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| Arthroplasty Central Discuss Question regarding ADR insertion prep.... in the General Discussion forums; Have something of an odd question, and I'm not sure if it's been covered. I know that when a fusion ... |
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#1
05-07-2010, 11:00 PM
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Question regarding ADR insertion prep....
Have something of an odd question, and I'm not sure if it's been covered. I know that when a fusion is done, they apparently "prepare" the vertebrae (ie shaving down the top to flatten it out/expose the inner bone for better fuzing). When an ADR is inserted, is the same procedure used, or is the device simply inserted once the diseased disc is removed?
My apologies if this is a no-brainer, but it popped into my head recently and I was curious if such preparation does take place if it might be the cause of subsidence in some people? Just want to get everything straight in my head as I get closer to pushing forward with ADR. Thanks! Alan
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'91: Bulged L4-L5 '03: MVA = cervical whiplash APR '07: LBP + radiculopathy = severe L5-S1 herniation JUL '07: Micro-D '08-'09: Reherniation @ index level, lat recess narrowing, bilat symptoms = DDD. Several MRIs & conservative treatment (accu-, PT, chiro, massage, 3XESI, etc) SEP '09: Cervical MRI - C5-C7 bulged OCT '09-DEC 09: loss of height & water content (L5-S1) noted. 1st mention of ADR candidacy. Denied by TRICARE. MAR '10: Cervical MRI - C4-T1 now bulged. Enough already!     
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#2
05-08-2010, 10:54 AM
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ADR prep
Yes, the endplates are prepped and the neural foramen are cleared of osteophytes. The exact method varies by device type.
-tc-
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L5-S1 rupture 11/04, left leg pain for 2 wks Regular exercise/pain-free until 2007 L5-S1 degen. disease w/constant pain since 6/07 PT, ESI, SI jt injections, 3-level nerve root inj. x 2 Massage, heat, ice, TENS, etc L5-S1 Charite Jan. 19th, 2009, very happy w/decision New back pain in upper back though. Last edited by 2cool4U; 05-08-2010 at 10:55 AM. Reason: Grammar
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#3
05-08-2010, 10:27 PM
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Gotcha! Thanks TC....
__________________
'91: Bulged L4-L5 '03: MVA = cervical whiplash APR '07: LBP + radiculopathy = severe L5-S1 herniation JUL '07: Micro-D '08-'09: Reherniation @ index level, lat recess narrowing, bilat symptoms = DDD. Several MRIs & conservative treatment (accu-, PT, chiro, massage, 3XESI, etc) SEP '09: Cervical MRI - C5-C7 bulged OCT '09-DEC 09: loss of height & water content (L5-S1) noted. 1st mention of ADR candidacy. Denied by TRICARE. MAR '10: Cervical MRI - C4-T1 now bulged. Enough already!
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