LinkBack URL
About LinkBacks
Reply With Quoteand
We are here to help and share our lives and stories,
All The Best
Gil
This is a discussion on Hello, I am yust new here. (Artificial Disc Replacement Revision) within the Surgical Outcomes forums, part of the Spine Surgery Forums category; ....
.
------------------------------------------------------------------------------------------
* 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, USAhttp://fusion-c5-c6.blogspot.com/
------------------------------------------------------------------------------------------
We are here to help and share our lives and stories,
All The Best
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
Hi Keane,Originally Posted by Keano16
Yes, my doctor who have put in the ADR at L4L5 was dr. Zeegers. He did also the fusion with a Stalif Cage L5S1. The ADR failed, I suppose I had not the right figuration for a ADR: bad luck! The fusion went out very well, I was direcly free of my original pain.
Renos
2003, Start chronical backpain
2005, ADR at L4L5 with no result and extra severe pain left side
2006, Anterior fusion L5S1, Stalif Cage, right side pain resolved! but left pain worse.
2006, Posterior fusion at ADR L4L5 and cage L5S1, no result but worse.
2007, Anterior ADR removal and placement of Trabecular Block at L4L5, no result.
2009, Revision posterior, exchange hardware at L4L5, result: in beginning better, but again severe pain.
Renos,
Great people here to help.
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.
Hi Justin,Hi Renos,
Welcome to the Spine Patient Society!Gosh, I am so sorry to read everything you have been through. Good luck at your appointment with your neurosurgeon next week. Please keep us posted on how things go!
Thanks for welcome. Your story is also very extensive. I hope you are improving after your last surgery.
I was wandering about your dynamic stabilisation over the level ADR. How is it now? It was proposed to me also when I had problems with my ADR at L4L5. But I have let it removed and fused. I was afraid of any extra dynamic devices in my body.
Renos
2003, Start chronical backpain
2005, ADR at L4L5 with no result and extra severe pain left side
2006, Anterior fusion L5S1, Stalif Cage, right side pain resolved! but left pain worse.
2006, Posterior fusion at ADR L4L5 and cage L5S1, no result but worse.
2007, Anterior ADR removal and placement of Trabecular Block at L4L5, no result.
2009, Revision posterior, exchange hardware at L4L5, result: in beginning better, but again severe pain.
Hi Renos,
I have made great improvements over the last couple of months. I stopped by last narcotic medication on 12/5/09, as I was slowly tapering off of it to avoid withdrawals. I thought I might still have some underlying leg pain after getting off of my last med, but I don't have any pain in my legs. There is a thread about my Dynamic Stabilization System journey that explains a lot more: Dynamic Stabilization System: DSS™--motion (non-fusion, 5/14/09, Dr. Bertagnoli)
I was concerned about "more devices in my body" too, but I had to make a decision as I needed something to help stabilize the forward movement of my L4 vertebral body over L5 (called anterolisthesis). The DSS fit that criteria and allows more motion compared to a "traditional" fusion.
I wish you the very best.
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.
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!
re: Hello, I am yust new here. (Artificial Disc Replacement Revision) Monday, I had my appointment with the Neurosurgeon. It was pretty exciting and I was very nervous about the question: Can and is he willing to help me?
Diagnosis: Pseudo-Arthrosis due to the not grown fix cage/block to the vertebra's L4L5
Normal Threatment in such a case:
Anterior approach to replace cage or revise it, but the anterior approach is to dangerous for me due to the fact that this is already done twice and one vena is clamped between the block and the vertebra. This has been a mistake of the surgeon whi did the ADR removal. Due to the increased chance of damaging this vena in my case, he will not even try it since it could be fatal.
Alternative surgery:
Posterior approach, where he wants to check if the nerves are free between the spinal-cord and the block and if necessary free them. Possible is this nerves been irritated since I have ADR there. Further he wants to strut between the vertebra's again the backside and two sides of the cage/block in an U-shape around the block with autograft bone strips which will be harvested from the iliac. He hope by doing this, he solves the pseudo-arthrosis and create a solid fusion. It sounds for my case a practical reasonable treatment with potention without to much risks.
January 8, I have to go back to arrange final details and schedule the surgery. Hopefully somewhere in January.
Take care
Renos
2003, Start chronical backpain
2005, ADR at L4L5 with no result and extra severe pain left side
2006, Anterior fusion L5S1, Stalif Cage, right side pain resolved! but left pain worse.
2006, Posterior fusion at ADR L4L5 and cage L5S1, no result but worse.
2007, Anterior ADR removal and placement of Trabecular Block at L4L5, no result.
2009, Revision posterior, exchange hardware at L4L5, result: in beginning better, but again severe pain.
re: Hello, I am yust new here. (Artificial Disc Replacement Revision) Hi Renos,
The posterior approach and "game plan" laid out by your surgeon sounds like the best way forward. I do hope you get your surgery scheduled in January so that you can get this behind you.
Keep us posted after your next appointment on January 8th.
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.
re: Hello, I am yust new here. (Artificial Disc Replacement Revision) Hi Justin,Hi Renos,
The posterior approach and "game plan" laid out by your surgeon sounds like the best way forward. I do hope you get your surgery scheduled in January so that you can get this behind you.
Keep us posted after your next appointment on January 8th.
Thanks for your support. I appreciate it a lot.
I saw that you have had Laminotomy in the past. A part of my surgery will that to. Can you learn me a little how this goes, risks, maybe articles?
I hope you have some infomation for my.
Renos
2003, Start chronical backpain
2005, ADR at L4L5 with no result and extra severe pain left side
2006, Anterior fusion L5S1, Stalif Cage, right side pain resolved! but left pain worse.
2006, Posterior fusion at ADR L4L5 and cage L5S1, no result but worse.
2007, Anterior ADR removal and placement of Trabecular Block at L4L5, no result.
2009, Revision posterior, exchange hardware at L4L5, result: in beginning better, but again severe pain.
Posting Permissions
Bookmarks