Advanced Spine Surgery

Hybrid Constructs

Combining artificial disc replacement with fusion to match each level's specific needs - preserving motion where beneficial while providing stability where necessary.

When and Why Hybrid Surgery?

Tailored Treatment Philosophy

Hybrid constructs represent the ultimate in personalized spine surgery - combining ADR at levels with preserved facets and appropriate pathology, while using fusion at levels with instability, deformity, or severe facet degeneration.

This approach optimizes function by maintaining motion where safe and beneficial, while providing stability where needed. The goal is to reduce adjacent level stress while addressing each level's unique pathology.

Level-Specific Treatment

Each level receives the most appropriate treatment based on its pathology

Optimized Function

Preserves motion where possible while ensuring stability where needed

Reduced ASD Risk

May reduce adjacent segment disease compared to multilevel fusion

Clinical Applications

Hybrid constructs are ideal when different levels require different solutions

Ideal Candidates
  • Multi-level disease with mixed pathology
  • Adjacent segment disease above/below fusion
  • Revision surgery requiring level-specific treatment
  • Complex deformity with some preserved levels
Complex Scenarios
  • Different levels requiring different approaches
  • Combined instability and disc degeneration
  • Failed previous treatments at specific levels
  • Multi-level involvement with varied pathology

Surgical Planning

Meticulous planning ensures optimal alignment and sequence of procedures

Pre-operative Assessment

Comprehensive evaluation of each level's pathology and treatment requirements.

  • Level-by-level pathology assessment
  • Facet joint evaluation on MRI and CT
  • Alignment analysis and correction planning
  • Device selection for each level
Surgical Sequence

Strategic sequencing of procedures to optimize alignment and outcomes.

  • Anterior approach for ADR levels
  • Posterior approach for fusion levels
  • Alignment restoration sequence
  • Intraoperative verification of motion and stability
Patient Counseling

Detailed discussion of the rationale and expected outcomes for each level.

  • Level-specific treatment rationale
  • Different recovery timelines for each component
  • Long-term expectations and limitations
  • Alternative treatment options

Recovery & Outcomes

Recovery protocols must account for both ADR and fusion components

Recovery Considerations
How hybrid surgery affects recovery
  • Mixed Restrictions

    Activity restrictions based on fusion component

  • Longer Timeline

    Recovery paced by fusion healing requirements

  • Complex Rehabilitation

    Therapy must address both motion and stability

Expected Outcomes
Benefits of the hybrid approach
  • Optimized Function

    Better overall spinal function than multilevel fusion

  • Reduced ASD Risk

    Lower adjacent segment disease risk

  • Comprehensive Solution

    Addresses all pathology with appropriate treatment

Personalized Multi-Level Solutions

Discover if hybrid surgery can optimize your multi-level spine treatment with level-specific solutions.