Results 1 to 10 of 10

Questions about Stenum (New-Disc, Terry, etc.)

This is a discussion on Questions about Stenum (New-Disc, Terry, etc.) within the Artificial Disc Replacement forums, part of the Spine Surgery Support category; New Disc, I am going to Stenum for L4-5, L5-S1, adr and L1-2 fusion 6/27. Am somewhat terrified by the ...

  1. #1
    Ben
    Ben is offline
    Member
    Join Date
    May 2009
    Posts
    36

    Default Questions about Stenum (New-Disc, Terry, etc.)

    New Disc,

    I am going to Stenum for L4-5, L5-S1, adr and L1-2 fusion 6/27. Am somewhat terrified by the thought of having my abdomen cut open and my guts shoved aside to do this. I viewed your blog....great by the way. You look great. Did you have much trouble, pain, adhesions from the surgery itself? Thanks.

    Ben
    Ben

    10/2006 drop foot, discectomy
    12/2006 discectomy L4-5
    chiropratic, massage, accupuncture since 2006
    adr & fusion at Stenum 6/2009

  2. #2
    Senior Member Katie's Avatar
    Join Date
    May 2009
    Posts
    1,800

    Default

    Ben, you have a pm.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

  3. #3
    Senior Member New-disc's Avatar
    Join Date
    May 2009
    Location
    Maine
    Posts
    248

    Default

    Ben,

    I had a bit of a problem with breathing on the flight home. Not real sure if it was a bit of bronchitis.

    The only thing I would do different is make sure that the plane has a portable oxygen tank next to me.

    Other than that everything else went well.

    If you have any other ?'s Please feel free to ask...

    Travel light!!

    My prayers are with you

    Todd

    Todd
    ------------------------------------------------------------------------------------------
    * Stenum Hospital (Germany) Maverick disc implanted (10-19-07) L4-L5

    * To view my post-op video's click- http://www.youtube.com/ type ADR surgery into the space bar

    * Fusion of c5-c6 on (11-02-09) Boston, USA http://fusion-c5-c6.blogspot.com/
    ------------------------------------------------------------------------------------------

  4. #4
    Senior Member Gilbert P's Avatar
    Join Date
    May 2009
    Location
    Jackson Hole WY
    Posts
    876

    Default

    Hi Ben

    Are you sure you want to fuse L1-L2 would that compromise the adjacent Disc?

    Have you done all your research?

    I wish you all the best

    Just looking out for a fellow spiney

    Please do all your research

    How old are you?

    All the best

    Gilbert P
    Last edited by Gilbert P; 06-05-2009 at 09:23 PM. Reason: adding info
    L5-S1 lam 1994
    L2 to L5 DDD
    L3 -L4 hern Dec 2007.
    L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
    L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
    L2-L3 Right-sided neural foraminal narrowing
    L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
    C3-C4 limited DDD
    15 injections Depo. P.T. 18 months 9 dose packs,
    Nerve Block Injections.4 ESI S1
    L5-S1 Foraminotomy 09
    L4-L5 Microdiscectomy 09 ReHerniation 4-2010
    Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants


  5. #5
    Senior Member Katie's Avatar
    Join Date
    May 2009
    Posts
    1,800

    Default

    Gil, there must be a reason why they would do ADR in one spot and fusion in another. I have been told to get hybrids, ADR with adjacent fusion, and the doctor gave me his reasons why, which made sense to me.

    This was after I was adamant about finding a doctor who would do ADR only for me.....

    I have had several friends go to Stenum for treatment, and some have just ADR and others a combination...they were all different, and I'm assuming that's the case here.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

  6. #6
    Super Moderator trkdoc714's Avatar
    Join Date
    May 2009
    Location
    Douglasville, GA
    Posts
    546

    Default

    Gil,

    It's very difficult to implant an ADR at L1/2. The position of the major vessels and organs most of the time will prevent the procedure. Although surgeons have successfully performed ADRs at that level before, it's extremely risky to the patient.

    Bob
    04/06 L5/S1 Rupture
    05/06 MRI shows DDD @ L2-S1
    06/06 Diskectomy/ Laminotomy L5/S1
    04/07 Recurrent Disc L5/S1
    4 Ortho and 1 Neuro Surgeon, 5 MRIs, 1 EGM, 1 Myleogram & 11 EDIs later:
    03/27/09 L4/5 & L5/S1 Maverick discs at Stenum (www.dr-ritter-lang.com)
    11/9/11 C6/7 Herniation with Nerve Impingement. Another journey begins.

  7. #7
    Senior Member Katie's Avatar
    Join Date
    May 2009
    Posts
    1,800

    Default

    Ben, while I haven't had the surgery yet, I've chatted with many patients, and done some research. As I have adhesions, I can give you what I know about that part of the surgery.

    From what I understand, adhesions only usually form when the surgeon goes into the sac that holds most of the organs, and this does not happen with spine surgery. They push that sac aside (miniscus....Justin?....my memeory fails me right now) and work around it. So scar tissue (adhesions), which binds the organs together and to the sac wall should not form.

    Most of my friends who have gone have been women, and most report being able to get up and walking the day after surgery, and then by the end of their trip there, they are literally walking miles around the village.

    And as for pain, they almost all report that theirs was kept under control right from the start. Stenum gives the patient an epidural, as well as general or a twilight anesthetic to reduce the post-op pain and help healing. They were amazed at how little pain they had actually.

    One of my last friends did have a problem, but it was caused mainly by a reaction she had to some medications. I hope this helps.

    Now for those with first hand experience...did I screw up any of that information?
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

  8. #8
    Moderator KBear's Avatar
    Join Date
    May 2009
    Location
    Denton, Texas
    Posts
    2,941

    Default adhesions

    Katie, You are correct that they push the sack of organs aside. However, my dr's are thinking that I have adhesions inside the sack. I asked how that was possible, since they didn't cut into it. They said just the roughness of the surgery, the moving of the sack and subsequent bumping could have casued it. From what I have read and been told, you can get adhesions without even having surgery. If you have an infection or inflammation, your body's way of healing itself is producing scar tissue, which can then turn into adhesions. Apparently, they are very common, but don't cause problems in most people (most people don't even know they have them). Anyhow, if adhesions is something that has to be dealt with for a pain free back, then it is still well worth it.
    31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

  9. #9
    Moderator Terry Newton's Avatar
    Join Date
    Apr 2009
    Location
    Harbor Springs, Michigan
    Posts
    262

    Default

    Ben:

    I went to Stenum Hospital in 2006 to have a very major surgery. I had 4 artificial discs installed in to my spine; two lumbar and two cervical. I was 49 years old at the time of the surgery and was in great shape prior to the surgery. I could not think of a finer group of surgeons and staff that took care of me and my wife in the process. The hospital was clean, staff professional, care excellent, accommodations fabulous, etc. I had S1-L5, L5-L6 implanted with the Maverick discs; and C5-C6, C6-C7 Prestige discs implanted. I had ridden about 1,800 miles on my bicycle, prior to the surgery and, walked a lot so, I went in to the surgery in very good condition. As a result, I believe my recovery was much better though, it is still a long process. It took me all of about 20 months to start feeling really top shelf. I don't say this to scare you, just to be realistic. I did not baby myself at all when I got home and was chomping at the bits to get back to work. I went back to work at exactly 2 months and started spinning and snoweshoeing right off the bat. When the snow melted I started riding my bicycle while healing from the surgery. I rode 2,300 miles that first season and 2,100 miles last season. I still get a little flare up of an SI joint issue that gets resolved with an occasional epidural. If you would like to discuss this further I will give you my telephone number and you can call me concerning some useful tips for the travel, where to stay, what to see and do, etc.

    I have been really thrilled to have gotten my life back after this surgery. Prior to the surgery I had been pretty crippled up from a bicycle accident and I did not know if I was fixable.

    Hang in there. :thumpup:
    Terry Newton; Moderator

    1980 ruptured L4-L5
    1988 ruptured SI-L5
    1990 ruptured C5-C6
    1994 ruptured C6-C7
    1995 Hemi-Laminectomy surgery C5-C6, C6-C7 Mayo Clinic
    Bicycle Accident with a large dog in 2004
    Shoulder reconstruction surgery
    MRI, EMG, Facet Injections, Epidural Blocks, Lumbar Discogram.
    Stenum Hospital Surgery November 4, 2006
    Prestige Disc C5-C6, C6-C7
    Maverick Disc S1-L5, L4-L5

    I'm busy living my life after a successful 4-level ADR surgery with Dr. Ritter-Lang at Stenum Hospital in Germany. If you would like to contact me, please click the email icon under my SPS Member Profile, as I'm not on SPS daily.

  10. #10
    Senior Member Katie's Avatar
    Join Date
    May 2009
    Posts
    1,800

    Default

    Quote Originally Posted by KBear View Post
    Katie, You are correct that they push the sack of organs aside. However, my dr's are thinking that I have adhesions inside the sack. I asked how that was possible, since they didn't cut into it. They said just the roughness of the surgery, the moving of the sack and subsequent bumping could have casued it. From what I have read and been told, you can get adhesions without even having surgery. If you have an infection or inflammation, your body's way of healing itself is producing scar tissue, which can then turn into adhesions. Apparently, they are very common, but don't cause problems in most people (most people don't even know they have them). Anyhow, if adhesions is something that has to be dealt with for a pain free back, then it is still well worth it.
    You are right...I have heard of that happening from other people lately. I not only had surgery, but a bad infection afterwards which really set the little crappers growing. Another lady thinks she got them when a large dog jumped on her and bruised her belly.

    I'm glad you added that part...I forgot about it.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •