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iSpine Discuss My 3 mo X ray - Discs tilted all over the place in the Main forums forums; Steve, I'm glad to hear you came through your revision with flying colors! I hope all remains well with ...

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Old 10-01-2009, 11:36 PM
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Steve,

I'm glad to hear you came through your revision with flying colors! I hope all remains well with your recovery. Just remember one thing........DON'T OVERDO IT!!!!!

Best wishes,

Bob
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04/06 L5/S1 Rupture
05/06 MRI shows DDD @ L2-S1
06/06 Diskectomy/ Laminotomy L5/S1
04/07 Recurrent Disc Surgery L5/S1
3 Ortho and 1 Neuro Surgeon, 3 MRIs, 1 EGM, 1 Myleogram & 11 EDIs later:
03/27/09 Maverick ADR at L4/L5 & L5/S1
03/27/09 The Lord and Dr. Ritter-Lang returned my life to me.
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Old 10-02-2009, 02:35 AM
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Steve,

Glad to here your doing so well. Keep it up and take it easy. I mentioned some time ago that I met a couple of 4 level cervical fusion patients. Both of them where doing great no post op pain or problems. You could barely tell any left to right rotation issues. They did have a bit of limit up and down. But overall very happy and normal.

I hope that others will follow your story and learn. There is a place for fusion as well as ADR. There is also a place for less invasive techniques such as foraminotomies and partial discectomies which should be the first surgical choice if possible.
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Old 10-02-2009, 03:16 AM
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Wow! Thanks for telling me that Bill. Good to hear then.
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2/26/09 - c4-c7 3 level ADR Prodisc Nova with Dr Bertagnoli. 100% success.

9/22/09 -Dr B opened me up to find a staph infection was eating my vertebrae causing ADR subsidence. Had to remove all 3 ADR's and convert to 3 level fusion. Mostly pain free 2 weeks post op.

9/20/10 - I think I jinxed myself. As soon as I told dr b and dr Sullivan I was doing well (on 6/1/10) I tanked and have experienced the return of pain. My neuro says the new pain is at t4.
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Old 10-08-2009, 01:31 AM
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I just found out that I actually got a corpectomy done after all. I noticed it on my discharge papers. I was confused because I specifically recall dr B saying "the good news is that we didnt have to do the corpectomy". I guess he meant, we didnt have to do 2 corpectomies as the dallas surgeon recommended. So I got a corpectomy at C5 and fusion at C4-7.

I immediately did some research into long term outcomes of corpectemies including many multi level corpectemies and it looks very good. It seems the danger in corpectemies is only during the surgery. But prognosis is that they hold up quite well. I just need to fuse well now. Basically, that infection ate my C5 vertebrae for breakfast, lunch, and dinner!! Darn critters.

I asked for, and will be granted a bone stimulator to aid in fusion. Bone stimulators are controversial as Dr B and this american doc dont think they really work. But I reserached on google for many hours and clearly, there is evidence that they do indeed work, but only in speeding up fusion. Studies seem to show that fusion without bone stimulators simply take alot longer. For me, the sooner I fuse the more free I will feel. Psychologically, I feel I wont have to worry about neck movements once Im fused, so Im all for anything that speeds it up. Plus, when I peruse back boards, it seems to me that 50% of the docs out there DO BELIEVE in them, so go figure. I wonder why half of the doctors say yes t hey work, and the other half say no they dont work. How can this be???? Are they reading the same studies?

At 2 weeks post op, I am able to fast pace walk 20 mins with no limp at the hip bone graft site, only minor ache. Im able to sit and work at my computer for unlimited hours it seems, only minor aches in my neck. I feel I could go back to work already for real. Im amazed. Maybe it's dumb luck or because of the work of Dr B. They say he is a master carpenter, and his name is immediately recognized by all 5 docs Ive been to! Hell, even my cousin's husband who sells medical devices knew his name too. Unbelievable. So Ill hang out at home for 1 more week and then start back to work. Been cleared for driving since Im doing so well so far. My only worry at this time is to have a successful fusion.
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2/26/09 - c4-c7 3 level ADR Prodisc Nova with Dr Bertagnoli. 100% success.

9/22/09 -Dr B opened me up to find a staph infection was eating my vertebrae causing ADR subsidence. Had to remove all 3 ADR's and convert to 3 level fusion. Mostly pain free 2 weeks post op.

9/20/10 - I think I jinxed myself. As soon as I told dr b and dr Sullivan I was doing well (on 6/1/10) I tanked and have experienced the return of pain. My neuro says the new pain is at t4.
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Old 10-08-2009, 02:30 AM
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Steve, I'll be interested to see more about your new configuration. Sadly, the language of the surgeons is not always precise. Some surgeons use terms differently and it's frustrating to know what the terms are, but still be unable to decipher what was done.

I'm wondering if someone is referring to a partial corpectomy as a corpectomy? Is the entire vertebral body removed or just part of it? The hardware required would be completely different.

It sounds like you are making great progress. Keep it up and keep us posted.

Mark
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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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Old 10-08-2009, 03:54 AM
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Excellent point!! Maybe it was only partial. I'll email the asst doc and see what she says. I've bombarded her with emails lately so I'll wait a while before asking. Hey mark, maybe you can ask dr b for me the next time you run into him. Dr b knows I share everything with you, maybe you'll understand what they did to me better than I can. You're good at translating these medical terms into English for us. : )

The paperwork says c5 c6 corpectomy with iliac bone graft harvest and vectra cervical plate from c4-c7.

A partial corpectemy would make sense cause I swear I heard dr b tell me that the good news was that there was no corpectomy done and that I got a 3 level fusion.
__________________
2/26/09 - c4-c7 3 level ADR Prodisc Nova with Dr Bertagnoli. 100% success.

9/22/09 -Dr B opened me up to find a staph infection was eating my vertebrae causing ADR subsidence. Had to remove all 3 ADR's and convert to 3 level fusion. Mostly pain free 2 weeks post op.

9/20/10 - I think I jinxed myself. As soon as I told dr b and dr Sullivan I was doing well (on 6/1/10) I tanked and have experienced the return of pain. My neuro says the new pain is at t4.

Last edited by steve55; 10-08-2009 at 04:04 AM.
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Old 10-08-2009, 05:44 PM
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Hey Steve,

Way to go. Glad you're feeling so good. It's been a long time coming.

A 70+ friend broke her arm in 7 places. She wasn't healing well until using the bone stimulator. Then she kept on getting infections and had to wear an intravenous anti-biotic machine for 24/7 until she starting sitting in the sun for 10-15 minutes daily. Just a thought.

Dale
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