Motion Preservation
Understanding and Treating Spinal Pain
Are you tired of suffering from lower back pain? Our board-certified, fellowship-trained orthopaedic spine surgeons have various treatment options to get you back to a more active life-style. The type of procedure performed by your surgeon will be based on your specific needs. Their goal is to decrease your pain and preserve your back and neck motion. The surgeries are performed using the latest minimally invasive techniques to get you back on your feet and functioning as soon as possible.
Degenerative Disc Disease (DDD) and Motion Preservation
There are exciting new treatment options for low back pain related to degenerative disc disease. DDD is a common back condition and a natural part of the aging process. This condition is seen most commonly in the lower lumbar region and can also have accompanying pain going to the pelvis, buttocks and legs. When bed rest, medication, bracing and/or physical therapy do not relieve the pain, surgery may be an option. Surgical options may include:
- Spinal Fusion [More
Spinal fusion
Spinal fusion is designed to stop the motion at a painful vertebral segment. There are many approaches to lumbar spinal fusion surgery. It may be done from the front (abdominal), back or side (lateral). All involve adding bone graft and instrumentation (plates, screws) causing growth between the two vertebral segments creating a fusion. A fusion will immobilize the vertebrae surrounding the disc eliminating motion between the vertebrae. A spinal fusion usually involves the placement of a cage or spacer that is put in the place of the removed disc. There are various types of hardware (plates, screws, rods, wires or hooks) that are used to hold the spine still until the bone can grow the two vertebra together.
] - Total Disc Replacement (TDR) [More
Total Disc Replacement
Total Disc Replacement (TDR) is a procedure in which the entire disc is removed and replaced with an artificial disc. It is done with a front (abdominal) surgical incision near your belly button. This procedure is different from a fusion as it is designed to preserve the motion between each vertebra. A total disc replacement surgery is generally just as invasive as a fusion procedure, the hospital stay is also similar, but the return to work is generally faster. Not all patients are candidates for this procedure and your doctor must carefully evaluate your specific problem to see if you are a candidate. The total artificial discs have gone through multiple extensive clinical trials with long term follow-up and have been approved by the FDA for use in the United States. The total artificial discs are not experimental. They have their own precautions and potential risks that may or may not be similar with the risks associated with fusions. Your specific risks will be discussed to you by your doctor.
] - Nucleus Replacement with NuBac® [More

Nucleus Replacement with NuBac®
Nucleus Replacement with NuBac® it is designed to preserve the natural motion of the affected disc space. Unlike both fusion and TDR options, instead of removing the entire diseased disc, the NuBac® procedure is less invasive and only removes and replaces the nucleus (center of the disc) This is a less invasive procedure with fewer risks, a shorter operation time, hospitalization time, and shorter recovery to full activities. The NuBac® procedure does not prevent you from having either a total disc replacement (TDR) or a spinal fusion in the future if that becomes necessary. The NuBac® disc is not made of metal and as such does not interfere with a MRI scan nor does it set off the alarms at airport security. Caution: NuBac® is an investigational device, limited by United States Law to investigational use.
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NuBac® Clinical Trial
Orthopaedic Surgery Associates of Marquette, P.C., is participating in the NuBac® Clinical Trial. We have teamed with Pioneer Surgical Technologies to conduct a prospective, multi-center, randomized, controlled clinical trial evaluating the safety and effectiveness of NuBac® artificial disc (nucleus). This clinical trial will guarantee you a motion preserving artificial disc of either the NuBac® or Prodisc® artificial disc. Even if your insurance company does not pay for the procedure or you have no insurance, the cost of the operation will be paid for you if you are accepted into the study. Note: Applicable insurance deductibles and co-payments apply for any covered services.
Laboratory tests have shown that the unique two-piece ball and socket design of the NuBac® implant not only restores disc height, but also equally distributes the loads and stresses of everyday physiological activity. If you have DDD with or without a herniated (ruptured) disc and your doctor is considering a discectomy, spine fusion or total disc replacement, you may be a good candidate for the NuBac® artificial disc (nucleus).
You may be eligible for the NuBac® Clinical Trial and a NuBac® artificial disc (nucleus) surgery. Call our office at 906-225-1321 for more information.
Trial details available at: www.clinicaltrials.gov/ct2/show/NCT00931515
Related Sites:
- Pioneer Surgical Technology
www.pioneersurgical.com/products_spine_acp_NuBac.asp





