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Arthroplasty Central Discuss Hospitals and Clinics doing ADR ? in the General Discussion forums; Can I get some help? I am researching ADR. Let me start by saying I have had a previous L5 ...

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  #1  
Old 03-09-2007, 02:51 PM
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Can I get some help? I am researching ADR. Let me start by saying I have had a previous L5 S1 microdiscectomy and noe am told I have DDD at that level and maybee L4-L5 also. Need Discogram. I am trying to determine if there is a clear cut Hospital to have ADR surgury. I have been in contact with Stenum and sent them my MRI. I was told I was a canidate there. I have seen a number of posts that say to stay away from Stenum. I have not seen as many complaints from the Alpha Klinik. or am I missing something? I need advise. I anyone can help steer me in the right direction, I would appreciate it. Have a Great Day.
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Mike McManus Firefighter/EMT-I
Coon Rapids, MN Professional Firefighters Local 1935
L5-S1 Laminectomy Sept 12, 2001
Injured back at the scene of a building expolsion December 2004
Diagnosed DDD L5-S1 2006 Told I need a Fusion
Researching ADR Currently
Prodisc L4 L5 - Fusion L5 S1 December 2007
BACK to work July 2008
2 year post op and Im still playing Hockey. fell great. Best decision I ever made.
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  #2  
Old 03-09-2007, 03:17 PM
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There are a number of very bad stories concerning Stenum. There are also a number of very satisfied patients. As to whether he's a bumbler that occasionally gets lucky or a skilled surgeon that occasionally screws up is your call. There is a discussion topic on it with strongly held opinions.

Outside of Stenum, there have been few complaints with Pro-Spine and the Alpha Klinik. Pro-Spine is difficult to reach; both are expensive compared to what I've heard of Stenum. If you ask my opinion, knowing that it's opinion only, we've used both the Alpha Klinik and Pro-Spine for lumbar and cervical ADR, respectively. Zeegers at the Alpha Klinik is an artist but suffers a bit with difficult diagnostics. Bertagnoli is more of an engineer with superior diagnostic skills.
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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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Old 03-09-2007, 05:36 PM
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Just my opinion, but I would try to stay in the U.S., especially if your insurance will cover it. There are a few well respected hospitals right here in the U.S.
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Oct 2005- Repurtured L4/L5 & L5/S1
Oct 2006 -Discogram
Hybrid Surgery Feb. 21, 2007 at New England Baptist Hospital in Boston
Charite ADR at L4/L5 and Fusion at L5/S1
Workers Comp paid 100%
Feeling Great!!
Contact me with any questions either o
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Old 03-09-2007, 05:38 PM
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.....and my experience with Dr. Zeegers and Dr. Bertagnoli is quite the reverse.
Dr. Bertagnoli had no clue what to do with my lumbar problems and Dr. Zeegers nailed it.
My 2 cents,
Jeff
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15+ years back pain w/ advancing disc degeneration.
2002-2 level lumbar IDET w/ Nucleoplasty (very unsuccessful; huge setback)
Three level lumbar Charite (L3/4, L4/5, L5/S1) with Dr. Zeegers in Munich, Germany: 2/25/05 (successful)
Two level cervical Mobi-C (C5/6, C6/7) with Dr. Zeegers (successful)
Laser Facet Coagulation (left side: L3/4, L4/5, L5/S1 & sacral) with Prof. Dr. Reul (significant reduction in remnant lumbar & sacral pain)
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Old 03-09-2007, 05:43 PM
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....amd my response to Seanthefireman is that there is not a single surgeon in the US that can equal (or even approach) the level of skill of Dr. Zeegers or Dr. Bertagnoli.
Why anyone would take that risk, I will never understand. Certainly, many folks have had successful surgeries in the US, but the odds are against you from the start.
It's just the way it is, unfortunately.

Jeff
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15+ years back pain w/ advancing disc degeneration.
2002-2 level lumbar IDET w/ Nucleoplasty (very unsuccessful; huge setback)
Three level lumbar Charite (L3/4, L4/5, L5/S1) with Dr. Zeegers in Munich, Germany: 2/25/05 (successful)
Two level cervical Mobi-C (C5/6, C6/7) with Dr. Zeegers (successful)
Laser Facet Coagulation (left side: L3/4, L4/5, L5/S1 & sacral) with Prof. Dr. Reul (significant reduction in remnant lumbar & sacral pain)
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Old 03-09-2007, 06:01 PM
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Quote:
.....and my experience with Dr. Zeegers and Dr. Bertagnoli is quite the reverse.
Dr. Bertagnoli had no clue what to do with my lumbar problems and Dr. Zeegers nailed it.
My 2 cents,
Jeff
Jeff,
I would venture to say that Dr. Bertagnoli had a clue of what to do with your spine problems. No clue is quite laughable and condescending when you are taking about one of the worlds most experienced ADR surgeons--I will leave it at that.

We'll refund those 2 cents.

Quote:
....amd my response to Seanthefireman is that there is not a single surgeon in the US that can equal (or even approach) the level of skill of Dr. Zeegers or Dr. Bertagnoli.
Why anyone would take that risk, I will never understand. Certainly, many folks have had successful surgeries in the US, but the odds are against you from the start.
It's just the way it is, unfortunately.
What's with the arrogance? I understand your point. However, most people can't afford to pay for surgery overseas--heck, most people in the US have trouble even paying for health insurance.

You and I had the luxury of "not taking that risk." It is close-minded to think that everyone should (or can) do the same.

Mike--you are asking the right questions. It comes down to a personal decision. Do your research and decide what is ultimately best for you.

Good luck and if you need any help, don't hesitate to contact me.

Justin
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Old 03-09-2007, 06:10 PM
LBP LBP is offline
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Im just one of those people waiting for Ins to cover ADR but I've been reading this board for awhile. The most positive feedback in US seems to be Texas Back Institute, Dr Delamarter in LA, Dr. Bitan in NY and Dr Yue at Yale.
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Injured 9/01
Annular tears L4/5 & L5/S1
denied adr by insurance for 2 level charite as well as hybrid fusion at L5/S1 with Charite at L4/5.

New ins paid for 2 level lumbar prodisc surgery on 4/7/08 (at age 39) with Dr. Westerlund, at Core Orthop
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Old 03-09-2007, 08:30 PM
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Didn't mean to sound arrogant. Money is always an important issue, however, at this point in time, if you need surgery and you need it now, as is the case with severe disc degeneration and disability, having surgery in the US is not typically less expensive, as ADR is rarely covered in total.
Yes, it was irresponsible to say Dr. Bertagnoli was clueless as to my diagnosis; I humbly retract that statement. Dr. Zeegers was just the right guy for my case and figured out the complexities of my problems from the beginning.

Jeff
__________________
15+ years back pain w/ advancing disc degeneration.
2002-2 level lumbar IDET w/ Nucleoplasty (very unsuccessful; huge setback)
Three level lumbar Charite (L3/4, L4/5, L5/S1) with Dr. Zeegers in Munich, Germany: 2/25/05 (successful)
Two level cervical Mobi-C (C5/6, C6/7) with Dr. Zeegers (successful)
Laser Facet Coagulation (left side: L3/4, L4/5, L5/S1 & sacral) with Prof. Dr. Reul (significant reduction in remnant lumbar & sacral pain)
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Old 03-09-2007, 10:18 PM
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If we're talking a one-level here, I strongly believe you can get surgeons as good here as overseas. Now, were I talking a 3 (or 6!) level, I'd be calling Germany. `Course-I can only say this out of my own experience. I found a great surgeon in Denver, so I'll stand by my opinion that American docs are just as good. It's just a question of experience. They haven't been doing multiple levels here long enough to catch up to overseas, but I think that the difference (depending on the surgeon of course) with singles is negligible. Would I think this if my single-level hadn't been a success? Probably not. Do I have any info besides myself? One nurse (!) by the same doc with a 2 level who had -0- pain 6 weeks post-op and still does. So I'll just spout that opinion and shut up now.

"In association with the Spine Education and Research Institute, the Center was one of 19 research facilities conducting the ProDisc®-L total disc replacement study and performed more spine arthroplasties (disc replacements) than any other clinic in the Western U.S." www.centerforspinaldisorders.com

-Just my little plug for my surgeon since Texas seemed to be getting all the attention
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Laminectomy L4-5 1998
Relief X 2 yr
Repeat L4-5 2001
Relief X 1 yr
DDD pain 2 1\2 years
13 Docs, 9 PT's, 3 Chiros, 8 Epidurals, many injections, and one child later...
Prodisc placement L 4-5 Sept 2006
Facet Rhizolysis L4-5,L5-S1 March 2007, Nov 2007, Jan 2009
Second child arrived Dec 2008!
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Old 03-10-2007, 12:45 AM
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I don't want to butt into this conversation, but money was the ONLY reason I stayed in San Francisco. I still warn about being very cautious looking for ProDisc surgeons. However, I think post-op care is just as critical as the operation itself. I'm leaning on moving to L.A. just to find better care.
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1/2006 DDD L5/S1

Prodisc St. Mary's 12/2006 not diagnosed properly pre-op and now have DDD L4/L5, facet calcification L5-S1/L4-L5, mild scoliosis and left knee pain. DDD: C3 through C6
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