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| Insurance Hell All insurance-related matters are here: Medicare, worker's compensation, appeals, denials, insights, wins, losses. PRICING is here too. Note: This forum has posts from 2006 forward. Older ones are in the Big File. |
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#1
11-14-2012, 10:11 PM
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Three or Four Level Disc Replacement
Has anyone here ever gotten their insurance companies to pay for a three or four level disc replacement in the United States? If so how did you do it?
__________________
Multiple traumas to spine starting age 13. 1st American to have 6 ADR's in one surgery. C3-4 - C/7, & L5-S1 - L3-4. Surgery w/ Dr. Clavel, 3/18/13, M6. Before surgery: severe spinal stenosis C5/C6 (cord "flattened" per stateside doc), + for Hoffman's & Babinsky's. At time of surgery: 5 yrs MAX before ending up in wheelchair. Clavel found L5-S1 partially fused. Had to cut it apart to put in M6. Please excuse brevity - SEVERE carpel tunnel. 
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#2
11-19-2012, 10:16 PM
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I don't think you can even get a thoracic ADR. The anterior approach is obscured by ribs, sternum, etc. in the way, and at the moment, C6-C7 seems to be as low as anyone will go.
The T-spine is pretty well braced with ribs and each segment has very little motion, so there's not much reason not to have a fusion there.
__________________
April '98 - Injured @ work Oct '98 - Declared "permanent and stationary" by workers' comp docs 10 years of PT and chiropractic... Oct '08 - Sudden incapacitating lumbar / sciatic pain with foot drop April '09 - L5-S1 microdiscectomy fixes foot drop and most of the pain May '11 Hey doc, I'm tired of my neck hurting... Dec '11 - C5-6 Prodisc-C July '12 - Neck is still doing well. L5-S1 is "done" - bone on bone July '13 - L4-L5-S1 TLIF Aug '13 - C7-T1 microdiskectomy
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#3
11-19-2012, 10:50 PM
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Oh wow! I didn't know that! Thank you for the heads up!
__________________
Multiple traumas to spine starting age 13. 1st American to have 6 ADR's in one surgery. C3-4 - C/7, & L5-S1 - L3-4. Surgery w/ Dr. Clavel, 3/18/13, M6. Before surgery: severe spinal stenosis C5/C6 (cord "flattened" per stateside doc), + for Hoffman's & Babinsky's. At time of surgery: 5 yrs MAX before ending up in wheelchair. Clavel found L5-S1 partially fused. Had to cut it apart to put in M6. Please excuse brevity - SEVERE carpel tunnel.
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#4
12-08-2012, 06:37 AM
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Do you know what they WOULD do to that level?
__________________
Multiple traumas to spine starting age 13. 1st American to have 6 ADR's in one surgery. C3-4 - C/7, & L5-S1 - L3-4. Surgery w/ Dr. Clavel, 3/18/13, M6. Before surgery: severe spinal stenosis C5/C6 (cord "flattened" per stateside doc), + for Hoffman's & Babinsky's. At time of surgery: 5 yrs MAX before ending up in wheelchair. Clavel found L5-S1 partially fused. Had to cut it apart to put in M6. Please excuse brevity - SEVERE carpel tunnel.
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