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Removing posterior bone spurs before ADR?...

This is a discussion on Removing posterior bone spurs before ADR?... within the Artificial Disc Replacement forums, part of the Spine Surgery Support category; I need info about this since I have a Huge bone spur that looks like its going into my cord ...

  1. #1
    Senior Member JK2234's Avatar
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    Default Removing posterior bone spurs before ADR?...

    I need info about this since I have a Huge bone spur that looks like its going into my cord at c5-6 on my MRI...

    I wish I new how to "save" and post the pic...

    Help....
    C4-5: Mild disc height loss with central annular fissure. Small broad-based left paracentral disc protrusion. Moderate central canal stenosis-the disc protrusion abuts and mildly flattens the left ventral surface of the spinal canal.

    C5-6: Disc desiccation with mild height loss.Diffuse discosteophyte bulge and uncovertebral joint hypertrophy, moderate central canal stenosis- Severe neuroforaminal stenosis bilaterally, right greater than left

  2. #2
    Senior Member Dave's Avatar
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    I had several osteophytes removed when they did my two-level ADR. They did it at the same time as the removed the old disc.
    Dave

    Diagnosed with DDD in Nov, 2007. MRI, EMG
    C3/4 C4/5 C5/6 C6/7
    Surgery 06.04.08--C5/6 and C6/7 w/Prodisc
    C4/5 deterioration progressing quickly
    MRI on lumbar shows disc herniation at L5/S1, stenosis at L3/4, L4/5, spondylosis and DDD at L2 through S1 in July, 2009
    Nerve Root, Facet Injections and Epidural every 3 months. Ongoing treatment for continued degeneration.


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    Founder / Administrator Justin's Avatar
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    Hi JK2234. As Dave mentioned, when the disc space and vertebral endplates are prepared during artificial disc replacement surgery, there is an opportunity to remove any bone spurs / osteophytes. However, access to posterior osteophytes can present a significant challenge and might even require a posterior decompression.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

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    Senior Member Katie's Avatar
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    Default Re: Removing posterior bone spurs before ADR?...

    JK, if I remember correctly, you should be able to save and post your MRI image much like saving any other image. Try right clicking the image on your MRI CD which should then give you a list...save, save as, etc. Then save it to your computer. You can then upload it to a photosharing website like Webshots or Photo Bucket. That will allow you to post it here.

    Justin, do I have that correct? Did I make that as plain as mud?
    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!

  5. #5
    Founder / Administrator Justin's Avatar
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    Default Re: Removing posterior bone spurs before ADR?...

    Quote Originally Posted by Katie View Post
    JK, if I remember correctly, you should be able to save and post your MRI image much like saving any other image. Try right clicking the image on your MRI CD which should then give you a list...save, save as, etc. Then save it to your computer. You can then upload it to a photosharing website like Webshots or Photo Bucket. That will allow you to post it here.

    Justin, do I have that correct? Did I make that as plain as mud?
    Makes perfect sense...JK2234, send me a private message or email if you still need help. Thanks Katie!

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  6. #6
    Senior Member JK2234's Avatar
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    Default Re: Removing posterior bone spurs before ADR?...

    What do I do put the MRI disc in my CPU and right click on the side view and save?
    C4-5: Mild disc height loss with central annular fissure. Small broad-based left paracentral disc protrusion. Moderate central canal stenosis-the disc protrusion abuts and mildly flattens the left ventral surface of the spinal canal.

    C5-6: Disc desiccation with mild height loss.Diffuse discosteophyte bulge and uncovertebral joint hypertrophy, moderate central canal stenosis- Severe neuroforaminal stenosis bilaterally, right greater than left

  7. #7
    Founder / Administrator Justin's Avatar
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    Default Re: Removing posterior bone spurs before ADR?...

    Quote Originally Posted by JK2234 View Post
    What do I do put the MRI disc in my CPU and right click on the side view and save?
    JK, I sent you a PM.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  8. #8
    Senior Member Katie's Avatar
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    Default Re: Removing posterior bone spurs before ADR?...

    I think that's it. I'll dig out my disc and try it myself to make sure I'm telling you the right thing, but it will be later today or tomorrow if that's OK, unless someone else wants to chime in
    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!

  9. #9
    Senior Member JK2234's Avatar
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    Default Re: Removing posterior bone spurs before ADR?...

    OK I got my new MRI and im ready to post the pics...

    Help me...
    C4-5: Mild disc height loss with central annular fissure. Small broad-based left paracentral disc protrusion. Moderate central canal stenosis-the disc protrusion abuts and mildly flattens the left ventral surface of the spinal canal.

    C5-6: Disc desiccation with mild height loss.Diffuse discosteophyte bulge and uncovertebral joint hypertrophy, moderate central canal stenosis- Severe neuroforaminal stenosis bilaterally, right greater than left

  10. #10
    Senior Member Katie's Avatar
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    Default Re: Removing posterior bone spurs before ADR?...

    JK, did Justin contact you about how to do this? If not, let me know and I'll try and walk you through it...non-techie that I am
    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!

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