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| Spinal Roundtable Discuss am i screwed? in the General Discussion forums; so as everyone knows, i had my 2nd two level disectomy and laminotomy(not a laminectemy). am i automatically screwed for ... |
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#1
12-02-2011, 09:35 PM
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am i screwed?
so as everyone knows, i had my 2nd two level disectomy and laminotomy(not a laminectemy). am i automatically screwed for chances to get an ADR? my spine doctor told me that it is always safer to do something minimally invasive first...and then consider a bigger procedure if it doesn't work out. i am now worried whether i wont be a candidate for adr. did anyone ever get a disectomy and a laminotomy and still get ADR?
sincerely raj
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2006-weightlifting accident. 2008-2 level disectomy/laminotomy. completely healed. 2010: car accident. reherneated 2011-diagnosed with two level DDD L4-L5 L5-S1 2011-ESI performed then 2 level disectomy/lami 12/11: Diagnosed with spinal infection. Currenly on antibiotics (ivy). changes in mri due to infection. rushed to the hospital. got surgical drainage and a laminectomy at l5 and another partial laminectomy at l4.     
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#2
12-07-2011, 07:26 PM
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Raj,
I am no expert, I don't know for sure if it would be an absolute contraindication for you, Dr Boeree or whoever you go with will have the correct answer. A laminotomy does sort of muddy the waters a little. Here are some meeting minutes I found from 2008 where DePuy Spine was trying to clarify the laminectomy issue. It may be a problem, especially if there is any instability. You're going to need a good set of x-rays in addition to the MRI to determine this. There are pts that have had discectomies prior to ADR, just don't know about the laminotomy part. http://www.cbs.state.or.us/wcd/rdrs/...16_08notes.pdf ML
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*C4-5 and C5-6 Mild & moderate posterior broad-based disc bulges w/small posterior end plate osteophytes, mild spinal canal stenosis. *C6-7 Broad-based posterior disc bulge w/small focal posterior central protrusion mildly indenting the anterior thecal sac, no canal or neural foraminal stenosis. *SI Joint issues, Fibromyalgia, Chronic Myofascial Pain, Neurogenic Thoracic Outlet Syndrome *Tx's-PT, 2 ESI's Interlaminar & transforaminal, 2 SI Joint steroid injections, Failed LBB for SI Joint
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#3
12-07-2011, 07:52 PM
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I don't know if you're screwed or not, but do know that your prior procedures do not contraindicate ADR or fusion.
Other lumbar patients that have posted on this site have had discectomies and/or laminotomies and gone on to receive ADR at that level. Two current posters that have posted that they fall into that category are truck54 and Ouch2. I would encourage you to look up their histories.
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C4/5 - ACDF in 2000 C5/6 - ACDF in 2002 C3/4 & C6/7 - M6 ADR, Nov 2009, Barcelona Conceded defeat to a manifestly disingenuous BCBS-TX in my quest for reimbursement, Jan 2011
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#4
12-07-2011, 08:02 PM
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I'd suspect that you'd be in trouble with any US doc trying to get an ADR after a laminotomy. It doesn't seem like it would be an absolute no-go criteria but I bet that you'll find that no insurance company would pay for it and docs will be reluctant to do it. Discetomies prior to ADR aren't a big deal and are common on this board. I'd try overseas surgeons simply from a cost and willingness to help standpoint.
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Laura - L5S1 Charitee C5/6 and 6/7 Prodisc C Facet problems L4-S1 Knee, Shoulder, Toe, Finger, Elbow Problems Jim - no spine problem but lots of other fun medical challenges "There are many Annapurnas in the lives of men" Maurice Herzog
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