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Coflex Surgery Update

This is a discussion on Coflex Surgery Update within the Surgical Outcomes forums, part of the Spine Surgery Forums category; Hey All I am still here seven weeks post op. I am waiting for my X Rays results and will ...

  1. #1
    Senior Member Gilbert P's Avatar
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    Default Coflex Surgery Update

    Hey All

    I am still here
    seven weeks post op.
    I am waiting for my X Rays results and will post a full detail of my surgery and outcome so far

    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


  2. #2
    Senior Member ajj1001's Avatar
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    Default Re: Coflex Surgery Update

    when are they due?

  3. #3
    Senior Member Catherine's Avatar
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    Default Re: Coflex Surgery Update

    Hey Gil!

    I've been wondering how you were doing. Haven't seen you on here, figured you were out hiking the Tetons!! I'm looking forward to reading your update and I surely hope you're doing well.

    Catherine
    ACDF C6-7 1993 - no more pain!
    Auto accident 2/08
    Three MRI's
    Find bilateral pars defect L5-S1 5/08
    Pain increases until unable to work 9/09
    Find grade 1 Spondylolisthesis 3/10 with left L5 nerve root compression
    Left L5 & bilateral pars SNRB 5/11- no effect
    7/11 EMG and Nerve conduction test
    New MRI, finally! 9mm slip, bilateral pars fractures, facet hypertrophy and mild disc bulging at L4-L5 and L5-S1
    Anterior/Posterior fusion w instrumentation 11/8/11

  4. #4
    Senior Member Gilbert P's Avatar
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    Default Re: Coflex Surgery Update

    Hello All

    I have been gone for a while but have been checking post daily.
    Here is the coflex surgery outcome.


    My surgery was to have decompression, Coflex – F implants and Staxx xd spacers at L4-L5 and L5-S1.


    The actual surgery is bilateral hemi laminotomies, medial facetomies and foraminotomies with redo microdiscectomy on the left at L5-S1; decompression of the spinal cord and nerve roots at L4-L5 and L5-S1 followed by insertion of interlaminar Coflex implant with riveting into the sacrum L4; poster lateral bilateral fusion utilizing locally harvested morcellized bone??
    As you can see not exactly what I had been explained on my first visit? No staxx Xd implants?


    The first words my surgeon said on his visit the day after surgery was “Your Back is Awful” is this admission of failed back surgery? Or your back is so bad this procedure will not help. Insurance approved the surgery and paid in full, Is this a money driven surgery, and procedure approved for profit?


    I am eight weeks out and feeling stiff, sore, seem to be going downhill? Cannot sit very long, Standing is pain full, Get crooked and P.T. is working on this with lots of confusion. My left leg behind the knee is feeling weak, also numb left heel that comes and goes with rest.
    No longer on pain meds some acetaminophen with little help.


    Trying to get back on my feet, three short walks every day, some core work, some stretching.


    On the positive side I can do toe raises on the left side, drop foot on right side is better, early morning stiffness (arthritis) is much better. There is some improvement I was hoping for more at this time?


    My X-Rays review:

    Dr. Pettine did look at your x-rays and

    the implants look in great placement. Why you are "going downhill" I don't
    know. It does seem odd. We can try a short course of steroids to see if
    that decreases the inflammation enough to provide you relief. If the
    steroids give you relief, we can also have you come down for an epidural
    steroid injection. Let me know what you would like to try. Hang in there.
    I have done all of this prior to surgery and here we go again?
    Over all I feel that things should improve over time and only time will tell.


    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


  5. #5
    Senior Member
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    Default Re: Coflex Surgery Update

    Hi Gil,

    Glad to hear from you. I was wondering how you were doing, given we had surgery on the same day. Sorry to hear you're having so much post surgery pain. I hope the PT will help. I'm scheduled to start my PT this week. As everyone keeps reminding me when I think I should be farther along... it's a slow steady process.... but you know this. I hope things begin to improve for you soon!

    Linda
    1976 - Fell from tree. The beginning!
    1985 - Car accident - pull back muscle.
    1985 - Spring 2010 -Flare ups off and on. Meds manage - Life goes on.
    9/2010 -Pain returns, Diag DDD of the L4/5 & L5/S1 space with arthritis. .
    10/ 2010 - Referral to PM Doctor & PT. PT not helpful. MRI confirms DDD, bulging disc of L4/5space. Pneumonia. Pain off charts!
    11/2010 - 3/ 2011 2 RSNB/2 ESI. Relief short lived . Referred to surgeon.
    6/29/11 -TLIF Fusion of L4/5 space.

  6. #6
    Senior Member ajj1001's Avatar
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    Default Re: Coflex Surgery Update

    Early days, if it was 4 - 6 months post surgery then it would be an idea to be concerned. Hang in there, sounds like a plateau in your recovery. Foot drop improving is a good sign.

  7. #7
    Super Moderator trkdoc714's Avatar
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    Default Re: Coflex Surgery Update

    Gil,

    Keep your chin up. Both of us had Discectomies and were back up on our feet within days. This type of surgery takes longer.

    You're about at the time I was when I started feeling a bit better day over day. Take it slow and easy, it's not a race.

    Hang in there, you're going to make it.

    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.

  8. #8
    Senior Member Catherine's Avatar
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    Default Re: Coflex Surgery Update

    Hi Gil,

    I'm so sorry to hear that your having problems, but it does seem really early from everything I read. I'm sure things will start to improve, it is just 8 weeks, and you had many things done to your body that I'm sure it didn't like. Hang in there.

    May I ask who you spoke with that gave you the review of your x-rays and recommended injections? Was it Arends by any chance?

    Catherine
    ACDF C6-7 1993 - no more pain!
    Auto accident 2/08
    Three MRI's
    Find bilateral pars defect L5-S1 5/08
    Pain increases until unable to work 9/09
    Find grade 1 Spondylolisthesis 3/10 with left L5 nerve root compression
    Left L5 & bilateral pars SNRB 5/11- no effect
    7/11 EMG and Nerve conduction test
    New MRI, finally! 9mm slip, bilateral pars fractures, facet hypertrophy and mild disc bulging at L4-L5 and L5-S1
    Anterior/Posterior fusion w instrumentation 11/8/11

  9. #9
    Senior Member KanRunMo's Avatar
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    USA Near Kansas City
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    296

    Default Re: Coflex Surgery Update

    Gil,
    From all accounts of everyone on SPS it is still very early in your recovery. Take whatever you need to get back on your feet, including steroid shots. I'm cheering for you. PT has done wonders for many people but it also takes time. I saw my friend after she broke her pelvis in several places and it looked like the end for her. Her pain was terrible. I saw her recently after she had PT and she was pain free and walking just fine.
    Diagnosis:
    Degenerative disc disease throughout spine
    Generalized disc bulging with mild narrowing of thecal sac in L2-L3, L3-L4, L4-L5, L5-S1.
    Moderate spinal stenosis L4-L5
    Foraminal narrowing
    Recent compression Fx at T10,T11.
    Treatment:
    Spinal decompression 2007
    Cortisone injection in lower back in 2010
    Relieved of pain for now
    Hope for ADR

  10. #10
    Senior Member Gilbert P's Avatar
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    Default Re: Coflex Surgery Update

    Thanks

    You all have given me HOPE!

    I am going to try the steroids ????

    Catherin it was Gina

    Life is short get busy living

    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


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