What is the difference between SPONDYLITIS, SPONDYLOSIS, SPONDYLOARTHRITIS or SPONDYLOLISTHESIS?

SPONDYLITIS is inflammation, SPONDYLOSIS is degeneration/wear and tear, SPONDYLOARTHRITIS is inflammatory joint disease, SPONDYLOLISTHESIS is vertebral slippage.

Back pain is often multifactorial, meaning several factors may contribute, including:

The important question is, “What is contributing to YOUR pain?”

There is hope beyond chasing medications and repetitious procedures.

Should I consider Artificial Disc Replacement for My Chronic Back Pain?

Artificial disc replacement surgery may be recommended to treat chronic, severe low back pain caused by degenerative disc disease. 

Disc replacement surgery consists of replacing the painful spinal disc with a device designed to mimic the disc’s natural movement. 

The goal of artificial disc replacement is to alleviate pain by reducing aggravating micro-motion, stabilizing the spinal segment, and minimizing inflammation.

Artificial disc replacement surgery

In this procedure, the symptomatic lumbar disc is removed and then replaced with an artificial disc designed to maintain the natural movement in the spine. An artificial disc replacement seeks to minimize pain by reducing instability and muscle tension caused by painful micro-motions at the degenerated disc level.

If you’re dealing with chronic leg and/or back pain and considering spine surgery, it’s worth asking whether a motion-preserving option is available to you from the start, and if fusion is the recommendation, why that’s the case. If you’ve already had a spine procedure and you’re facing a second surgery, the question becomes whether that next level could be treated in a way that preserves mobility and function.   

  

Why do Patients Seek Artificial Disc Replacement in Germany?

International patients frequently travel to specialized spine centers in Germany to access advanced motion-preserving spine surgery alternatives to conventional spinal fusion.

Key clinical differentiators include:

  • Multi-Level Approaches: Routine performance of multi-level lumbar (L4-L5, L5-S1) and cervical disc arthroplasty.
  • Prosthetic Technology: Access to next-generation viscoelastic and unconstrained disc prosthetics (e.g., M6-L, M6-C, ProDisc-L, LP-ESP, activL).
  • Anterior Retroperitoneal Exposure: Muscle-sparing anterior lumbar approaches designed to preserve posterior musculature and reduce adjacent segment disease (ASD).

About Dr. Karsten Ritter-Lang: Motion Preservation & Spine Arthroplasty

Dr. Karsten Ritter-Lang is recognized internationally for his clinical focus on intervertebral disc prosthetics and complex spinal reconstruction.

  • Surgical Experience: Over 30 years dedicated to motion-preserving spinal procedures, having performed thousands of cervical and lumbar artificial disc replacements.
  • Academic Lineage: Trained directly under Prof. Dr. Kurt Schellnack and Dr. Karin Büttner-Janz at the Charité University Hospital in Berlin—the pioneering research team that developed the original Charité artificial disc prosthesis.
  • Clinical Focus: Multi-level lumbar disc replacement, motion-preserving reconstruction for degenerative disc disease, and alternatives to spinal fusion.

Remote Consultations & International MRI Reviews

For patients seeking preliminary assessments or second opinions regarding total disc replacement and spinal stenosis treatments:

  • Better Disc Replacement: Detailed comparative guides on motion preservation vs. spinal fusion, clinical indications for lumbar total disc replacement (TDR), and multi-level case analyses.

BetterDiscReplacement

  • Stenum Hospital International Patient Portal: Preliminary remote MRI evaluations, international intake protocols, and surgical technology overviews for European and overseas patients

Stenum Hospital