Leg Pain after ADR

[sharman]

Dr Charles Rosen has an interesting study on the internet, 24 patients suffering from back and leg pain after ADR surgery. Among the interesting things in this paper, Rosen claims that the post-ADR leg pain in these patients is due to damage to the facet joints. Rosen did revision surgeries on 5 in the group, and claims to have successfully resolved the leg pain. His revision surgeries remove the symptomatic facets and fuse with the ADR in place, using a posterior approach.

I don't seem to be able to use the URL link feature on this forum, but here it is all spelled out:
ispub.com/ostia/index.php?xmlFilePath=journals/ijmist/vol1n2/failures.xml


You often read about leg pain following ADR, usually a transient sciatica that resolves in a few months and is thought to be caused by stretching of the nerve root when the disc space is distracted during surgery. But there are some reports of leg pain not resolving after months and years. If Rosen is correct, then it seems there are two different post-ADR leg pain syndromes, one that will resolve on its own, and one that is serious, and may need revision surgery. I wonder how one tells the difference, other than time?