Such a high percentage of problems w/spine surgery have to do with our inability to understand the relationship between the pathology seen on the films and the pain generators. As Dynesys has unfolded in the past several years, I've been wondering how it's all going to shake out. It's a technology that appears to be a much easier surgery than ADR, but it is a motion limiting device, not a motion preserving device. Because of this, many of the surgeons who are committed to motion preservation consider Dynesys to be something applied further down the line than ADR. Others consider it an easy fix to a complex problem... and have some success with it.
I have many clients with Dynesys... some with excellent success and some with much less. Many of the 'less than successes' have experienced the dramatic reduction in leg pain, but no help with the low back pain. The hope that the surgeons have is that even though the painful disc is left in place, offloading the posterior annulus and reducing motion will relieve or reduce the LBP.
Nigel, would you mind starting a thread to discuss your Dynesys experience? DDavie, would you do the same? Your experiences will be important to anyone researching dynamic stabilization, as has Lynettes. They tend to get lost when embedded in another long thread.
DDavie, did you have discography, or has it been suggested as a next step?
Mark
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