View Single Post
  #2 (permalink)  
Old 03-26-2010, 09:14 AM
mmglobal's Avatar
mmglobal mmglobal is offline
Administrator
 
Join Date: Sep 2006
Posts: 2,511
Default

Quote:
Plus the surgeon will re-model the facets to remove the spurring/osteophytes (then coat with bone wax) and improve their morphology
Huh? Is another surgeon talking about another surgery? This is not part of the ADR surgery.

The problem with spine is that there are no certain answers to most of the question. For some with degenerated facets, ADR will improve the kinematics and spinal balance and allow the facets to heal. For others, the facets will remain painful... only getting marginally better or possibly getting worse.

Understanding how much of your pain syndrome is facets would be important, but false positives are not rare. When I was discussing my own facet injections with a client of mine who's a pain management needle jockey and 2-level Activ-L patient, he said, "I can make your back pain better with a steriod injection into your hip!" If that injection was into a facet instead, it would generate a false positive result.

I believe if you are considering 3 level surgery, a substantial pain reduction would be great. Pain-free may not be a reasonable expectation... it would be gravy. Remember that people in thier 50's with NO SPINE PROBLEMS will still have plenty of aches and pains.

I think your history demonstrates the uncertainty of spine. Were you better after your discectomy? Better after your fusion? What would have happend if you did the foraminotomy first? If your surgeries were successful in knocking down the pain generators in order, that is very fortunate!
__________________
1997 MVA
2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
Life After Surgery Website
President: Global Patient Network, Inc.
Founder: www.iSpine.org
Reply With Quote