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| Spinal Roundtable Discuss No adr in the General Discussion forums; I saw Dr. Delamarter today and was hoping to be an ADR (lumbar) candidate and return, at least somewhat to ... |
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#1
02-15-2011, 01:44 AM
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No adr
I saw Dr. Delamarter today and was hoping to be an ADR (lumbar) candidate and return, at least somewhat to the land of the living. I was told because of the curve of my spine I was not and that I needed a three level fusion. Which I have been trying to avoid. X-rays were taken and showed a couple of the vertebrae looked as if they were touching because of the disc damage / degeneration, at least on one "corner". There are also arthritic changes. I had a bone scan done a couple of years ago and it was normal. Doesn't the spine at least somewhat straighten out when these spaces are equalized with the ADR? DR. Delamarter said I was "too far gone" for ADR. What constitues too much curvature for ADR. Thanks Much!!
    
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#2
02-15-2011, 08:21 AM
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Not sure there is a consensus on an actual degree of curvature that is too much for ADR. Mine is 7 degrees with no rotation, according to Nick Boeree in the UK, and that did not concern him. There are some horror stories on this site from people who did get ADR with more severe scoliosis, and you don't want to be one of those statistics. Maintain a healthy weight and strong core, and I'm sure you will find the fusion to improve your life. Now, what type of fusion? You may have some options there. Good luck
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Joey Sue - 46 years old 9/28/2011: Hybrid STALIF TT interbody fusion at L5-S1 and M6-L ADR L4-5 with Nick Boeree, UK - forever grateful to you Nick! Prior to the fix: Severe DDD L4-5 and L5-S1 with moderate facet degen at L5-S1, but only mild facet degeneration at L4-5. Still lurking: L3-4 Small annular tear and mild DDD, L2-3 mild DDD. Cervical discs a bit of a mess too, but no symptoms in any of these areas. http://healthyback2011.blogspot.com/
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#5
05-30-2011, 04:08 PM
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more opinions
I would definitely seek other opinions. Namely, Dr. Bertagnoli of Prospine. You can upload all of your files and they will review them for free. In my opinion he is the best surgeon in the world when it comes to ADR. American medicine is way behind when it comes to ADR, so I would recommend seeking his professional opinion as he is probably the most experienced surgeon when it comes to this sort of procedure. I'll admit I'm a little biased, but I've done plenty of research and I am 100% happy with my ADR surgery.
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#6
09-07-2011, 12:34 PM
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There are a number of other world class surgeons that I would send my MRIs out to, along with Dr. Bertagnoli.
Dr. Luiz Pimenta was my only option and I am 'drop to my knees' thankful that my situation led me to him. Many of the world's best go to him for advice, and difficult surgeries for others are often everyday occurrences for him. While his main base is in Sao Paulo, Brazil, he also works in North America. He also will give you a free evaluation of your images. Dr. (Mr.) Boeree in Great Britain is also highly regarded by his patients. (Dr. Bertagnoli has always charged for his evaluation in the past...has that changed?)
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C3/4-5/6- Mod. ant., severe posterior bulging w. nerve root compression. Sev. narrowing of spinal canal with cord compression. L4/5/S1- Mod. narrowing, bulging disc, significant hypertrophy of flava lig. Highly allergic to all metals. NEW: 3/16/2010: Successful surgery in Brazil w. Dr. Pimenta; Nuvasive NeoDisc at C5/6, and XLIF & ALIF at L4/5/S1 w. PEEK cages. No rods, screws, plates. Non-metal lumbar ADR not available at present time, so went with fusion.
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#7
09-07-2011, 05:30 PM
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if Blumenthal is telling you your spine disease is too far advanced for ADR.... then it probably is. ADR isn't a magic bullet, one-size-fits-all solution. for many people with significant bony pathology, be it scoliosis, advanced arthritis, stenosis, spondylolisthesis, or any combo of the above... fusion is really the better option. is a hybrid possible? could be, but as others above have already said, you'd have to look overseas for that.
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US non-spine MD - laid up no more!!! had recurrent annular tear L5/S1, failed everything M6L done 10/19/11 w/ Dr Clavel  getting back to my old self more and more every week!laidupdoc@gmail.com if my PM box is full The content herein represents my professional thought and opinions in a general sense only; they do not constitute professional advice or services. if you need medical advice, please consult a licensed physician.
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