The indications for ADR vs. DIAM are very different. DIAM is a motion limiting device while total disc replacements like ProDisc are motion restoring and motion preservation devices.
I've not heard of ADR following DIAM (or any other interspineous spacer). If the interspineous spacer would be left in place, how much motivation is there for ADR as the interspineous spacer would be defeating the purpose of the ADR? If the spacer is removed, I wonder about the stability of the system for ADR. The interspineous ligament would have been sacrificed... does the lack of it have implications for ADR?
ALS9082... any update? (I hope you don't mind, but I'm moving this thread to the main forum.)
Mark
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