I am trying to remember in my case, but I believe that Clavel provided his report and recommendations without charge, and then only a charge for the first skype. I also recall that I could have an additional skype without further charge if I had follow up questions, which I didn't due to his attention to detail on the first one, and its substantial length.
Fusion isn't the end of the world, but I would certainly be worried that a second fusion would have no better bone growth than the first one, unless the cause for the non union is first identified. Is this simply a question of needing more time, forteo, or growth stimulation?
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Pre Surgery:
C3-C4:Mild disc osteophytes. Mild-moderate right facet arthrosis. Mild right foraminal stenosis.
C4-C5:Midline central disc protrusion, significant. Mild canal stenosis.
C5-C6:Moderate disc osteophytes. Mild-moderate canal stenosis. Moderate-severe bilateral foraminal stenosis.
C6-C-7:Mild-moderate disc osteophytes. Mild canal stenosis. Moderate left and moderate-severe right foraminal stenosis.
June 29,2016-3 level M6 (C4-C7) Dr. Clavel Barcelona
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