Three Level Lumbar Hybrid Fusion-Total Disc Replacement: B.H.

B.H. is a 40 year old male with over 20 years of low back pain after an injury while weight-lifting in college. The pain has been getting worse with more frequent bouts of debilitating pain, now to the point that it is greatly interfering with his life.
After failing extensive non-operative treatment including physical therapy, chiropractic, and acupuncture, aqua therapy, we decided to proceed with the hybrid artificial disc replacement/fusion surgery.
Pre-surgical MRI and CT scan of the lumbar spine show disc degeneration and collapse at L3-4, L4-5 and L5-S1 with nearly bone-on-bone collapse at the L3-4 level:

Pre-surgical standing lumbar spine XR show disc height collapse at L3-4, L4-5 and L5-S1 levels. The L3-4 level is collapsing asymmetrically, giving him an early “degenerative scoliosis.”
Post-op XRAYs after two-level artificial disc replacement with ProDiscL above a one-level anterior lumbar interbody fusion using a cage and plate at the L5-S1 level*:
(*Note: 3-level lumbar disc replacement or hybrid is not yet approved by the FDA so it’s use is physician-directed)
More News & Insights from Cuéllar Spine
30+ Spine Surgeons Performing Artificial Disc Replacement | 2023
Dr. Cuellar's practice includes artificial disc replacement, regenerative medicine and biologic injections. He is an artificial disc re
Dr. Cuéllar Featured in Modern Luxury
Do you have degenerative disc disease in your neck? Synergy Spine Solutions is conducting a clinical trial for people with single level
Four Level Cervical Disc Replacement Case
81 year old active woman who loves to hike presented with numbness in hands and was found to have spinal stenosis with spinal cord comp
One Level Cervical Disc Replacement: K.S.
K.S. is a 47 year old man who sustained a cervical spine injury resulting in a disc herniation at the C5-6 level. He was having neck pa
Lumbar Artificial Disc Replacement: J.H.
J.H. is a 27 year old gentleman over a year of neck pain and severe left arm pain that radiated into his middle finger.
Two Level Lumbar Total Disc Replacement: T.B.
T.B. is a 37 year old man with chronic low back pain radiating into both legs. He works as a personal trainer and likes to race cars, h
Deformity/Ankylosing Spondylitis: M.H.
M.H. is a 63 year old gentleman with a history of ankylosing spondylitis causing his entire spine to be fused in a bent forward positio
Two Level Cervical Disc Replacement
51 year old gentleman who works as a massage therapist with progressively worsening neck pain radiating into his right shoulder. He beg
Three Level Lumbar Hybrid Fusion-Total Disc Replacement: B.H.
B.H. is a 40 year old male with over 20 years of low back pain after an injury while weight-lifting in college. The pain has been getti