Forum: iSpine
03-15-2008, 09:25 PM
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Replies: 8
Views: 3,772
Good luck
Allan, I am sorry that your condition is so bad. Still, the fusion/ADR hybrid looks like a good surgery. You get the ADR protection for the rest of the spine, and at L5/S1, you are not trying to...
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Forum: iSpine
03-14-2008, 09:53 PM
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Replies: 8
Views: 3,772
Ugh
I hate bad grammar. "Anterior" is an adjective, not a noun. Let's make that "if accessed via an anterior approach"
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Forum: iSpine
03-14-2008, 09:52 PM
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Replies: 8
Views: 3,772
I've thought about that
If the operated level is easily accessed, like L5/S1, I wouldn't be too worried about the keel vis a vis a revision. The few reports I've read about revisions on keeled discs, they appear to be easy...
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Forum: iSpine
03-09-2008, 06:00 AM
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Replies: 3
Views: 5,818
Interested to hear more
Marty, I am very interested in what you and your doctor think those results mean. You did have pain at L4/5, but the doctor does not recommend an ADR. He thinks that level is negative, or is...
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Forum: iSpine
01-27-2008, 04:59 PM
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Replies: 1
Views: 3,079
Facet Disease
What does it look like? What do healthy facets look like?
When I look at my MRIs, I can see what's going on with my discs. I see black discs, I can see how much height is left, I can see if...
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Forum: iSpine
01-13-2008, 06:18 PM
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Replies: 10
Views: 4,716
Entertainment
Further to the subtopic of entertainment. I laboriously taped 100 DVDs from tv for my trip and managed to ruin them all. So I was forced into books-on-iPod by default, and I really loved that. ...
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Forum: iSpine
01-13-2008, 02:34 AM
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Replies: 10
Views: 4,716
If you're not too tall
If you're not too tall, I found a way to be very comfortable.
3 seats coach, together. It's cheaper than one seat business class. You can book good fares a month or so in advance, unlike...
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Forum: iSpine
01-05-2008, 02:40 AM
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Replies: 7
Views: 5,366
Oh also, may I ask you a question, e-gal?
...
Oh also, may I ask you a question, e-gal?
You said that scarring from a discectomy and IDET complicated your ADR surgery with Bertagnoli. Meaning, scarring of the annulus? I've heard that...
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Forum: iSpine
01-05-2008, 02:13 AM
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Replies: 7
Views: 5,366
E-Gal, thank you for the input.
Certainly...
E-Gal, thank you for the input.
Certainly seems that, if you had a positive response to facet injections, then the facets are causing some or all the leg pain. Did you read Rosen's article, and...
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Forum: iSpine
12-09-2007, 09:18 PM
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Replies: 7
Views: 5,366
Leg Pain after ADR
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...
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Forum: iSpine
12-01-2007, 06:03 PM
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Replies: 8
Views: 4,203
Mind if I ask a lot of questions?
Blair, I'm so grateful to you for sharing your difficult experiences. I hope you don't mind me asking a lot of questions.
I know you said that your facets started to go a few months after the ADR...
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Forum: iSpine
12-01-2007, 05:46 PM
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Replies: 35
Views: 9,657
Good explanation
Thanks, Mark, that makes sense. I have read that autologous bone has a higher chance of success than allograft, and certainly can understand why BMP might be a risk in a hybrid.
The hybrid sounds...
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Forum: iSpine
11-30-2007, 01:23 AM
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Replies: 35
Views: 9,657
Question
I'm so glad to hear that you're improving. Just three weeks after a hybrid surgery, that's very good news.
Can I ask a question? Why did Zeegers choose autologous bone graft?
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Forum: iSpine
11-25-2007, 07:47 PM
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Replies: 4
Views: 5,052
ADR-Damaged Facet Syndrome
ADR-Damaged Facet Syndrome (ADFS). If an acronym hasn't been coined yet, this is my suggestion.
Like everyone considering ADR surgery, I'm sobered by the conventional wisdom that ADR is hard on...
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Forum: iSpine
11-14-2007, 02:11 AM
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Replies: 53
Views: 12,927
Hunh!
This is really interesting, and I sure would appreciate hearing your reactions.
And in particular, does any one know what the hell a "non-inferiority margin [of 10%/12%]" is?
Check out this...
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Forum: iSpine
11-03-2007, 06:53 PM
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Replies: 53
Views: 12,927
ans
Wouldn't you know, I had to google to...
ans
Wouldn't you know, I had to google to find your thoughtful posts, a few months ago, on the subject I'm pondering now.
For what it's worth, here are my thoughts about one of your options,...
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Forum: iSpine
10-30-2007, 12:42 AM
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Replies: 53
Views: 12,927
Thank you all so much for the invaluable input...
Thank you all so much for the invaluable input and, of course, kind words. I'm looking forward to thinking about what you've said, googling a bit, and then talking to you all more specifically. ...
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Forum: iSpine
10-27-2007, 05:56 PM
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Replies: 53
Views: 12,927
Choosing ADR or fusion
I am considering whether to do ADR or fusion at L5/S1. I probably wouldn't consider fusion at all, but for this being a single level, and the level where (I believe I've heard) preserving motion is...
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Forum: iSpine
04-26-2007, 05:33 AM
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Replies: 14
Views: 5,085
Tell us
I'm glad you posted, as I am very interested in this new stuff.
What was your problem going in to this--leg pain, back pain, both? What kind of improvement, and how soon did you get the...
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Forum: iSpine
02-26-2007, 03:20 AM
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Replies: 10
Views: 5,498
Wish I had something constructive to offer
I surely know nothing about fusion. When you ask if you are 'too far gone' for the newer technologies, obviously you're not talking about the levels that have already been fused, right? I would...
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Forum: iSpine
02-19-2007, 07:07 PM
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Replies: 10
Views: 5,498
Final further thoughts
V More Stuff on ADCT
Finally, some thoughts and issues and new developments with ADCT.
When you are doing ADCT not in conjunction with a disectomy, the first question is where to harvest the...
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Forum: iSpine
02-19-2007, 07:03 PM
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Replies: 10
Views: 5,498
More further thoughts
III Thermal annuloplasty/ablation of granulation tissue
A normal disc is avascular, has no blood supply and, as previously noted, only the outer third of the annulus is innervated (has nerve...
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Forum: iSpine
02-19-2007, 06:59 PM
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Replies: 10
Views: 5,498
Further thoughts
Amazingly enough, I have one more long part to this already interminable piece. This part will talk about combining ADCT and PDN with other therapies. (May be split up, due to post length limits)
...
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Forum: iSpine
02-13-2007, 11:21 PM
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Replies: 10
Views: 4,462
Sorry to hear it
Maria, I'm sure we can all relate. When you're lucky enough to see some improvement, it's so hard to go downhill again.
It's a miserably tough decision, to pull the trigger on major surgery. I...
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Forum: iSpine
02-13-2007, 03:04 AM
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Replies: 10
Views: 5,498
Part IIIb
RISKS
1) How much trauma is caused by the implantation procedure (remember, the annulus is left in place).
The ADCT procedure is very minimally invasive. I believe both the harvesting and...
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