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#31
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Quote:
A little further research to see if the disc is still on the market and I think you are right. I only did a quick check before posting my above post and found a 2014 document suggesting a Dr Neel Anand uses it. I revisited it and it appears they are quoting old information. Thank you for taking the time to pick me up on that. It appears the device completed FDA study but the "...sponsor of the study has[had] decided not to move forward with an FDA submission for approval" If I find out any further more up to date information I will let you know. |
#32
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Here's one adverse event with the Neodisc: MAUDE Adverse Event Report: NUVASIVENEODISCNONE
Lauren, any word on next steps?
__________________
"Harrison" - info (at) adrsupport.org Fell on my ***winter 2003, Canceled fusion April 6 2004 Reborn June 25th, 2004, L5-S1 ADR Charite in Boston Founder & moderator of ADRSupport - 2004 Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006 Creator & producer, Why Am I Still Sick? - 2012 Donate www.arthropatient.org/about/donate |
#33
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Thank you everyone for you well wishes.
Yes my surgeon actually had a family emergency (death in his family) that is why I had not heard back from him. But my surgery is now scheduled for next Weds (4/30) I really wont even consider replacing this AD with another one, I believe the best plan of action is to remove it and then do a Fusion w/ cadaver bones at C4 & C5. I just feel like if it failed the first time, for whatever reason I don't want to take the risk again. Still not sure why it moved in the first place, it was fine for at least 2-3 years and then started slipping out. But I just don't feel comfortable putting another one in. My husband is in agreement. I know the fusion will put more strain on my C3 and the fusion at C5 & C6. I also know it will limit my mobility in my neck but I would always have the thought in mind .. "is it moving" ... "has it slipped again" .... You know what I mean???
__________________
Lauren - 36 Mother of 2 - 7yr old Daughter and 4yr old Son Married for 8 years 2005 - Double discectomy w/ fusion and cadaver bone at levels C5 & C6 2010 - ADR at level c4 2014 - ADR revision w/ Fusion & cadaver bones at C4 |
#34
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Lauren,
That is good news; getting the surgery scheduled one week from today. Here is a thought. You, like me, have DDD seeming moving both up and down your spine. (I have 2 ADRs and 2 fusions) One thing Harrison harps on, and I'm a little surprised that he hasn't mentioned it in this thread, is infection as a cause of DDD. Had I been aware of that specific etiology of spine disease at the time of my third spine surgery, I certainly would have had them test for an infection. I would encourage you to discuss this with your surgeon; the possibility of an undetected infection causing a domino of DDD in your spine. If that turns out to be the cause, he might have a treatment plan that will stop any further levels from incurring DDD. Congratulations on getting a surgery date, and good luck next Wednesday. We'll be pulling for you. Good luck, Jeff
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C4/5 - ACDF in 2000 C5/6 - ACDF in 2002 C3/4 & C6/7 - M6 ADR, Nov 2009, Barcelona Conceded defeat to a manifestly disingenuous BCBS-TX in my quest for reimbursement, Jan 2011 |
#35
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Jeff, yes, thanks for reminding me of the obvious -- I suppose some folks get tired of me ringing the infection bell. But it's often the cause of implant failures.
Lauren, unfortunately, most spine doctors will tell you that they know what a biofilm is, but the reality is that they don't have the diagnostic equipment, expertise, methods, time (or even interest) to test implants for biofilms that contribute to failures. Some may say, "yeah, we can have it cultured." And that's the wrong answer -- testing a device for failure is more involved than that. That's why earlier in the topic I asked about the experience of your surgeon. It's super-important that your surgeon has done a significant number of these revisions -- can you tell me how many? Though your situation seems dire, I would be wary if he did less than "X." What that number should be is often debated; but if it's less than 20 or 30 I would be concerned. If it is, pls PM me and let me know...maybe I can help.
__________________
"Harrison" - info (at) adrsupport.org Fell on my ***winter 2003, Canceled fusion April 6 2004 Reborn June 25th, 2004, L5-S1 ADR Charite in Boston Founder & moderator of ADRSupport - 2004 Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006 Creator & producer, Why Am I Still Sick? - 2012 Donate www.arthropatient.org/about/donate |
#36
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Harrison, that failed Neodisc is indeed terrible. It does though have hallmarks of being caused by an infection, and may not have been a fault of the disc itself. I recall reading about the failure of a metal disc on this forum that failed in a similar way, where the bone rotted away and it was found to be caused by an infection of the surgical site with the Staph bacteria. Well the neodisc was withdrawn from the market and there will have been reasons. I regret suggesting the Neodisc for what it is worth because I failed to research the latest and Lauren deserves better than that half-heartedness. My point, or one of them was that there are discs that have a fixing which in Laurens case might give some peace of mind about the same thing not happening again.
Lauren I understand your decision. Your previous fusions have proven to have worked well and so every reason to expect a good fusion from the revision and of course there will be no concerns about anything slipping forward again. I wish you the very best and please be very careful. Sorry to have gummed up your thread with junk posts. Personally, I think after a fright like this I would take the fusion and never look back at ADR. You know I would rather my own L4-S1 had a solid fusion than these apparent mickey mouse M6's. I think about them every time I lift anything, including my kids which I wouldn't have to do if they were fused. Yeah way to go Lauren and best wishes for the surgery. |
#37
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Brian, don't you think you'd also start to think about your adjacent level l3-l4 getting torn back eventually by fusing l4-s1 as a Mickey Mouse procedure than foresaking your mobility?
The younger you are, the more risk a fusion poses which is why I still voice my stubborn concern for Lauren getting bamboo spine of the neck at 36. Not to be mean, it's a tough spot, but I want to challenge the idea. There have been last minute fusion cancellations and switch to ADR.
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Weightlifter since 12 years old, now mid-40's and figuring out this wasn't such a good idea. Chronic back pain started in 2010 while shrugging weights that a 40 yr. old shouldn't even try. MRI in 2012 showing L4/L5, L5/S1 herniations and L2/L3 bulge. L5/S1 taking on new shape, chronic sciatica, etc. DEXA bone scan performed 5/7/14 showing mild osteopenia. Surgery performed July 9th, 2014, Dr Clavel, hybrid three level lumbar. |
#38
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Lauren,
I hope you are at peace (as much as you can be) with your decision. Ultimately, you, your husband and your surgeon need to be comfortable with it. I'm sure anyone posting here has your best interests in mind when posting their opinions. I'll be praying that you have a week of peace, and no anxiety or apprehension about your surgery. I'll pray that if this is not the right decision for you, that will be made very clear and I'll pray for a safe and successful surgery and outcome for you. Please keep us posted. Rest in the fact that there are no absolutes in this decision, no right or wrong, since no one can tell the future or predict surgical outcomes. No matter how much clinical data is out there, there is only one "life of Lauren". No one can say do this or that, your life is unique as well as your situation. Only you know what fits for you. And many many many people do great with a cervical fusion. Blessings
__________________
2004 MRI -cervical bone spur causing pain 2011 MRI -5 bulging discs at C3-7: Recommended C5-6 and C6-7 for a two level fusion, I said no thanks. 2014 MRI -progressive compression C5-7. MRI 6/5/14- Ruptured L4-5, bulge at L2-3 and L5-S1 Dr recommends discectomy of L4-5 but won't do surgery until cervical is stable 8/2014- 8 months/3 rounds of appeals, Aetna denies 2 level cervical ADR 2 level ADR w/ mobi-c C5-7 Jan 7, 2015 |
#39
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Quote:
If I was fused at L4 to S1 and required surgery later on at L3/4 I would have an ADR. If I did that and it slipped forward and I was lucky to still be alive I would have it fused. Quote:
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#40
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I appreciate EVERYONE's opinion. That is why I post here. To learn things I may not know.
I want to thank everyone again for your well wishes and your advice!!! No matter which way we decide to go, you have all give me food for thought!!!! THANK YOU!!!!!
__________________
Lauren - 36 Mother of 2 - 7yr old Daughter and 4yr old Son Married for 8 years 2005 - Double discectomy w/ fusion and cadaver bone at levels C5 & C6 2010 - ADR at level c4 2014 - ADR revision w/ Fusion & cadaver bones at C4 |
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disc replacement complications, post-op complications |
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