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Old 03-20-2015, 05:43 PM
Cheryl0331 Cheryl0331 is offline
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Join Date: Dec 2010
Posts: 890
Default what about heterotopic ossification?

Quote:
Originally Posted by NJ Gene View Post
You can see his evaluation on Post 28 of my thread "Need some suggestions". I did see a U.S. surgeon in Allentown, PA recently who felt that neither the M6 nor Mobi-C would be good for me since I have 2 levels of fusion at C3/C5 and would need the proper device at C5/C6 to stop the domino effect. There's extra pressure at that level because of the adjacent fusion. It's important to know that I also had two minimally invasive procedures at level C6/C7 which I'm having problems with again.

With any artificial disc, there is a risk of autofusion. Bone ultimately grows over and around artificial disc making it worthless. This surgeon felt that ProDisc or Prestige would be best in my case to reduce liklihood of this. He and other (even ones who don't do ADR) surgeons felt a CT Scan was also necessary to get a better look at level C6/C7. Since I have hardware in my neck from the fusion, it can distort some of the MRI images at that level whereas a CT Scan would not.

Dr. Bierstedt felt that no CT Scan was necessary, that when they cut me open they would see what needs to be done at C6/C7 and decide then. They also recommended the M6, which is contrary to what my surgeon said here. I felt my surgeon had good reason not to recommend M6 nor Mobi-C. I get the impression that ONZ has the attitude "M6 fits all."

I don't want to knock Dr. Bierstedt nor the M6. Many patients (quite a few on this board) have done well with him. Note that what I'm about to say has anything to do with Dr. Bierstedt or his medical team, but about his U.S. liaisons. In my opinion they are clowns. Several of them are former patients/employees of Dr. Ritter-Lang, who has a very bad reputation on this forum. These people will not volunteer any of this info. Kelli was a former patient of Ritter-Lang who happened to be "lucky". Malte was a former employee or Ritter-Lang as well. I don't know if Ken was associated with him.

The final straw in his evaluation was saying that he gives me no assurance that 2 level ADR with M6 will help existing symptoms at that C6/C7 level. However he recommends I get this anyway to preserve motion and prevent further damage.

I hope I haven't bored you to death.

Gene
First off your US surgeon can't get access to the M6-C and did they not tell you that Pro-Disc has higher rates of HO and Mobi-C has had it too...At least Bierstedt can use an M6 or the Mobi. Once he's in there he has options. It doesn't sound like you US doc does....Just food for thought.
__________________
54 yr old female 5'7" 147 lbs. non-smoker conservative treatments failed
2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor
2008 revised C4-6 donor bone, plate & screws
2009 fusion with Roi-C @ C3-4
2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prosthesis by Dr. Clavel Barcelona Spain
2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal.
2020 Revision C6-7 to a CP-ESP prosthesis by Dr. Schmitz Dusseldorf Germany
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