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#1
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Dr Clavel has reviewed my files and information and comments below:
“3 level lumbar disc degeneration. The nerve compression is predominant at L4-L5 and some also at L5-S1. Due to the degree of facet degeneration at these levels, I would perform a 2 level fusion which can be done from the front (ALIF) and a 1 level artificial disc replacement at L3-L4.” Interestingly, no surgeon here in Canada that I've seen to date has mentioned the worn out Facet joints. This in itself makes contacting him worthwhile. I have skype consult scheduled for Oct 23, 2015 with Clavel. I am also obtaining a consult with Dr. Zeegers as another option and full medical opinion. Any comments from senior members appreciated. ![]() Maczoid
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30 year old Lifting compression Injury to S1, L5, L4 Re injured 2003 Discectomy L4,L5 2006 Reinjured 2013 Noninvasive spine decompression no lasting effect Told 2014 that I have to live with no strength and unstable walking. April 21,2016 Arcadius cage fusion L5-S1, L4, & M6L L3 Dr.Clavel Bacelona Spine Centre ![]() |
#2
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Dr Clavel is highly ethical IMO. I used him over 15 months ago to great outcome.
I highly recommend him.
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Weightlifter since 12 years old, now mid-40's and figuring out this wasn't such a good idea. Chronic back pain started in 2010 while shrugging weights that a 40 yr. old shouldn't even try. MRI in 2012 showing L4/L5, L5/S1 herniations and L2/L3 bulge. L5/S1 taking on new shape, chronic sciatica, etc. DEXA bone scan performed 5/7/14 showing mild osteopenia. Surgery performed July 9th, 2014, Dr Clavel, hybrid three level lumbar. |
#3
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Dr. Clavel pays very close attention to the facet joints, he reviewed them very carefully in my case as well. I would trust him.
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46yo, DDD of L4-S1. Microdiscectomy L5-L4 in 2014. L4-L5-S1 M6 ADR with Dr. Clavel - June 2015. |
#4
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I have to say that everyone that recommends Clavel is right on!
Dr Clavel answered all of my 26 questions giving me a lot of satisfaction. He explained the entire procedure and the risks which are minimal. His plan is to use the Adrius cage to fuse L5-S1 & L4 adding the M6L at L3 to protect the rest of the spine from further deterioration. He explained the bone plate at L5-S1 was not in good enough shape for the M6L and the facets at the L5 S1 & L4 levels are worn out which would cause problems for M6 L implants and the increased motion they provide. I am very satisfied with the Dr. Clavel's plan. I just need to have my consult with Dr. Zeegers and receive his "perfect diagnosis. " then make a decision on which surgeon. Thx for all those that posted. Maczoid ![]() ![]()
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30 year old Lifting compression Injury to S1, L5, L4 Re injured 2003 Discectomy L4,L5 2006 Reinjured 2013 Noninvasive spine decompression no lasting effect Told 2014 that I have to live with no strength and unstable walking. April 21,2016 Arcadius cage fusion L5-S1, L4, & M6L L3 Dr.Clavel Bacelona Spine Centre ![]() |
#5
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Call me if you want to discuss. Curious about the cage used for fusion by Clavel's recommendation.
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Weightlifter since 12 years old, now mid-40's and figuring out this wasn't such a good idea. Chronic back pain started in 2010 while shrugging weights that a 40 yr. old shouldn't even try. MRI in 2012 showing L4/L5, L5/S1 herniations and L2/L3 bulge. L5/S1 taking on new shape, chronic sciatica, etc. DEXA bone scan performed 5/7/14 showing mild osteopenia. Surgery performed July 9th, 2014, Dr Clavel, hybrid three level lumbar. |
#6
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H was the only one that even looked at my facets joints as a consideration. If he tells you good to go; you're good to go!
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54 yr old female 5'7" 147 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 |
#7
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Drewrad,
The Arcadius XL fusion cage you asked about is in the link below. Clavel stated this is the cage he would use. Maczoid http://www.bbraun.co.uk/cps/rde/xchg...d=PRID00007366
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30 year old Lifting compression Injury to S1, L5, L4 Re injured 2003 Discectomy L4,L5 2006 Reinjured 2013 Noninvasive spine decompression no lasting effect Told 2014 that I have to live with no strength and unstable walking. April 21,2016 Arcadius cage fusion L5-S1, L4, & M6L L3 Dr.Clavel Bacelona Spine Centre ![]() |
#8
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Thanks. Hmmmm.
Yeah, he used a Medtronic Sovereign spacer with a separate titanium & plate fixation with me. Wonder why the switch???
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Weightlifter since 12 years old, now mid-40's and figuring out this wasn't such a good idea. Chronic back pain started in 2010 while shrugging weights that a 40 yr. old shouldn't even try. MRI in 2012 showing L4/L5, L5/S1 herniations and L2/L3 bulge. L5/S1 taking on new shape, chronic sciatica, etc. DEXA bone scan performed 5/7/14 showing mild osteopenia. Surgery performed July 9th, 2014, Dr Clavel, hybrid three level lumbar. |
#9
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drewrad,
When did you have your surgery withe Medtronic device? Maczoid
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30 year old Lifting compression Injury to S1, L5, L4 Re injured 2003 Discectomy L4,L5 2006 Reinjured 2013 Noninvasive spine decompression no lasting effect Told 2014 that I have to live with no strength and unstable walking. April 21,2016 Arcadius cage fusion L5-S1, L4, & M6L L3 Dr.Clavel Bacelona Spine Centre ![]() |
#10
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I was July 9th 2014. I just wonder why he switched from Medtronic to Aesculap. Is it a better deal economically? A better device? Or a combination of the two?
Ask Dr. Clavel. The reason is that there are numerous studies that insist that what I got which was a cage secured by a titanium plate and screws gives a much more solid lockup than screws going straight through the cage due to not as much bone solidifying within the cage. I have links to the studies if you want them.
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Weightlifter since 12 years old, now mid-40's and figuring out this wasn't such a good idea. Chronic back pain started in 2010 while shrugging weights that a 40 yr. old shouldn't even try. MRI in 2012 showing L4/L5, L5/S1 herniations and L2/L3 bulge. L5/S1 taking on new shape, chronic sciatica, etc. DEXA bone scan performed 5/7/14 showing mild osteopenia. Surgery performed July 9th, 2014, Dr Clavel, hybrid three level lumbar. |
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