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Old 05-10-2009, 08:07 PM
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mmglobal mmglobal is offline
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Mark, I hope that since your surgery was 2008 that you have the a-mav... the version with the shorter keel. I have many clients with ADR revisions... not only with different ADR types, but different revision types. I've seen both successful and unsuccessful revisions in many different combinations.

The Maverick presents special issues in revision as compared to the devices with the poly core. The poly core can be removed independently, providing a great deal of extra room to remove the plates separately. You only need enough distraction to clear one keel if you wish to remove it via an oblique or lateral approach. Getting enough room to take it straight out the front requires substantial remobilization of the great vessels... hence all the discussion about risks involved in ADR revisions.

All the papers about ADR revisions are interesting, but with such varied success, both with removal of the prosthesis and revision leaving the prosthesis as an interbody spacer... I'd consider each case to be unique.

Please take everything I say with a HUGE grain of salt... while I've observed hundreds of ADR surgeries including more than a dozen revisions, I am not a doctor.

Good luck... please keep us posted on your research and progress. All the best,

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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