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#11
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Discogram / Discography
Hi Charles -
Thanks so much for your note. You're right in that it does seem to make sense in my case to try to identify the pain generator and location in order to help me decide (in particular foraminotomy vs. discectomy). But the docs that I've talked to have not recommended discogram / discography. Apparently, although the info provided can be useful, there's been quite a controversy over the last few years about its real predictive value and more importantly whether it can cause damage to the discs that are being tested. Here's a 2009 report on a clinical study comparing effects by one of its now-influential critics (Dr. Caragee): http://www.medscape.com/viewarticle/710269 This was also discussed at the 2010 Spine Arthroplasty Society (SAS) meeting that Harrison just posted a great summary of (see page 29): http://www.adrsupport.org/forums/f51...members-10703/ As noted a speaker called the last 10 years "the decade of Carragee" for his numerous articles showing that discography was unreliable and caused harm. However, this led me to a follow-on discussion at SAS of a new diagnostic technique called Magnetic Resonance Spectroscopy ("MRS") that apparently has even greater sensitivity and specificity (reported on the same page noted above). I'm meeting with Carl Lauryssen in LA tomorrow and will plan to ask him about it ... Best to you, Tyler Quote:
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2010 Cycling accident tripped up an old motorcycle injury C5-6 and C6-7 disc degeneration, foraminal compromise with indentation of nerve roots causing arm pain and weakness Aug-27-2010: 2-level ADR (C5-6 & C6-7) with Spinal Kinetics's M6-C by Nick Boeree, Nuffield Wessex Hosp., Eastleigh, UK Completely off of pain meds since a few days post-op and symptom-free; have returned to cycling, climbing and all other activities (but staying off the motorcycle) |
#12
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2010 Cycling accident tripped up an old motorcycle injury C5-6 and C6-7 disc degeneration, foraminal compromise with indentation of nerve roots causing arm pain and weakness Aug-27-2010: 2-level ADR (C5-6 & C6-7) with Spinal Kinetics's M6-C by Nick Boeree, Nuffield Wessex Hosp., Eastleigh, UK Completely off of pain meds since a few days post-op and symptom-free; have returned to cycling, climbing and all other activities (but staying off the motorcycle) |
#13
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M6-c
After a lot of searching I've settled on: (1) the surgeon - Nick Boeree in the UK (2) the procedure - discectomy + ADR at C5-6 and C6-7 (3) the discs - Spinal Kinetics M6-C Only things left are to get it done (2 days to go...) and recover!
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2010 Cycling accident tripped up an old motorcycle injury C5-6 and C6-7 disc degeneration, foraminal compromise with indentation of nerve roots causing arm pain and weakness Aug-27-2010: 2-level ADR (C5-6 & C6-7) with Spinal Kinetics's M6-C by Nick Boeree, Nuffield Wessex Hosp., Eastleigh, UK Completely off of pain meds since a few days post-op and symptom-free; have returned to cycling, climbing and all other activities (but staying off the motorcycle) |
#14
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Tyler,
Congratulations on getting all of those decisions made! We all know from experience how difficult it is to make them. Please keep us posted on when you go, your surgery and recovery. 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 |
#15
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Just had two-level ADR with Spinal Kinetics' M6-C
Just had two M6-C discs implanted at C5-6 and C6-7 by Nick Boeree in the UK. So far amazing success:
http://www.adrsupport.org/forums/f47...743/#post87035
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2010 Cycling accident tripped up an old motorcycle injury C5-6 and C6-7 disc degeneration, foraminal compromise with indentation of nerve roots causing arm pain and weakness Aug-27-2010: 2-level ADR (C5-6 & C6-7) with Spinal Kinetics's M6-C by Nick Boeree, Nuffield Wessex Hosp., Eastleigh, UK Completely off of pain meds since a few days post-op and symptom-free; have returned to cycling, climbing and all other activities (but staying off the motorcycle) |
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artificial disc replacement, biofilm, cervical artificial disc replacement, infection, lumbar adr, lumbar artificial disc replacement, m6-c, mobi-c, neodisc, nuvasive, prodisc |
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