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L4/L5 Nuvasive XL TDR next month in Spokane, WA

This is a discussion on L4/L5 Nuvasive XL TDR next month in Spokane, WA within the Surgical Outcomes forums, part of the Spine Surgery Forums category; hello going in for nuvasive XL TDR next month in Spokane, Washington. Hoping someone could tell me how long recovery ...

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    Idea L4/L5 Nuvasive XL TDR next month in Spokane, WA

    hello
    going in for nuvasive XL TDR next month in Spokane, Washington. Hoping someone could tell me how long recovery is, and post op pain.

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    Moderator KBear's Avatar
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    Default Re: Nuvasive XL TDR next month in Spokane, WA

    Mike, It varies greatly from person to person on recovery. My suggestion would be to read several of the post op threads in surgical outcomes.
    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- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

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    Senior Member Katie's Avatar
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    Default Re: Nuvasive XL TDR next month in Spokane, WA

    Mike, what levels are you having done? While I had the XLIF, not TDR, my results were wonderful. I had the XLIF at L4/5 and ALIF at L5/S1, plus the NeoDisc at C5/6, all in one surgery. My biggest suggestion is to ask for an epidural during and the day after surgery. It eliminated a great deal of probable pain for me.

    If you have any questions, feel free to PM. Mine was done by Dr. Luiz Pimenta in Brazil in March.
    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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    Default Re: Nuvasive XL TDR next month in Spokane, WA

    Quote Originally Posted by Katie View Post
    Mike, what levels are you having done? While I had the XLIF, not TDR, my results were wonderful. I had the XLIF at L4/5 and ALIF at L5/S1, plus the NeoDisc at C5/6, all in one surgery. My biggest suggestion is to ask for an epidural during and the day after surgery. It eliminated a great deal of probable pain for me.

    If you have any questions, feel free to PM. Mine was done by Dr. Luiz Pimenta in Brazil in March.
    I am having L4/L5 done. It is good to here that you had such a great result. I will try to find other patients post also. Thank you for you response

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    Senior Member Katie's Avatar
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    Default Re: Nuvasive XL TDR next month in Spokane, WA

    Good stuff My L4/5 was an easy-peasy level compared to the L5/S1. (I had an unexpected spondy at the bottom level that complicated things a bit)

    I had a PEEK cage inserted at both levels with no reinforcement. I was up doing laundry in the bathroom sink on day 2/3 and doing lots of walking in the hallways. There was the normal incision pain, but other than that I recovered much easier and faster than I did with my hysterectomy seven years ago.

    Good luck with everything.
    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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    Default Re: Nuvasive XL TDR next month in Spokane, WA

    Quote Originally Posted by Katie View Post
    Good stuff My L4/5 was an easy-peasy level compared to the L5/S1. (I had an unexpected spondy at the bottom level that complicated things a bit)

    I had a PEEK cage inserted at both levels with no reinforcement. I was up doing laundry in the bathroom sink on day 2/3 and doing lots of walking in the hallways. There was the normal incision pain, but other than that I recovered much easier and faster than I did with my hysterectomy seven years ago.

    Good luck with everything.
    Thats good news. I met with my doctors last week, his only concern is with my pain control after surgery because of the amount of pain medication that PM doc has me on , but it sounds to me like post op pain is not so bad with the xlif or tdr.

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    Moderator KBear's Avatar
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    Default Re: Nuvasive XL TDR next month in Spokane, WA

    Quote Originally Posted by mike m View Post
    Thats good news. I met with my doctors last week, his only concern is with my pain control after surgery because of the amount of pain medication that PM doc has me on , but it sounds to me like post op pain is not so bad with the xlif or tdr.
    Not to scare you, but I was in tremendous pain after my ADR. I seriously prayed to die for the first 2 days and I wasn't even on a ton of medication. I was on 60mg of Hydrocodone a day, had weaned off of the 40mcg of Kadian a day. I would definitely ask for the epidural during recovery. Katie had that and did really well, as do most that have it. Sadly, I am one of many that had uncontrollable post op pain.
    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- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

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    Moderator Cindylou's Avatar
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    Default Re: Nuvasive XL TDR next month in Spokane, WA

    Yeah, I have to agree with Kathy's post. I also had out of control pain after my 3 lumbar adr's....I suppose it's just best to be mentally prepared that the pain could be pretty high and ugly, and then if it's not, you can be pleasantly grateful. Katie had a phenomenal result to her invasive surgery, which is just outstanding, every time I hear her tell it. Just be careful not to take that as "the norm," imho.
    • 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

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    Default Re: Nuvasive XL TDR next month in Spokane, WA

    Quote Originally Posted by KBear View Post
    Not to scare you, but I was in tremendous pain after my ADR. I seriously prayed to die for the first 2 days and I wasn't even on a ton of medication. I was on 60mg of Hydrocodone a day, had weaned off of the 40mcg of Kadian a day. I would definitely ask for the epidural during recovery. Katie had that and did really well, as do most that have it. Sadly, I am one of many that had uncontrollable post op pain.
    Sounds like epidural is a must. I started weaning off 120mg of MS Contin, i still take 50mg of viciprofen. Sounds like I should get completely off the morphine. Thank you for the help

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    Moderator KBear's Avatar
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    Default Re: Nuvasive XL TDR next month in Spokane, WA

    Quote Originally Posted by mike m View Post
    Sounds like epidural is a must. I started weaning off 120mg of MS Contin, i still take 50mg of viciprofen. Sounds like I should get completely off the morphine. Thank you for the help
    I would beg and plead for the epidural. One of those "if I knew then what I know now" things.
    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- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

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