View Single Post
  #9  
Old 07-27-2016, 04:16 PM
nasakido's Avatar
nasakido nasakido is offline
Senior Member
 
Join Date: Jun 2016
Posts: 127
Default Diagnosis Consensus

Well, I have received a full diagnosis report from Dr. Ritter-Lang and Dr. Bierstedt and their synopsis is to replace my L4-L5 and L5-S1 with the M6-L. Out of the two Dr. Ritter-Lang wrote a pretty lengthy report of which I will quote a small portion here:

"L4-S1: surgical solution including removal of disc material, revision of the spinal canal and implantation of M6L-artificial disc... periradicular injection therapy L4/5 and L5/S1 on both sides will be performed to verify if a revision of the spinal canal from posterior is necessary, too. Should the decompression be required, we will do the anterior approach for the implantation of the ADR and the posterior approach for decompression in one operative session."

Dr. Bierstedt did not go into great depth, but he also wants to replace both discs with the M6-L:

"total discectomy by anterior surgical approach and disc replacement at L4/5 and L5/S1... M6-L, Spinal Kinetics."

I did not receive a full report from Dr. Clavel yet because he wants to wait for my newer tests to be done. However, here is what he says so far:

"I agree he needs surgery for L4-L5 and L5-S1 discs. But at L5-S1 I probably favour an ALIF. It is a somewhat small disc, with small facets. The left L5-S1
facet looks almost fused on the CT scan. I believe this level is too risky for an artificial disc. My preference is an anterior fusion at L5-S1 and artificial disc at
L4-L5 with the same clinical result ( very good )."

Also, Clavels assessment agrees with my two orthopedic surgeons here in the states, i.e. a Hybrid Fusion. So at least I am seeing some sort of consensus here between my surgeons and Clavel. This gives me more confidence than replacing both with the M6-L.

Dr. Bertagnoli is still reviewing my case, and I should here back from him soon.

And finally, I wait the 3 weeks for Dr. Zeegers diagnosis, as I paid him on the 22nd via wire transfer, and made sure he had all my current medical records to date.

I am not sure if much will change as far as any diagnosis goes once my new MRI, four view x-ray, and bone density scan are complete. One thing is for sure though... it most likely will show me getting worse since my last MRI six months ago. My pain and spasms are increasing every day. Today's episode knocked me off balance into my wife's arms... which is not a bad thing at all because that's where I want to be anyway. All I could do was laugh the pain away.

Most of this info can be found on my blog where I recently added a new post as of last night:

http://www.impctech.com/2016/07/this...1-sink-or.html

Coram Deo
__________________
Injury 31-7-14
MRI w/o con. 30-8-14
RT L5-S1 Discectomy w/ RT S1 Foraminotomy 21-11-14
PT (50) 20-8-14 to 04-24-15
MRI w/ con 13-4-15
XR Pelvis 08-6-15
COR INJ 02-7-15
MRI 14-11-15
Discography w/ CT-Scan 19-1-16
QME 16-2-16
XR LL 29-4-16
Bone Density (DEXA) Scan 01-8-16
XR LL 01-8-16
Metal-LTT 12-8-16
MRI 17-8-16
EKG 21-10-16
2-LVL L4-S1 ADR LP-ESP 08-11-16
XR LL 24-11-16
A-THX (24) 12-12-16 to 24-02-17
XR LL 31-01-17
XR LL 08-5-17
CT-Scan 07-6-17
Reply With Quote