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New Member Introductions If you just joined, please introduce yourself here. Please add a signature describing your spinal history (use the "User CP) and ask us how we can help you get started.


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  #21  
Old 10-15-2015, 02:57 AM
TomN TomN is offline
Junior Member
 
Join Date: Sep 2015
Posts: 20
Default Confused

Yeah, I've been told I have both instability and irritability, and haven't seen either one clearly on any MRI, with several doctors looking at them with me. I think I just haven't seen the right Dr. yet who knows exactly what's wrong and knows exactly what the fix is. I made an appt with a guy who comes highly recommended here in LA, Dr Khoo. He has an impressive background and helped my dad's friend when he couldn't get any answer from other doctors. Maybe he can shed light on my case and show me the problems on my MRI's.

I'm beyond frustrated and confused after 6 surgeons who have varying opinions regarding the reason my feet go numb when I look down.

Thanks Simeoni!
Hope you feel better!
Tom
__________________
46 year old male - 155 lbs, healthy
Whiplash December 2014.
C6/7 has degeneration, bulging disc/cord compression, 2mm foraminal narrowing right side.

ACDF C6/7 November 2, 2015

Currently dealing with possible non fusion C6/7 and adjacent segment failure at C7/T1.

Considering ADR C7/1
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  #22  
Old 10-15-2015, 06:47 AM
Romakis's Avatar
Romakis Romakis is offline
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Join Date: Jan 2015
Posts: 197
Default

Did you ask Dr. Clavel?
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46yo, DDD of L4-S1. Microdiscectomy L5-L4 in 2014. L4-L5-S1 M6 ADR with Dr. Clavel - June 2015.
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  #23  
Old 10-15-2015, 08:07 AM
Cheryl0331 Cheryl0331 is offline
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Join Date: Dec 2010
Posts: 870
Default what they won't tell you though

Quote:
Originally Posted by TomN View Post
Thank you Cheryl.
I will send my films to more surgeon over there for sure. What will haunt me is how Dr Watkins said fusion is the safest bet for irritability, and that ADR could quite very well leave me in pain as the cord will still hurt when bending at that segment. He even told me that Bertagnoli will suggest and ADR, and sure enough he did. And he said it will NOT affect the irritability of the spine at that segment. Ugh!
Is how you most likely will develop adjacent level issues. That is instability too. Another reason why I like the M6; as it is more constrained than other ADR's. Things is you can always go to fusion later but not go from fusion to an ADR.
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53 yr old female 5'7" 141 lbs. non-smoker conservative treatments failed
2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor
2008 revised C4-6 donor bone, plate & screws
2009 fusion with Roi-C @ C3-4
2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prosthesis by Dr. Clavel Barcelona Spain
2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal.
2020 Revision C6-7 to a CP-ESP prosthesis by Dr. Schmitz Dusseldorf Germany
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  #24  
Old 10-15-2015, 09:26 AM
simeoni simeoni is offline
Member
 
Join Date: Nov 2012
Posts: 64
Default

Cheryl, do you mean 1-level fusion will most likely lead to adjacent level issues? If you do, please back it up with some evidence? From what I know from years of reading and self-studying, this is quite an overstatement. Possible contra-indication of ADR is far more significant risk than fusion leading to ASD.
__________________
- 35 year old guy
- Constant pain and tightness in the right scapula area since 2004
- Misdiagnosed for years
- 2010 cervical MRI -> c6/7 problem
- Developed frozen shoulder during "conservative treatment"
- 2011 prodisc-c nova c 6/7 by Dr. Bertagnoli
- Ongoing neck, scapular and shoulder issues
- Nerve root canal narrowing osteophytes behind adr. Considering revision.
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  #25  
Old 10-16-2015, 12:51 AM
TomN TomN is offline
Junior Member
 
Join Date: Sep 2015
Posts: 20
Default Clavel

No, I haven't asked Clavel yet.
Bertagnoli said there is nothing in my MRI that would suggest why my feet and both pinky fingers go numb when I look down. He said to do an ADR to fix the problem of foramina narrowing (2mm) and DDD with bone spurs at C6/7. But can't say whether the foot problem will go away. Ugh!

So now I've ben told I have spinal Instability and irritability but it can't be seen on any films. Anyone had this problem?
__________________
46 year old male - 155 lbs, healthy
Whiplash December 2014.
C6/7 has degeneration, bulging disc/cord compression, 2mm foraminal narrowing right side.

ACDF C6/7 November 2, 2015

Currently dealing with possible non fusion C6/7 and adjacent segment failure at C7/T1.

Considering ADR C7/1
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  #26  
Old 10-16-2015, 02:52 AM
simeoni simeoni is offline
Member
 
Join Date: Nov 2012
Posts: 64
Default

Tom, do the flexion extension x-rays show anything abnormal? Mri is in done in static neutral position and is not the best tool to pick up instability.
__________________
- 35 year old guy
- Constant pain and tightness in the right scapula area since 2004
- Misdiagnosed for years
- 2010 cervical MRI -> c6/7 problem
- Developed frozen shoulder during "conservative treatment"
- 2011 prodisc-c nova c 6/7 by Dr. Bertagnoli
- Ongoing neck, scapular and shoulder issues
- Nerve root canal narrowing osteophytes behind adr. Considering revision.
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  #27  
Old 10-17-2015, 02:12 AM
TomN TomN is offline
Junior Member
 
Join Date: Sep 2015
Posts: 20
Default Flexion

Yeah
I did a flexion/extension MRI that said I had 5mm of subluxation then took it to 6 surgeons that said it wasn't there. Friggin crazy!!!!

Did a flexion ext X-ray a couple weeks ago and it also showed no instability. But I have all the symptoms of instability...Looking down and feet go numb along with pinky fingers.
__________________
46 year old male - 155 lbs, healthy
Whiplash December 2014.
C6/7 has degeneration, bulging disc/cord compression, 2mm foraminal narrowing right side.

ACDF C6/7 November 2, 2015

Currently dealing with possible non fusion C6/7 and adjacent segment failure at C7/T1.

Considering ADR C7/1
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  #28  
Old 10-19-2015, 06:52 AM
Romakis's Avatar
Romakis Romakis is offline
Senior Member
 
Join Date: Jan 2015
Posts: 197
Default

Quote:
Originally Posted by TomN View Post
No, I haven't asked Clavel yet.
Ask him. He provided the most accurate diagnosis for me, and I had asked 5 others as well.
__________________
46yo, DDD of L4-S1. Microdiscectomy L5-L4 in 2014. L4-L5-S1 M6 ADR with Dr. Clavel - June 2015.
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  #29  
Old 10-20-2015, 01:17 AM
TomN TomN is offline
Junior Member
 
Join Date: Sep 2015
Posts: 20
Default Clavel

I will, thank you!!!
How are you feeling these days since he did your back?
__________________
46 year old male - 155 lbs, healthy
Whiplash December 2014.
C6/7 has degeneration, bulging disc/cord compression, 2mm foraminal narrowing right side.

ACDF C6/7 November 2, 2015

Currently dealing with possible non fusion C6/7 and adjacent segment failure at C7/T1.

Considering ADR C7/1
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  #30  
Old 10-21-2015, 07:28 AM
Romakis's Avatar
Romakis Romakis is offline
Senior Member
 
Join Date: Jan 2015
Posts: 197
Default re:

Recovery trully sucks. Still some LBP, but no sciatica.
__________________
46yo, DDD of L4-S1. Microdiscectomy L5-L4 in 2014. L4-L5-S1 M6 ADR with Dr. Clavel - June 2015.
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