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The Big File All issues not easily categorized in the above forums are here. Comments on general health, diet, "getting comfortable," and more are here. |
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#11
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Well thought out David - -- I hope this goes well for you
Best Alastair
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ADR Munich 26th July 2002 L5/S1. Aged 82 now Your best asset is your health My story is here http://www.adrsupport.org/alastair.html Thank goodness for Dr Zeegers I am painfree I am here to help,I live in the UK I now run the UK spine site and can be contacted at www.adrsupportuk.com/ |
#12
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Thanks.
At this point in time, it is pretty much a waiting game. Either Dr. Y can get me into a study of some kind, or I wait for the FDA to approve prodisc and then go that route.... David
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47 years old Surgery: 14-NOV-2006; Straubing, Germany (Dr. B.) L4-S1: Prodisc |
#13
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If I just had issues at L5/S1, I would probably take fusion, as it can be quite successful. I have been told that I have L5-S1 congenitally fused and have never had movement there. I have always been less flexible than most people I know, but lived a very active life, raquetball, softball, biking, jogging. I was active duty navy for 16 years with this condition. But the deteriorating discs at that level and the two above it put a stop to my activities by the time I was in my late 20s. With ADR still being relatively new in the U.S and the fight with insurance, I would jump on fusion if it was just that one level. But, I do not want fusion at three levels, I think that is too much range of motion lost.
Anywho, that was my thought process, just to share with you. I do believe there are many who disagree and would never choose fusion over ADR. But I have even had many well known doctors who do ADR indicate that fusion at L5-S1 can be a good option.
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Juli DDD L3-L4 on down since 1990 Surgery 9/26/05 with Dr. Bitan in NYC to complete partial congenital fusion of L5-S1 and ADR at L3-L4 and L4-5. Feeling great! |
#14
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Well, here is the other mystery. My problem disc has always been refered to as L4/L5 up until an x-ray report from early this year. It is now being refered to as L5/S1. A couple reports have indicated a transitional segment (?)which I think is where the confusion began. The NS seems to be sure it's L5/S1.
But it is causing major problems as my comp carrier fighting that it's a new injury. Needless to say, they are becoming difficult to deal with. They don't want to take responsibility. |
#15
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I personally would be more apt to believe a MRI, discogram, or CT scan than I would a X-ray when it comes to potentially diagnose DDD.
If you don't mind me asking: --Which level(s) do your recent MRI indicate as DDD? --Have you had a recent discogram? David
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47 years old Surgery: 14-NOV-2006; Straubing, Germany (Dr. B.) L4-S1: Prodisc |
#16
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The x-ray is actually where the confusion began. An MRI a few months later refer to L5/S1. So between the MRI and the NS, I'm inclined to think it is L5/S1.
I've actually never had a discogram nor was it ever suggested. |
#17
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I apologize, because now I think that I am a bit confused....
Are you saying that you had a laminectomy in 2002 on the L4-L5 level, and now you have issues with L5-S1, or are you saying that your issues have pretty much always been with L5-S1? Thanks. David
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47 years old Surgery: 14-NOV-2006; Straubing, Germany (Dr. B.) L4-S1: Prodisc |
#18
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I'm a bit confused as well.
I did have the lami on L4/L5 in 2002. Which it has been. Now it's being called L5/S1. What I was told by the NS is that no matter what it's being called, the prior surgery and new problems are the same area. It's a natural progression. It just depends on who's reading the films and how they count the vertebrae. All surrounding discs are healthy. It all stems from this "transitional segment". |
#19
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I agree. I am still confused.
But.... I am not a neurosurgeon nor an orthopedic surgeon. Perhaps someone like Mark / Alastair / Juli will show up again shortly and have something else to add to the conversation... David
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47 years old Surgery: 14-NOV-2006; Straubing, Germany (Dr. B.) L4-S1: Prodisc |
#20
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Me too. So far, no matter who explains this to me, I can't quite understand it.
All I know is that this confusion is giving the comp carrier ammo to dispute it. |
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