Medical Glossary

Plain-language definitions of spine surgery terms, medical concepts, and procedures to help you understand your condition and treatment options.

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Terms & Definitions

ADR (Artificial Disc Replacement)
Procedures

A surgical procedure that replaces a damaged spinal disc with an artificial device designed to preserve motion while relieving pain.

TDR (Total Disc Replacement)
Procedures

Another term for artificial disc replacement, emphasizing that the entire disc is replaced with an artificial device.

Annulus Fibrosus
Anatomy

The tough, fibrous outer ring of an intervertebral disc that contains the soft nucleus pulposus and allows controlled movement.

Center of Rotation
Biomechanics

The point around which spinal movement occurs. Proper center of rotation is crucial for natural movement patterns and long-term success of ADR.

Cervical Spine
Anatomy

The neck portion of the spine, consisting of seven vertebrae (C1-C7) that support the head and allow neck movement.

Degenerative Disc Disease (DDD)
Conditions

A condition where spinal discs lose water content, height, and shock-absorbing ability due to aging or wear, potentially causing pain.

Facet Joints
Anatomy

Small joints located at the back of each vertebra that guide spinal movement and provide stability. Healthy facets are essential for ADR candidacy.

Foraminotomy
Procedures

A surgical procedure to enlarge the neural foramen (opening where nerve roots exit the spine) to relieve nerve compression.

Fusion
Procedures

A surgical procedure that permanently joins two or more vertebrae together, eliminating movement at that level to provide stability.

Heterotopic Ossification (HO)
Complications

The formation of bone in soft tissues around an artificial disc, which can limit movement. Risk factors include genetics and surgical trauma.

Hybrid Surgery
Procedures

A combination approach using both ADR and fusion at different levels, tailoring treatment to each level's specific needs.

Kyphosis
Conditions

An abnormal backward curvature of the spine, often seen in the thoracic region. Severe kyphosis may contraindicate ADR.

Lordosis
Anatomy

The natural forward curvature of the cervical and lumbar spine. Maintaining proper lordosis is important for spinal balance.

Lumbar Spine
Anatomy

The lower back portion of the spine, consisting of five large vertebrae (L1-L5) that bear most of the body's weight.

Myelopathy
Conditions

Spinal cord compression causing coordination problems, balance issues, hand clumsiness, or gait changes. Requires urgent evaluation.

Nucleus Pulposus
Anatomy

The gel-like center of an intervertebral disc that acts as a shock absorber and distributes pressure evenly across the vertebrae.

Radiculopathy
Conditions

Nerve root compression causing sharp, shooting pain that travels down the arm (cervical) or leg (lumbar), often with numbness or weakness.

Sagittal Balance
Biomechanics

The proper alignment of the spine when viewed from the side, crucial for efficient load distribution and long-term spinal health.

Sciatica
Conditions

Pain that radiates down the leg due to compression of the sciatic nerve, often caused by lumbar disc herniation or stenosis.

Spinal Stenosis
Conditions

Narrowing of the spinal canal or neural foramina that can compress nerves, causing pain, numbness, or weakness.

Spondylolisthesis
Conditions

A condition where one vertebra slips forward relative to the vertebra below it, potentially causing instability and nerve compression.

Vertebrae
Anatomy

The individual bones that make up the spinal column. There are 24 mobile vertebrae (7 cervical, 12 thoracic, 5 lumbar) plus the sacrum and coccyx.

Quick Reference Guides

Spine Anatomy
Essential anatomical terms
  • Cervical: Neck region (C1-C7)
  • Thoracic: Mid-back (T1-T12)
  • Lumbar: Lower back (L1-L5)
  • Disc: Cushion between vertebrae
  • Facets: Small guiding joints
  • Foramen: Nerve exit opening
Common Procedures
Surgical treatment options
  • ADR: Artificial disc replacement
  • Fusion: Joining vertebrae together
  • Decompression: Relieving nerve pressure
  • Foraminotomy: Enlarging nerve openings
  • Hybrid: Combination approach
  • Revision: Repeat surgery
Pain Types
Understanding your symptoms
  • Mechanical: From spine structures
  • Radicular: Nerve compression pain
  • Myelopathy: Spinal cord symptoms
  • Sciatica: Leg pain from nerve
  • Stenosis: Narrowing-related pain
  • Discogenic: Disc-related pain
Common Medical Abbreviations
Frequently used abbreviations in spine care

Imaging & Diagnosis

  • MRI: Magnetic Resonance Imaging
  • CT: Computed Tomography
  • EMG: Electromyography
  • DDD: Degenerative Disc Disease
  • HNP: Herniated Nucleus Pulposus

Procedures & Treatments

  • ADR/TDR: Artificial/Total Disc Replacement
  • ACDF: Anterior Cervical Discectomy & Fusion
  • PLIF: Posterior Lumbar Interbody Fusion
  • TLIF: Transforaminal Lumbar Interbody Fusion
  • PT: Physical Therapy

Anatomy & Conditions

  • C1-C7: Cervical vertebrae
  • L1-L5: Lumbar vertebrae
  • HO: Heterotopic Ossification
  • ASD: Adjacent Segment Disease
  • ROM: Range of Motion

Still Have Questions?

This glossary provides basic definitions, but every patient's situation is unique. Schedule a consultation to discuss your specific condition and treatment options in detail.