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  #1  
Old 10-30-2016, 08:14 PM
Mike_H Mike_H is offline
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Join Date: Oct 2016
Posts: 7
Default Mechanical Solution for a Mechanical Problem

Over the last year my condition has deteriorated beyond my tolerance, unless I wish to restrict myself to a wheel/power chair. The first opinion was for a double fusion with cages and my own marrow. Concerned this will put undue stress on L3-L4 which looks healthy on MRI. Not sure if my surgeon #1 doesn't do ADR or my weight caused him to not bring it up, thing I'm going to talk to my wife tonight about doing something about that.

I'll see surgeon #2 near the end of November and then decide if I want a third opinion. If anyone knows of ADR specialists in Maryland, I'd love to know about them.

Mike
__________________
"Mike"
Fell during Basic Training winter 1985
Bilateral faciotomy 1989
Previously treated with PT successfully
Seeing Chiropractor for lumbar & cervical issues
Herniated disks & spondylolisthesis
Fusion recommend L5-S1 & L4-L5 Oct 2016
Awaiting 2nd opinion
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  #2  
Old 10-30-2016, 08:40 PM
phillyjoe phillyjoe is offline
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Join Date: Jan 2013
Posts: 286
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Goggle Clayton Dean and/or Charles Edwards II. Maybe Paul Mcfee also still does ADR
__________________
Pre Surgery:
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 10-30-2016, 11:31 PM
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Fathub Fathub is offline
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Join Date: Jan 2016
Posts: 156
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Quote:
Originally Posted by Mike_H View Post
Over the last year my condition has deteriorated beyond my tolerance, unless I wish to restrict myself to a wheel/power chair. The first opinion was for a double fusion with cages and my own marrow. Concerned this will put undue stress on L3-L4 which looks healthy on MRI. Not sure if my surgeon #1 doesn't do ADR or my weight caused him to not bring it up, thing I'm going to talk to my wife tonight about doing something about that.

I'll see surgeon #2 near the end of November and then decide if I want a third opinion. If anyone knows of ADR specialists in Maryland, I'd love to know about them.

Mike

Look at GmbH or Spain/Bertagnoli and Clavel....FWIW
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Dec 1/15 - 3 level ADR from S1/L3 c/w 360 mobility preservation at L3/L4 for Spondylolisthesis done by Dr. Bertagnoli in Bogen GmbH.
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  #4  
Old 10-30-2016, 11:42 PM
pittpete pittpete is offline
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Join Date: Jan 2008
Posts: 307
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Spondylolisthesis depending on grade is a contradiction to ADR
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Born 1970/1995-Hurt at work/1996-Right disc fragment L4-L5 discectomy-On/off back pain,no serious leg pain until/2007-Right herniation L5-S1,recurrent small herniation at L4-L5 with unbearable leg pain/6/08 discectomy L5-S1/leg pain relieved/occaisional mechanical pain/2012-Cymblata 60 mg,occasional aleve/2014-LB pain not debilitating but chronic,Rhizotomy relieves facet pain on right side/2015-L4-S1 facets shot/4/15 PLIF L4-S1 with facectomy
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  #5  
Old 10-31-2016, 03:01 PM
GKTM300 GKTM300 is offline
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Join Date: Dec 2015
Posts: 273
Default Conn.

Dr Yule in conn. And Goldstein in NYC.?
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12/22/04 blew L4-5 and L5-S1 out lifting wrong
4/1/05 back to work thanks to Oxy
11/11/13 hurt back lifting again
6/6/15 last of many MRI L4-5 medium paracentral bulge with juice leaking and mid to left bulge on L5-S1
No invasive procedures except steroid shots that did nothing n hurt wicked bad
9/24/2016 Adr surgery Bertagnoli>1 year doing great
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  #6  
Old 10-31-2016, 10:10 PM
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Fathub Fathub is offline
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Join Date: Jan 2016
Posts: 156
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Quote:
Originally Posted by pittpete View Post
Spondylolisthesis depending on grade is a contradiction to ADR
Your right....it is Pete if you don't have a stabilization system like the 360 mobility system Bertagnoli uses....(on me). That's why he came up with that...
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Dec 1/15 - 3 level ADR from S1/L3 c/w 360 mobility preservation at L3/L4 for Spondylolisthesis done by Dr. Bertagnoli in Bogen GmbH.
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  #7  
Old 10-31-2016, 11:26 PM
Mike_H Mike_H is offline
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Join Date: Oct 2016
Posts: 7
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I'm not certain what level of spondylolisthesis I have at L4/3 but, I do not believe there is any at L5/1.

I've also largely ruled out the first opinion as the thought of returning for questions after an average wait of over an hour on two appointments is beyond my tolerance. While I was sent into a panic attack after being told their was a lot of hope for a solution, the glitter has worn off.

Spent a sleepless night after talking to my wife about medical tourism... Many unknowns right now and what ifs.

Thanks for the suggestions.
__________________
"Mike"
Fell during Basic Training winter 1985
Bilateral faciotomy 1989
Previously treated with PT successfully
Seeing Chiropractor for lumbar & cervical issues
Herniated disks & spondylolisthesis
Fusion recommend L5-S1 & L4-L5 Oct 2016
Awaiting 2nd opinion
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  #8  
Old 11-01-2016, 02:37 PM
phillyjoe phillyjoe is offline
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Join Date: Jan 2013
Posts: 286
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This apparently is what a Grade I spondy at looks like at two levels (4-5mm). Clavel ruled it out for ADR even at grade I.
Attached Images
File Type: jpg mri image.jpg (44.2 KB, 35 views)
__________________
Pre Surgery:
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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  #9  
Old 11-01-2016, 03:17 PM
Mike_H Mike_H is offline
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Join Date: Oct 2016
Posts: 7
Default

Quote:
Originally Posted by phillyjoe View Post
[...] Grade I spondy at looks like[...]
Can you identify which vertebral bodies are involved? I think that image is of L4/5 and L5/1 but, I'm not certain.
__________________
"Mike"
Fell during Basic Training winter 1985
Bilateral faciotomy 1989
Previously treated with PT successfully
Seeing Chiropractor for lumbar & cervical issues
Herniated disks & spondylolisthesis
Fusion recommend L5-S1 & L4-L5 Oct 2016
Awaiting 2nd opinion
Reply With Quote
  #10  
Old 11-01-2016, 05:07 PM
phillyjoe phillyjoe is offline
Senior Member
 
Join Date: Jan 2013
Posts: 286
Default

yes, those two. the L5-S1 shows almost no disc left. The other shows protrusion, and other images make it appear to indent the canal even more. All I know is that I've had pain down both legs for many years. Before my neck repair, I would still run on that screwed up back. I actually don't believe running made it any worse
__________________
Pre Surgery:
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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