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  #1  
Old 03-18-2019, 08:20 PM
ACDF 3-7 failure ACDF 3-7 failure is offline
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Join Date: Mar 2019
Posts: 2
Default PEEK non-union, need revision

Good day all,

I am the black hole of failed ACDF on two levels (of three). After having a CT spect done, I have met with two excellent Los Angeles surgeons, Robert Bray, and Alexandre Rasouli both telling me the best option if possible are two-level ADR, second best is one level ADR and one level fused again with allograft replacing the failed PEEK. One Dr. using an interbody fusion device like a zero-p and the other fusing in the normal fashion. Both basically telling me that the PEEK has failed and needs to come out. Rasouli wants to use a Prestige LP, and Bray was not so descriptive as to his product of choice for ADR.

In the little research that I could find, things look like there is a decent chance that all will come out ok, My main concern is the "Swiss Cheese" effect of having too many screws in the vertebrae. That is what is keeping me up at night.

Does anyone have experience with going from ACDF to ADR and "Swiss Cheese" effect? I have looked extensively and can find next to nothing on either.
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12/16 ACDF C3-7 PEEK used as spacers
4/18 foraminotomy to C5-6, 6-7
12/18 MRI and CT
1/19 CT SPECT showing non-union C6-7
minimum union C5-6


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  #2  
Old 03-20-2019, 01:47 PM
phillyjoe phillyjoe is offline
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Join Date: Jan 2013
Posts: 191
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Have you had a bone density test done?
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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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  #3  
Old 03-20-2019, 04:55 PM
ACDF 3-7 failure ACDF 3-7 failure is offline
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Join Date: Mar 2019
Posts: 2
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Not yet, I am going to ask the doctor next week if he is going to order one, why do you ask?
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12/16 ACDF C3-7 PEEK used as spacers
4/18 foraminotomy to C5-6, 6-7
12/18 MRI and CT
1/19 CT SPECT showing non-union C6-7
minimum union C5-6


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  #4  
Old 03-20-2019, 09:01 PM
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Harrison Harrison is offline
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Join Date: Oct 2004
Posts: 6,847
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ACDF,

The bone density of your veterbrae is important to know for any doctor to address any spinal issues. E.g., you can have an excellent T score of your femur (typical), but had TERRIBLE bone density in the target area of surgery. Why? Many of the spinal disease conditions are localized; they are often areas of poor blood flow and often involve low grade infections. Hence, tissues may be more compromised there than expected by the patient or doctor.

When you can, go here:

http://adrsupport.org/forums/search.php

Type in each of these terms, in the search box (key word or title only):

dexa scan
T score
osteoporosis

You get the idea. Lots to review through the years of posts!
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"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
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