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Old 12-22-2006, 02:39 PM
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mmglobal mmglobal is offline
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Blair,

It's hard for me to imagine a facet stuck in a subluxated position. If it were subluxated, I would expect the pain to be more than you could tolerate and that they would be resolving the subluxation with external manipulation.... possibly even manipulation under anesthesia. If it were to remain subluxated or continue to find it's way into a subluxated position, then I would suspect that there was a substantial instability and structural issue... possibly a fracture, blown ligament, blown facet capsule, or ??? My guess is that this would ultimately result in treatment that is a step further than ADR, like posterior stabilization or fusion.

I do know people who have required stabilization after ADR. Each case is quite unique... some have done well and some have not. In the cases where the indications were clear, they have done well.

Mark
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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!
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