L4-L5-S1 ADR with M6 should I go with Nick B (UK) or RL (GER)?

[petrkr]

Thank you for your input. I a really nervous about this. I do not want to to be worse off after.

[Gilbert P]

Hi Petrkr

Could you give us more information, your condition of your disc and all the levels included in surgery,and a Signature.

It sounds like three levels? I know Mr Nick Boree does not like to do more than two levels with ADR.

I am also considering surgery with Mr Boree

Gil

[petrkr]

It is only two level, L4-L5 (1), L5-S1 (2). Let me work on the signature.

[Justin]

Petrkr, I had two surgeries with Dr. Bertagnoli. Both were technically challenging, especially my DSS in 2009. I can't say enough good things about Drs. Bertagnoli and Fenk-Mayer.

Please let me know if you have any specific questions.

[Gilbert P]

Hi Petrkr

I just received a quote for a four level lumbar surgery from Mr Boeree at $50,871u.s. Dr Bertagnoli for four level at $ 90.000 u.s.

If I have to pay out of pocket well?

Boeree would use the M6
Bertagnoli Pro Disc

Lost at this time

Gil

[petrkr]

Yes I will have to pay, but getting it done right is more important to me than money. I am believe M6 is better technology and will hold my spine together once it grows in. The same cannot be said about to Pro disc. Your leftover anulus of the sides is what is holding pro disc together. So a fall an accident, skiing fall etc can tear it and result in massive injury.

Dr. Bert. Does mot use M6. It is important that he uses what he is comfortable with. I know that.

That is why I am looking at Nick B. And Ritter Lang only.

[rhatzy]

Just my opinion, but Ritter Lang did my 2 level and that was 40months ago and I am pain free. He uses the M6 as he was the first to use it. He has also done many multi level both lumbar and cervical. He's a great surgeon. I have also heard a lot of good about Boree and there is a guy in Barcelona that is good and uses the M6.

Mark

[Justin]

Yes I will have to pay, but getting it done right is more important to me than money. I am believe M6 is better technology and will hold my spine together once it grows in. The same cannot be said about to Pro disc. Your leftover anulus of the sides is what is holding pro disc together. So a fall an accident, skiing fall etc can tear it and result in massive injury.

I'm sorry, but these statements above are inaccurate. Your comments about the ProDisc don't make any sense frankly. I don't mean this in a bad way...can you explain what you are trying to say above? Thanks.

Dr. Bert. Does mot use M6. It is important that he uses what he is comfortable with. I know that.

That is why I am looking at Nick B. And Ritter Lang only.

Dr. Bertagnoli does implant the M6; see this thread --> Why doesn't Dr. Bertagnoli primarily use the M6?

[trkdoc714]

I still hold the opinion most of the ADR hardware with successful track records have a place in the ADR arena. Surgical skill and experience are critical to that end.

The info about the ProDisc being held together by leftover anulus is incorrect though. Bone growth anchors the ProDisc's keels (Maverick and M6 also are designed this way) to and into the vertabrae.

Good luck on your research. It looks like you're taking advantage of the wealth of information and experiences SPS offers.

Let us know if we can help.

Bob

[petrkr]

[QUOTE=Justin;23436]I'm sorry, but these statements above are inaccurate. Your comments about the ProDisc don't make any sense frankly. I don't mean this in a bad way...can you explain what you are trying to say above? Thanks.

Yes let me try again. Pro Dics has 3 parts. Two metal parts and each one attached to the bone by a keel and flat horizontal area of the device. The 3 rd part is a plastic half sphere which snaps into place with the bottom portion. So installed the disc is build of two parts the bottom segment and the top segment.

These tow segments have no constrained motion (rotation) and up and down. The thing that constrains them is the Lateral (dextr and levo) part of the annulus. The surgeon will cut the anterior part to open the disc, clean the nucleus and in most cases remove the posterior part of the annuls to prevent further irritation to the nerve roots and sack.

In addition to the two parts of the annulus your facet joints, body weight and some muscles hold the top segment snug to the bottom segment of the disc together. If you do get into an accident or have a hard fall (ski, motor bike, car accident) it is not impossible for you to rip the side(s) of the annulus and injure yourself further. That is why sometime people need to get additional stabilization because the tension is not the same on both sides.

M6 is a single interwoven device which holds together by itself and is constrained to excessive torsion and sheering forces without your body providing additional support. The dextr and levo part of the annulus is still left in and PLAY a critical role in stability but the disc provide constraint and physically binds your upper and lower vertebral segments together.

Makes sense?

When I talk to Dr B they send me Pro Dics papers to sign they did not want to talk about M6.