Quote:
Originally Posted by Vicki_in_Florida
Just to clarify:
Zeeger's said that the L5-S1 is easier to revise than the L4-L5 because that L4 level is closer to the arteries than L5-S1.
Andy,
you can pm me.
I live in Sarasota.
If you're planning a trip over to Germany, let me know when you are going.
Maybe we can visit each other.
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Yes, I think Zeegers did say that L5/S1 is easier than L4/L5.
But for L4/L5 alone, the Pararectus Lateral Retro approach is a little safer than the mid line approach because the veins need less manipulation towards your right side to clear the disc path. (For both initial surgery or Revision)
Again this is what I have read on the Activ-L Procedure manual as well as words from Dr. Zeegers. (Activ-L "Spike" Version)
This factor may or may not be crucial to other surgeons but at least I get a little comfort from knowing this.... at least I researched and tried to understand as best I can about the different approaches
Several people here with M6 done by Bierstadt and Clavel said these two doctors claim they can remove the M6 from mid-line approach (both L4/L5 & L5/S1) with the same risks as the Activ-L's pararectus lateral removal. "Makes no difference"
For me I think I'd rather have revision from the lateral instead of Mid-line.
Just my gut feeling