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Choosing ADR or fusion
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| iSpine Discuss Choosing ADR or fusion in the Main forums forums; Dr. Regan won't consider an ADR at one level b/c it's such a mess. Sharman, I'm ... |
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05-16-2008, 01:32 AM
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Dr. Regan won't consider an ADR at one level b/c it's such a mess.
Sharman, I'm sorry I missed your response but glad I found you again. I was just talking about adjacent segment syndrome, if it could be stopped 'half-way", and voila, I saw this important post. Thanks all for the info. 
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05-18-2008, 07:52 PM
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thanks for info and advice
thanks for the info and advice, i dont seem to get many replys on this site and this was encouraging.
i now have an app on the 4th of june to discuss which operation i will be having although still waiting on date for the op itself!!!!!!!!!! but as soon as he said he'd op i mentioned adr and he said no out right so dont think this will be an option, he seemed quite keen on dynesys will open new thread when i get go ahead and hopefully get some advice from you all then? its hard here in the uk as for the time diff but have found this site really helpful just reading other peoples experiences. thanks again x 
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05-18-2008, 09:13 PM
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Wendy... I'm looking foward to hearing what your doc has to say. Dale's point is well taken, that the recommendation for or against ADR often has to do with many factors, including comfort level of the surgeon, what his/her hospital will allow, how different procedures are reimbursed, etc...
As for no ADR w/less than 50% disc height... that sounds like a hard and fast rule in a place where each case is different. Here are my wife's pre and post-op pics... she's only 7 weeks out of 2-level ADR, but the severe prior disc collapse was no issue.  
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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! Life After Surgery Website President: Global Patient Network, Inc. Founder: www.iSpine.org
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05-19-2008, 02:47 AM
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That "50% disc height' rule doesn't sound right. My disc was down to 4 mm, when it should've been 21mm. Another member had his bone-on-bone, and starting to fuse when the disc was implanted. Was that the surgeon's opinion? Something from the implant manufacturer? I'd ask a whole bunch of questions about that, if I were you.
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Herniated disc lifting at age 19 Laminectomy at L4-5 in 1998, repeat in 2001 same level 13 docs, 9 PT's, 8 Epidurals, 3 trigger point inj, 1 Facet Block, 1 Acupuncturist, 3 Chiros and 1 child later, had L4-5 ProDisc placed 9-19-06 by Dr. Janssen in Denver, CO. Facet rhizo March, 2007, November 2007, January 2009 Had healthy baby boy #2 in Dec 2008 with use of some meds during pregnancy and nursing.
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