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Thoracic ADR?

This is a discussion on Thoracic ADR? within the Artificial Disc Replacement forums, part of the Spine Surgery Support category; Hey Bob, So glad to see that your humor is still intact. Love it. Ex-wife on your back. Same as ...

  1. #21
    Senior Member
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    Default Re: Thoracic ADR?

    Hey Bob,

    So glad to see that your humor is still intact.

    Love it.

    Ex-wife on your back.

    Same as you, Bob, concerned with SI joints being messed up with fusion. It is a legitimate concern. Both ADR and fusion cause more pressure to be put on the joints but fusion is significantly more in the studies. And no, I don't have the studies right now, people may ask, because I am in a bit of major pain. But I have shown them to Justin. In my research, I found two studies. And just listen to people talk about their SI joints after surgery.

    I am not here to debate the benefits of ADR and fusion. Each has its place. Every person is an individual and has specific circumstances that make one surgery better or not.

    back to topic: Like some people saying on here, basically ADR is not needed in thoracic spine. Most of ADR technology has anterior placement. You have to look as your body as extremely complicated. Everyone's anatomy, how they respond to surgery, treatment is different. ADR is motion preserving. If there is not much motion at all in that area, why do you need motion preserving. But I think the major thing is the potential complications with an anterior approach to the thoracic spine. That is why it is contraindicated, except in Mark's case where it was the upper thoracic spine just below the cervical level, I believe. I am sure you can find cases out there but there must be a risk/benefit ratio that shows the surgeon that the benefit is greater than the risk.
    A posterior approach is just more sensible. But you have got to realize, when a surgeon gets in there it is not like he has a clear map like a freeway map. He may encounter things that are unexpected and run into complications. People's insides do not necessarily look like the drawings in the medical books.

    Like when I was on the table yesterday and my doctor was hitting my nerves with spinal needles during a discogram. He just kept saying my nerves were not supposed to be there. But I think my jumping off the table, indicated they were. OUCH.
    I just laid there and thought, "Oh, it figures. Of course, this would happen to me."

    Okay, Bob how did I do? Haven't "spoken" to you in a while as I spent time on other back-related issues. But now it is Summer. Yeh. Roll out the suntan lotion and beach towels.
    Or the ice in my case...
    How are those discs of yours?

    If I made a mistake or spelled something wrong, I blame it on the drugs.

    Runagain
    DDD or DJD
    ADR recepient.
    Mother of four, advocate and insurance fighter.

  2. #22
    Super Moderator trkdoc714's Avatar
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    Default Re: Thoracic ADR?

    Kimmers,

    You did great in my opinion. I admire how much research you've done and hope you win your battles with pain and insurance (not necessarily in that order) soon.

    I thought when the $pine broker had the T1 ADR it was excessive and he wouldn't experience any benefit due to the limited ROM of the T discs. I pretty much disregard what he posts as he tends to manipulate issues and create situations that are difficult to prove/ disprove to further his business model. I'm not sure how he's doing and although he has done some very enethical things to me and others, I hope his pain has been relieved.

    As far as my back problems, I haven't had any since the recovery from surgery. I'm hoping that the surgeon and research is correct about the adjacent level theories. So far, so good.

    Take care Kimmers!

    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.

  3. #23
    Senior Member
    Join Date
    May 2009
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    336

    Default Re: Thoracic ADR?

    Bob,

    Time will tell.
    We only have the surgeon's opinion about what we could benefit from and our faith and a little bit of hope thrown in for good measure.
    And a lot of researching.
    Good to hear that you don't have back problems.
    May you keep it that way.
    Bob, I could really use some help in the pain department. I am hurting a lot after that disco dance.


    R
    Last edited by runagain; 08-01-2010 at 04:12 AM.
    DDD or DJD
    ADR recepient.
    Mother of four, advocate and insurance fighter.

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