The success of ADR depends on many factors;
- How progressed the damage was prior to intervention
- Proper diagnosis and intervention plan, including implant selection
- Avoiding additional trauma during surgery
- Additional factors which challenge rehabilitation.
Unlike fusion surgery, with ADR the mentality of waiting until things get bad enough is no longer the best plan. Intervention now can be done sooner, to prevent permanent damage, and can be expected to last a lifetime.
Of course proper assessment of the current condition and development of an intervention plan is complex. Many factors must be considered and surgeon experience is critical.
Another place that surgeon experience, as well as skill, is critical is during the surgery. Care must be taken to avoid damage to vital organs while accessing the spine, and during the insertion of the implants.
When recovery begins the patient plays an important role in the successful outcome. Willingness to move forward with a positive attitude is vital. Returning to a normal pain free, drug free, life will require therapy, exercise, commitment and time.
Predicting the likeliness of a pain free life, after ADR surgery, is thus highly individual. Collective prognoses (Example: "80% good results") are a mere statistic, and guarantees are not given in operative medicine. We strive to inform the patient honestly, prior to the operation, on their chances of success regarding pain relief. This estimate can only be given after individual analysis of all influential factors
Conclusion: Considering that back pain can potentially have many causes, the factors involved must be investigated meticulously, drawing on experience. If the predominant factors are considered, the proper treatment plan implemented with care, then ADR has every chance of being a great success.
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