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Forum: The Cutting Edge 08-10-2022, 09:30 AM
Replies: 4
Views: 219
Posted By annapurna
I don't know of anyone performing...

I don't know of anyone performing fluoroscopic-guided regenerative injections into facets and the guidance is what it'd take to accurately inject inside the facet join capsule. That said, there's...
Forum: The Cutting Edge 07-19-2022, 05:47 PM
Replies: 4
Views: 219
Posted By annapurna
Neither Laura nor I have had it but you might...

Neither Laura nor I have had it but you might also check into a trial that was going on in Austin and Grand Cayman, started out of Grand Cayman, for a device that incorporated both ADR and facet...
Forum: New Member Introductions 07-09-2022, 11:07 AM
Replies: 18
Views: 986
Posted By annapurna
I think Cheryl0331 is the person who was revised...

I think Cheryl0331 is the person who was revised by Dr. Schmitz, https://www.adrsupport.org/forums/showthread.php?t=14123.

There's a clinic in Austin participating in a trial for the combined...
Forum: International Assistance 06-29-2022, 03:09 PM
Replies: 1
Views: 273
Posted By annapurna
Doing a revision isn't the same thing as putting...

Doing a revision isn't the same thing as putting the device in an untouched spine. I'd ask specifically about how many revisions they've done. Scarring from the first procedure will make...
Forum: New Member Introductions 06-29-2022, 08:59 AM
Replies: 18
Views: 986
Posted By annapurna
Bertagnoli may use a ligament sparing technique...

Bertagnoli may use a ligament sparing technique but you still need to remove some of them to access the spinal disks. Depending on the approach used for your fusion, that may be moot because the...
Forum: New Member Introductions 06-28-2022, 08:29 AM
Replies: 18
Views: 986
Posted By annapurna
Before you consider revising fusions to ADR, I'd...

Before you consider revising fusions to ADR, I'd still (following up on part of my PM to you) recommend some kind of digital motion x-ray to assess your current cervical instability. ADRs are...
Forum: New Member Introductions 05-07-2022, 08:38 PM
Replies: 45
Views: 4,404
Posted By annapurna
Consider increasing your dosage of Vitamin C. ...

Consider increasing your dosage of Vitamin C. Too much and you'll end up with some GI distress but it is water soluble and should therefore not build up beyond what your system can handle. Laura...
Forum: New Member Introductions 05-05-2022, 09:03 AM
Replies: 45
Views: 4,404
Posted By annapurna
It's great news that things went well and you got...

It's great news that things went well and you got the revision to ADR you wanted. With the mix of drugs you're currently on, I'd be careful about adding Celebrex to it, especially on your own. ...
Forum: New Member Introductions 04-25-2022, 09:02 AM
Replies: 45
Views: 4,404
Posted By annapurna
If you do go forward with the operation, I'd...

If you do go forward with the operation, I'd strongly suggest a very careful rehab plan. Any muscle attached or working through the fused level that's being revised to an ADR will have spent a year...
Forum: New Member Introductions 04-22-2022, 09:24 AM
Replies: 45
Views: 4,404
Posted By annapurna
Osteolysis was a hotly debated and much-monitored...

Osteolysis was a hotly debated and much-monitored topic when the Charite and Prodisc were the only disks available. Basically, the theory that says it should be happening with ADRs but the practical...
Forum: New Member Introductions 04-14-2022, 09:36 AM
Replies: 45
Views: 4,404
Posted By annapurna
Yes and no. I ended up with partial tears to a...

Yes and no. I ended up with partial tears to a ligament in back of both hands. Surgery was said to be about 25% successful repair full tears and much less at improving the condition for those with...
Forum: New Member Introductions 04-13-2022, 10:01 AM
Replies: 45
Views: 4,404
Posted By annapurna
To take this to an extreme: if you don't revise...

To take this to an extreme: if you don't revise your fusion to an ADR AND you do, at some future time, end up with adjacent segment damage, you can get those adjacent segments replaced with ADR for a...
Forum: New Member Introductions 04-12-2022, 09:37 AM
Replies: 45
Views: 4,404
Posted By annapurna
Unfortunately, I don't has as much to offer about...

Unfortunately, I don't has as much to offer about your questions. Some truisms to offer and then a speculative conclusion: (1) The cervical spine is less prone to adjacent segment problems than the...
Forum: New Member Introductions 04-10-2022, 03:10 PM
Replies: 45
Views: 4,404
Posted By annapurna
Stem cell follow-up - I don't know how well your...

Stem cell follow-up - I don't know how well your spoken English is (your written English is good) but there will be a meeting of the American Association of Orthopedic Medicine in early May,...
Forum: New Member Introductions 04-06-2022, 08:14 PM
Replies: 45
Views: 4,404
Posted By annapurna
Prodisc C Nova vs. ESP - I don't really know...

Prodisc C Nova vs. ESP - I don't really know which disk is better for any given criteria of better. I know Bertagnoli's spent over a decade perfecting his technique with the Prodisc so it's likely...
Forum: New Member Introductions 04-06-2022, 10:08 AM
Replies: 45
Views: 4,404
Posted By annapurna
I don't have the knowledge to help with revision...

I don't have the knowledge to help with revision of a fusion to ADR. It used to be extremely difficult and chancy but that knowledge is at least a decade old and may be out of date now. To pick...
Forum: New Member Introductions 03-22-2022, 09:05 AM
Replies: 15
Views: 2,276
Posted By annapurna
Are you requesting recommendations for who to go...

Are you requesting recommendations for who to go to for surgery or better means to travel to ONZ? Clavel and Bertagnoli come to mind as long-standing options for surgeons.
Forum: New Member Introductions 03-20-2022, 11:23 AM
Replies: 15
Views: 2,276
Posted By annapurna
When Laura and I checked 15-ish years ago, at the...

When Laura and I checked 15-ish years ago, at the time of our last surgery in Germany rather than the US, it was significantly cheaper for a cash-pay patient to get surgery from a package deal clinic...
Forum: New Member Introductions 03-16-2022, 09:07 AM
Replies: 15
Views: 2,276
Posted By annapurna
One practical recommendation: Several of the...

One practical recommendation: Several of the European spine surgeons and their clinics are notoriously slow in replying to inquiries. If it doesn't strain your resources, you might try sending...
Forum: New Member Introductions 03-15-2022, 05:27 PM
Replies: 6
Views: 1,373
Posted By annapurna
While it's not my spine, I'd hesitate to regard...

While it's not my spine, I'd hesitate to regard the steroid injections as anything more than a way to control pain and numbness while you looked for a more permanent solution. Too many injections...
Forum: New Member Introductions 02-23-2022, 09:03 AM
Replies: 6
Views: 1,373
Posted By annapurna
If you reword your question to, "Should I have...

If you reword your question to, "Should I have surgery to improve my quality of life?" it's a lot easier to answer. That's always a reason to consider the next step up in intervention; surgery in...
Forum: New Member Introductions 02-14-2022, 03:17 PM
Replies: 9
Views: 5,082
Posted By annapurna
I don't have the skill to comment on your films...

I don't have the skill to comment on your films or situation with instability but your idea of getting a few other opinions on the subject sounds like the smartest thing you could do. European...
Forum: New Member Introductions 02-13-2022, 11:50 AM
Replies: 1
Views: 755
Posted By annapurna
I'm not sure if the fact that you've got an...

I'm not sure if the fact that you've got an orthopedic surgeon vs. a neurosurgeon is worth worrying about. I'm not too surprised about the lack of people doing ADR surgeries, though. Many people on...
Forum: New Member Introductions 02-13-2022, 11:46 AM
Replies: 2
Views: 772
Posted By annapurna
- Is there any reason in waiting to do this...

- Is there any reason in waiting to do this procedure?
Yes and no. Damage to your spine from having a damaged spinal disk goes beyond the disk. Facets, particularly, can take a hit from the...
Forum: New Member Introductions 02-13-2022, 11:45 AM
Replies: 2
Views: 772
Posted By annapurna
deleting double post

deleting double post
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