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Old 10-18-2010, 11:52 AM
lawrence lawrence is offline
Junior Member
Join Date: Oct 2010
Posts: 2
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Hello to all. Have compression between C2-3, C3-4, C4-5, and C5-6. Had posterior foraminotomy at C5-6 left side to relieve pain down left arm and left thumb, and percutaneous laser of facets. Pain relieved in left thumb, but cannot turn my head to left more than 35 degrees. I need more movement to my left for golf. Considering multi-level foraminotomy and multi-level ADR.

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Old 10-18-2010, 04:27 PM
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jss jss is offline
Senior Member
Join Date: Nov 2009
Posts: 1,411


I've had fusions at C4/5 and C5/6, and ADR at C3/4 and C6/7; so I really do "feel your pain".

If you end up going the posterior foraminotomy route, it may not necessarily preclude ADR in the future if that becomes necessary. This weekend I read a study in which 15 patients that had undergone ACDF and/or posterior foraminotomies in previous years underwent one, two or three ADRs with the Bryan artificial disc. Six of the participants had undergone one, two or three posterior foraminotomies and then received an ADR at one, two or three of the levels at which they had undergone the foraminotomies.

If you want the full text of the study, PM me your email and I shoot it over to you.

Good luck, Jeff
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
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Old 11-10-2010, 03:25 PM
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Tyler Tyler is offline
Join Date: Jul 2010
Posts: 85

Hi Lawrence -

Just back from trekking and saw your post here and on Marti's thread. Have you already consulted with docs regarding ADR?

I actually considered foraminotomy as well but most felt it wouldn't adequately fix the underlying situation I had at the affected levels and they were concerned about ADR after foraminotomy, although I know people have done it as Jeff notes.

If you're interested in learning more about the M6 discs that Jeff, Marti and I had, there are patients and surgical outcome threads at the following group page:

If you have any questions or I can be of further help in any way, please don't hesitate to ask!

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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bryan artificial disc, cervical adr, cervical artificial disc replacement

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