Article written by Dr. Harmantya Mahadhipta, Sp.OT (K)Spine (Orthopedic and Traumatology Specialist, Spine Consultant, EMC Tangerang Hospital).
Are you still experiencing back pain and/or need a second opinion? You can contact the Spine Center at EMC Hospital Tangerang via WhatsApp at 0818-0818-0812. The Spine Center at EMC Hospital Tangerang was named the 2025 Spine Center of the Year in Indonesia by GlobalHealth Indonesia at the GlobalHealth Indonesia Awards 2025.