Artificial Disc Replacement
Advanced disc replacement implants now available offer improved safety and a "Quality of Motion" that makes them truly deserve the title
"Artificial Disc".

Quality of Motion
Disc replacement technology has come a long way in recent years and thousands of fusions are now being avoided. Improved disc replacement implants now provide a natural "Quality of Motion" unlike any of the early disc replacement implant designs.

Unlike the early disc replacement designs, the advanced disc replacement implants now available offer improved end-plate fixation, reducing implant migration and the risk of revision surgery. These disc replacement implants also have motion control, to reduce post-op hyper-activity and long term complications caused by early ball-in-socket disc replacement implants, which have been found to stress facet joints, ligaments, and muscles causing future complications. These next generation disc replacement products also have added the safety of shock absorption, to prevent injury to adjacent structures.

Yes, we can now do multi-level disc replacement, lumbar and cervical disc replacement, all without many of the complications involved with fusion and early disc replacement products still in use today.

We are now offering the breakthrough Spinal Kinetics M6 disc replacement implant for the Cervical and Lumbar spine. The first disc replacement implant to truly deserve the title "Artificial Disc". This implant achieves the ultimate goal of replicating the healthy human disc. By providing shock absorption and graded variable motion resistance, the M6 disc replacement works in concert with the remaining human discs, to provide the best possible outcome. This "Quality of Motion" is a major benefit not available in any other disc replacement implant we have seen!

Are you confused about what treatment is the best option for you?
Exploring your international options will open your eyes to options you likely would not be offered locally.
Maybe you have been told you are not a candidate for Disc Replacement. You could be considering a temporary solution like discetomy, laminectomy or laser surgery. Some are told that fusion is their only option in error.

Evaluations can be done easily by mailing your images to us.
In order to determine what treatment is right for you, you need a comprehensive evaluation, done by our team of surgeons, who are experienced with the full range of globally available options.
Our surgeons will provide you a complete written evaluation (diagnosis and surgery plan) free of charge.

Click here to begin the simple evaluation and scheduling process.

Why is our solution better?
In the last decades medical technology has moved forward at a faster than ever pace. Yet many surgeons remain stuck in the past, using outdated disc replacement technology, or simply limited by regulation.
Due to US regulatory restrictions, limitations of the approved disc replacement products, and the inexperience of many surgeons, many patients will be exposed to unnecessary risk, get debilitating fusion surgery, or continue to suffer needlessly. Most, never knowing there are better options available, and surgeons with the experience and technology required to help them.
Many surgeons still think disc replacement is a new and unproven technology.
This is far from the truth!
Some still think disc replacement is only a single level solution or are using outdated high risk disc replacement implants.
Don't take any chances!
Get an evaluation by experienced Disc Replacement surgeons, using all the up to date technology now!

Tragically, patients with severe loss of disc space, previous surgeries, more than one level needed, and many other factors may be excluded from disc replacement surgery in error. Additionally, it is quite likely that single level procedures are often performed when multi-level indications exist, resulting in poor results and risky second surgeries. Don't risk a single level procedure if you have multi-level indications. Read your reports! Many multi-level Disc Replacements are performed with great success, and L3-4 or Cervical disc replacements are quite common.

You need a surgeons with the experience and freedom to consider all the affected levels, all the treatment options and implants available, and create a total multi-level solution, as needed, without bias or restriction.
Our Surgeon Dr. Ritter-Lang will create your spine solution from an extensive list of globally available device options. Disc replacement at levels adjacent to previously fused levels, even multi device disc replacement plus fusion procedures, for more advanced multi-level cases, are done with great success.
Even multi-level solutions that include Disc Replacement, Disc Nucleus Augmentation and new Fusion Technology, as appropriate for each individual level, are offered.
Disc replacement surgery requires a high level of experience, to get the correct diagnosis and surgery plan, avoid risks to vital organs, and carefully balance proper implant placement with the resulting impact of the procedure on the spine.

Quality of Life
The goal of disc replacement is to return the patient to an active high quality life.
Disc Replacement, developed in Germany over 20 years ago, is now the new gold standard, and has all but eliminated the debilitating tragedy of spinal fusion (except in the US, where this process has been slowed by regulation).
These surgeons have taken disc replacement to the next level, with improved implants (not yet available in the US) high risk revision surgeries have all but been eliminated, and disc replacement is now used to create multi-level solutions for both the lumbar and cervical spine. Even with fusion and adjacent to existing fusion!
Our surgeons can go beyond simple disc replacement or fusion to create a complete multi-level spine solution which can include combinations of the best disc replacment technology, stabilization, fusion, and other treatments, if needed.

Cervical Disc Replacement
See Spinal Kinetics M6 Cervical Disc
Lumbar Disc Replacement
See Spinal Kinetics M6 Lumbar Disc
Over 25,000 Spinal Kinetics M6 discs have been implanted worldwide
with no implant failures or migrations to date.
We find that 95% of M6 patients report significant pain reduction and symptom relief.

Dr. Ritter-Lang has placed over 5,000 ADR implants and was the first to implant the Spinal Kinetics M6 disc replacement. Choose your surgeons carefully!
Getting the best implant and an experienced surgeon is critical!

Quality of Care
Our surgeons use KTQ certified facilities to provides the most advanced spine solutions and disc replacement implants available worldwide.
Dr. Ritter-Lang is among an elite group of the most experienced Disc Replacement surgeons in the world, and has dedicated his career to the sub-specialty of Disc Replacement. Choosing the team that is going to do your surgery is of crucial importance. Our team is well trained with the latest implant technology, is highly experienced, and is doing the procedure frequently. Experience has proven that a surgical team that does more of a specific procedure will have less complications and better outcomes for their patients.

Why wait? We are scheduling surgeries now!
To begin your evaluation process; click the link below and complete the online form. Then, send images, patient data form (print and include), etc. to us. In a week or two you will receive your diagnosis, surgery plan, cost, and scheduling options.

Click here to begin the evaluation process.


Golf After Spine Surgery Artificial Disc Replacement


9/23/2018 Over 15 years now! Still golfing, yeah so OK Tiger Woods is golfing after Spinal Fusion, and I am golfing after Disc Replacement. We both rock!!

Tiger Woods is golfing after Spinal Fusion
So Tiger Woods is golfing after Spinal Fusion

Today Tiger Woods Tiger Woods came back from Spinal Fusion Surgery to win the PGA Tour Championship!

Tiger Woods won the Tour Championship on Sunday to end a five-year title drought and complete a career comeback almost as inconceivable as his painful descent from the pinnacle of golf.

Woods underwent an anterior lumbar interbody fusion on April 19, a procedure designed to alleviate lower back and leg pain and one that was "dramatically different" from his three prior surgeries, according to agent Mark Steinberg. While his recovery is ongoing, Woods explained that this latest procedure brought about an immediate improvement.

So how long can a spinal fusion last when golfing like this?
Who knows??

The forces created by a golf swing can destroy even the strongest spine, having a fusion takes these forces and intensifies them onto the remaining discs. This will eventually wear these discs out as well.

This is why I chose Disc Replacement Surgery ove Spinal Fusion Surgery

I wrote this story shortly after returning home from my Spinal Disc Replacement Surgery in 2003.
The Discovery
For over 20 years I had suffered from increasing back pain, given up almost all the physical activities I love and was loosing hope. Then one day on the news, a story mentioned disc replacement, some studies were underway! Excited by this news I rushed to my computer to search the Internet for more information. I discovered that indeed an FDA study was underway on something called ProDisc. After further research, I contacted a clinic where they were participating in this trial. To my horror, they expected me to submit to a random study where I could end up with a fusion. Please understand, just days ago, prior to all my research on disc replacement, I was begging my doctors for a fusion. Now, I knew, that fusion was an obsolete and unacceptable option. I pushed on, and learned that another trial, on The SB Charite III, was not random. My spirits soared as I worked with a clinic in LA to get into the SB III trial. After months of calls and emails with the staff there, I gradually discovered that this would likely cost me over $60K. Depressed and dismayed I almost resigned myself to waiting a few years for the FDA trial to be completed and my insurance company and doctors to approve this for me. At some point in my research I had in fact stumbled onto a Swiss firm who offered to arrange for the surgery there for $40K, I had dismissed this when I discovered the trial in LA and thought it would be less. Now with a new mission I set out to get more information on disc replacement in Europe. Searching the Internet for long hours and sending many unanswered emails finally paid off, when Malte Petersen responded with request to review my images and then a quote of 25K Euros for the disc replacement, and their credentials looked remarkable. So, I made my decision, after 9 months of research and correspondence, I was off to Germany!
Getting There
Originally I was going to go alone, but at the last minute my Dad insisted he join me. Our liaison, offered to let him stay in the room with me, so it was settled and off to Germany we went. We flew out of San Francisco to Amsterdam, had a short adventure there during our layover, and then caught a short hop to the Bremen Airport. When we arrived in Bremen I was met us at the airport and he took us to the hospital, we were in a private room and the hospital was out in the countryside, quite peaceful. The area is wonderful and there is a hotel and pub across the street. If your family members would feel more comfortable they could get a room there and walk over to see you. If you go for dinner, the food is great, ask for the English menu. In fact remember to ask wherever you go in Germany.
The Hospital
As it turns out, this Stenum Hospital is a participating hospital in Germanys Universal health care system and specializes in orthopedics. They do mostly hip and knee replacement, as well as spine fusions, and for over 10 years have been a leader in the development of the disc replacement procedure. Medical treatment of humans must consider the unexpected, here all this is included: postoperative complications, i.e. infections, thrombosis are taken care of by them - as part of the package deal. Patients are under their care for 1-2 preoperative days +/- 5 postoperative days with daily physiotherapy and daily rounds by Dr Zechel, plus, a 7 day out-patient stay at a Bremen Hotel. Dr Zechel and Dr Ritter-Lang have done 312 monosegment disc replacement and 78 bisegmental disc replacement using the SB Charite III disc replacement. Dr Ritter-Lang was trained and specialized in the spine department of the University Hospital Charite in Berlin - the hospital that developed the SB Charite I-III, together with LINK, the company that invented the implant. The level of care and detail given to each aspect of this procedure is astounding. The extreme care taken to avoid risk of damage to organs, nerves and arteries on the approach path, in addition to the careful and precise placement of the implant was impressive. The disc replacement team included Dr. Zechel, Dr Ritter-Lang and their team, in addition to a representative from Link, the implant manufacturer. I felt that no better team could be assembled anywhere in the world to insure my procedure went well. And it did!
I seriously doubt that any US doctors will ever get to this level, even after hundreds of surgeries, not to mention the hassles you will likely go through getting your doctor and insurance company to agree to do a disc replacement, before you are forced to suffer for years.
Our Room/pre-op
Our room had a wonderful view of the grounds, all the comforts of home, a phone with calling card available, although CNN was the only english channel on the TV. Very nice for a hospital! The next day they did x-rays, an EEG, blood work, etc..and we sat down with the doctor to discuss the procedure. They really take the time to answer any questions you have and make sure you understand what is going to happen.

The Procedure/Recovery
I awoke in the ICU, their version of a recovery room,
soon after surgery and was told all had gone well.
There was no pain to speak of, due to a nice morphine drip,
although I had a true sense that my disc pain was gone.
After a few hours the doctors asked me if I wanted to try and stand,
shocked and in a morphine stupor, I declined.

Some time later they informed me I needed to urinate, after unsuccessful efforts on my part they resigned to do a catheter. Looking back I would highly recommend taking their offer to stand, and walk to the toilet!
Anyway, 12 short hours later I was back in my room and feeling fine. They switched me over to a pump which I could control for the morphine and I quickly realized that the nausea and hot flashes I was feeling were a direct result of the morphine, a fact that seems obvious now, but when you are 12 hours post-op and on morphine these things are not so clear. I decided to only use the pump when the pain got bad, it never did. Now less than 18 hours post-op, I decided to take their offer and stand up. No problem! I walked with a walker at first, then asked why it was needed. They commented that I was on morphine and could get dizzy. When I told them I had not used it for several hours they were first shocked, then happy to let me walk unassisted. I took advantage of this breakthrough to walk to the toilet, and was quite happy to relive myself without the help of a catheter. From then on I was up every 4 hours walking around and morphine free, as well as mostly pain free. The only real pain was from the incision and some post catheter burning.
Over the next 3 days I walked more and more and had some physical therapy. I was really feeling fine, except for the annoying stitches, which dropped below my waist line and prevented me from wearing pants, or anything with a waist band. Several times Dad and I snuck out of the hospital to have a meal and a beer across the street at the pub. These events were met with great concern from the nurses upon our return, and we were soon refered to as the American tourists down the hall. On day 3 post-op I was done with being in a hospital, although my private room where my father and I enjoyed all the comforts of home was wonderful, it was still a hospital. We were released the next morning and moved to the Bremen Marriott.
I must make an important point here, not all recoveries are this fast! Your recovery will depend on factors like, age, how long you have been in pain, how much nerve and ligament damage is present, etc. Many have had similuar experiences, but I would not consider mine typical. You leave Stenum when you and the doctor agree you are ready. Most patients are getting up, spending most of the day up and about, by day 2-3, many are not.
The Vacation...week 2 of recovery!
We proceeded to shop and walk around Bremen like the true tourists we were, and by day 6 my father was having trouble keeping up with me. Bremen Germany is a wonderful city, with all the charm of San Francisco, a long history, and the Becks plant! The first day we walked across the bridge into town and shopped, checked out the market square and the historic buildings, I think we covered a mile or two.
The next day we ventured a little farther, to the waterfront and around the town. Set aside a day to explore the Schnoor shops, Lunch at John Benton is good, great place to people watch. If you cross the bridge (coming from the Park Hotel) and turn right (left after the Pigs coming from the Hilton) just before the pigs, you'll see, you will come to a cafe called Stecker, the only place in Germany we found eggs and bacon, great pastries!
I did have some soreness in my back as the muscles and facets adjusted to their new status, I was now 3/4 inch taller.
Castles and more!
On day 7 we set out on a driving tour of Germany, yeah, me driving. What a trip, many of Germany's castles are now hotels, we drove the autobahn in our Mercedes, stayed in castles, wondered through cute villages, all the way to the Alps and back in 5 days, a bit aggressive but it was divine.
This link will get you to the castle web site,
Landsberg was my favorite, the dining room is to die for.
Driving did cause more soreness after a couple of hours, so we stopped often and I soaked in a hot tub each night. (Please note, I now believe that driving, and certainly soaking in a tub, after just 7 days was a mistake and is not recommended)
Day 14 post-op, I was on a plane for home, no pain other than a little muscle soreness from all the travel activity.
One important point I must clarify is that when I left for Germany I was a slim and fit 46 year old, still working full time and although not athletic did exercise regularly. I also prepared for this ordeal by dropping more weight and working out with a focus on the leg and abdominal muscles which would be so important post-op. I probably represent close to the best case possible for quick recovery. Any factors like excessive weight or lack of muscle strength will lengthen your recover time. It is also important to consider getting this done early on to avoid complications and even disqualification for the procedure. Factors like age, nerve damage, prior surgeries, and severe progression of the degeneration can be contra-indications and prevent you from getting an implant. Don't wait!
In Conclusion
After a long and successful ordeal I find myself, for the most part, pain free. I still get sore with activity, and have an annoying pulling feeling down to my toes, although the doctors assure this will pass with time. I am so glad that I persisted in my pursuit of disc replacement. So glad that I didn't fork over the $60K to some US doctor who had only done a handful of these procedures. As it turned out, since I was released in only 4 days my bill was adjusted and the whole thing cost less than $22K (and this became the price for later Americans who followed, your welcome! now 23K Euro, inflation!).
I feel very confidant that I got the best care available in the world, and that most Americans have no idea this level of expertise exists outside the US, or that it is available to them. I will do everything I can to prevent the thousands of unnecessary disc fusions done on innocent Americans each year and to educate back pain sufferers on this breakthrough. Whether they go to Germany, to receive the quality care I got, or work through the insurance process to take their chances with the US doctors, this will change how degenerated disc disease is treated forever.

Jim | Patient Consultant | Disc Replacement L4-5 | April 2003
After years of suffering, I avoided fusion, discovered Disc Replacement, went to Dr. Ritter-Lang and had a wonderful experience.

Jim is now your Patient Consultant for Disc Replacement
Call him at 541-840-9470, pacific time or contact at