HI Katie
I think I just emailed Dr. Pimenta, I will see what happens?
Thank You So Much
Gil![]()
This is a discussion on Two Level Fusion within the Spinal Fusion (Including Discectomy & Laminectomy Procedures) forums, part of the Spine Surgery Support category; Gil, Dr. P was most open to discussing my options after seeing my images. I would recommend that you send ...
Gil, Dr. P was most open to discussing my options after seeing my images. I would recommend that you send them both to San Diego and his main office in Sao Paulo, Brazil. My first one went missing, and we had to wait an extra ten days till he got my second one. It is cheap insurance to ensure he gets it at one place, at least. His contact information is in the International Forum, or send me a PM for his email, etc. He has always been extremely prompt with his replies, and also gave me a lot of time on the phone after looking at my MRIs.
He apparently travels between those two hospitals quite often, but prefers to do most of his surgery in Brazil, but that would be between the two of you to discuss.
I feel wonderful and really recommend him. Good luck with whatever you choose.
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!
HI Katie
I think I just emailed Dr. Pimenta, I will see what happens?
Thank You So Much
Gil![]()
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
Gil, sorry to hear your hearing so many different opinions from the different surgeons. From what I have read so far it seems that we have alot in common. My Surgeon wants to do a 3 level fusion L3-S1 as conservative therapy,injections,pt,tens unit and medications have not helped. I have gotten a little worse every year since 2001 now its horrible.I have had 2 failed surgeries in 2009 & 2010. I am not working and my injury is a work comp case also and im wondering how to get this approved if i do have a concensus of surgeons say that a hybrid would be an option for me. My current surgeon is like your first that said no to ADR and I just think they havnt had any experience doing it so they default to what they have always done as it is their comfort zone not necessarily the best option for us. I am sending my mri's out to texas and others in the US as im in your situation and couldnt afford to go on my expense overseas. Then again im not sure w/c will let me go to another state either but i will fight that fight when it comes. Please let me know what option you decide to go with and where you have it done and how w/c handles it for you as I dont feel we should be limited in our medical care to just what the dr's in your own state are capable of. It seems the states of Texas,California and NY have alot better ADR experience than my homestate of MN just from the little that I have been able to research so far. Good luck in whatever decision you feel is going to be your best option as believing its going to work is half the battle in getting through this. Bob
Work Injury 2001 back never the same after but have had several more injuries at work.
Conservative treatments till 2009. Several ESI's ,Physical therapies,TENS unit, Etc...
DDD L3-4 L4-5 L5-S1
2009 bilateral decompression on 2 levels
2-2010 Lumbar Laminectomy at 2 levels
5-2010 MRI shows herniation or fragment again.
Pain in back and legs ongoing just had Caudal Block 5-2010
They want to do 3 level fusion but unsure if thats best. Any responses appreciated!!!
Hey here is a method for 2 level Products : AxiaLIF 2L : Minimally invasive access the lumbar spine, idk if this is best method for u but just a thought.
Riding 4 wheeler and playing basketball. Collide with guy in mid air and I hit concrete on one leg and then fall down. Wake up in pain cant move for few hours, fine few days later. Back never the same.
dec 2007 horseplaying with father, contained l5-s1 disc herniation with sciata on right leg, traction helps and time, pain free, diagnosed ddd l4/l5 and l5/s1
Gil, I'm happy that you've decided to contact Dr. P. I don't know if he can help, but you're on the right road at least. You don't know what's available out there till you tryI had so many irons in the fire in the year before and up to my surgery, I have a hard time remembering them all now. But without casting my nets near and far, I never would have come up with a solution.
This is one thing I've learned from this experience...no one will help us as much as ourselves (except for many members on this forum, of course) Every surgeon is only as good as his experience and training, and many like to stay in a narrow comfort zone...fewer bad grades on their professional 'report card'. Most of the surgeons in our country have only had a hundred or less ADR surgeries under their belts, many have done half of that. They wouldn't even offer me a fusion, let alone ADR.
When I searched outside my country, I found surgeons with many hundreds, if not thousands of patients under their belts. Of course they didn't have 100% success with their patients, but they certainly have learned a lot more than those who have one tenth of the experience. (These all thought they were right, of course) Those are the specialists I want working on me. Ones with both confidence and experience, with a touch of empathy thrown in ...they don't always go hand in hand, and you have to weed out the chaff.
Keep up the fight, friend. We're behind you all the way. If there's anything I can do to help, just ask.
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!
I second what Katie is saying Gil. You are definitely making progress towards a long term solution for your spine. And you're looking at some great ones too. Katie had a phenomenal experience with Dr. Pimenta. I think you said you sent your stuff off to Dr. Bertagnoli too. These two alone are incredible surgeons. I can't wait to read back on your thread after you have all of this behind you, in the not too distant future, my friend. Who knows? Maybe we'll even get to enjoy some gentle, green runs together! Now, that would be my dream again. Hang tough. We're here for you.....all the way. CL
Last edited by Cindylou; 06-12-2010 at 01:23 AM. Reason: typo
• January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
• June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
• April 2006 right hip, labral tear and repair
• April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
• July 2, 2008 ALIF & Laminectomy @ L6/S1
• July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
• August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
• March 10, 2009 Right SI Joint Fusion
• April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
• September 30, 2010 lumbar facet rhizotomy
• December 9, 2010 12 bilateral lumbar trigger point and steroid injections
• December 23, 2010 12 more bilateral trigger point injections w/o steroid
• February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
July 18, 2011
Awesome advice Katie and oh so true!
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- 5.5 years & had baby Eli after ADR, via c-section on March 25, 2011, completely pain free still!
Hi All
Thank You All so much for your advice and kind words, The waiting game is part of the process
To day is bad pain is not my friend
Thanks
Gil![]()
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
Hey Gil,
I wish you the very best with everything. Please let me know how I can help.
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997, 17 years old: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003, 23 years old: 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, 29 years old: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
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.
Hi Justin
Send Lots Of MoneyI will be fine .Just seeking all their is to offer in spine technology and its not their YET
Life Is Short So Live Large " Big Walley"
Thanks Gil![]()
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
Bookmarks