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  #11  
Old 01-15-2013, 08:30 PM
JeffR JeffR is offline
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Join Date: May 2012
Posts: 356
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Quote:
Originally Posted by bruceminer View Post
I've also read that fusion is a reliable option to ADR for the L5/S1 level as this disc level does not provide much movement. Any thoughts?
Bruce,

My understanding is that a fusion for L5-S1 is a viable option IF L4-L5 IS BEING REPLACED WITH AN ADR ALSO, e.g. this option was offered to me at the Texas Back Institute (I opted to get M6s for all three of my discs with Dr. Clavel). AFAIK just getting a fusion at L5-S1 would leave you susceptible to adjacent disc disease but I am not a doctor. You probably want to get the opinions of some ADR surgeons who do both (e.g. Clavel) on that.

-Jeff
__________________
Lifelong history of back issues from a young age, spasms etc.
1995 - Weightlifting injury
1997 - Hip Injury
2009 - Trampoline injury (just bounced down on my butt)
2009-2011 Physiotherapy and medication, progress but no lasting pain relief
2010 - X-Ray DDD L5-S1, L4-L5, L4-L3
2010 - MRI Herniation L5-S1, Bulges L4-L5, L4-L3
2011 - Epidurals - No relief
2012 - Facet Injections - No relief
2012 - Discogram TBI - positive L3-S1

L3-S1 ADR M6-L w Clavel 11/28/2012
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  #12  
Old 01-15-2013, 09:18 PM
annapurna annapurna is offline
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Join Date: Dec 2004
Posts: 1,676
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Quote:
Originally Posted by bruceminer View Post
I've also read that fusion is a reliable option to ADR for the L5/S1 level as this disc level does not provide much movement. Any thoughts?
This is an unproven comment that's been debated for years. Certainly, people have done well with ADRs at L5S1. That's a proven fact. It is, however, a proven fact that it's not the motion at a given point that leads to failure; it's the forces across the structures at that point that does it. L5S1 is likely one of the most heavily loaded structures; the most if you simply count how much of the body is above it compared to other levels. I haven't seen anything done to analyze this but I'd really love to see someone show whether or not the large forces outweigh the very small movements at the level.
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Laura - L5S1 Charitee
C5/6 and 6/7 Prodisc C
Facet problems L4-S1
General joint hypermobility

Jim - C4/5, C5/6, L4/5 disk bulges and facet damage, L4/5 disk tears, currently using regenerative medicine to address

"There are many Annapurnas in the lives of men" Maurice Herzog
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