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#41
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Our experience was that Dr. Clavel felt that he had a 95% chance of getting it done,
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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 |
#42
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Dear Cheryl,
I wanted to comment on the two questions you posed. The issue my wife had was that the C6-C7 the disc had degenerated so much that the vertebrae were very close to being bone on bone, with one of the bone spurs protruding into the nerve. It was suggested that auto-fusion had already begun to take place. The best ADR surgeons out of Texas (TBI) did not feel comfortable recommending placement of the artificial disc in this position. They recommended a hybrid, and even said a two-level fusion may be the best solution. Armed with this information my wife and I pressed Dr. Clavel during the consult, as we did not want to fly all the way to Spain only to get a surgery that we could have had here in the US or get pushed into a surgery that was not in her best interest, as we had heard of such cases in Germany. Dr. Clavel was confident, but he told us how he was always prepared to make a change in the OR, and would have fusion devices standing by. That is when he gave us the 95-98% outcome for the ADR surgery. This sold us on Dr. Clavel. It reflected a high confidence in his own skills and knowledge, but also a level of humility and a constrained ego. We perceived that a doctor that willingly shares what his "out" is, is a doctor that know their limits. We are now 5 month post op. We had a recent consult with Dr. Clavel and my wife's X-Ray looks fantastic. Other than periodic mild soreness, she is feeling better today than she has felt in over 10 years. We are grateful for this forum as it has educated us on ADR and also for introducting us to Dr. Clavel. I am sure that there are other surgeons out there that may be just as talented as him, but I would suggest that the entire process of working with his team, and the fact that you are in a top hospital enviroment at Quiron, pushes him to the top. I would put him in the "highly recommended" column. TJ
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- Wife has been diagnosed with Severe Spinal Stenosis Right and Left Sides, Degenerative Disk Disease at C5/6 and C6/7, Large Osteophyte Complexes at a both levels, with C6/7 on R/H Side, and C5/6 both R/H and L/H Sides. Also Reverse Lordosis. - Performed 2-Level ADR with M6-C by Dr. Clavel, Barcelona Spine Center on 10/15/14. Last edited by Throttlejockey; 03-29-2015 at 08:43 AM. Reason: Grammar |
#43
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Yep. On all counts.
I'm doing really well BTW. Now just allowing other discs higher up in spine not addressed time to rest and to heal. But all Dr Clavel's work down low at almost 9 months feels good to go.
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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. |
#44
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Ok, so in here in Hattingen hospital and I'm scheduled to have surgery tomorrow. It's been a long road of decisions and exploring other options before I decided on this. The hospital is nice and the staff are very friendly. The menu looks good here!
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12/5/13: Cord compression and myelopathy at c6/c7 As well as cord compression at c5/6 - few symptoms 9/4/14: slight progression in compression as well as chronic headaches. 11/28/14: seeking 2 level adr overseas 2015: Successfully received 2 M6c implants from Dr. Bierstedt 2017: No symptoms, neck is 100% and fully back to training! |
#45
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I'll keep you in my prayers. Let me know if you have any questions while you are there.
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*9/10: Unstable pelvis & SI joint, sore IT band. Chiro care, I would shift out hours to days after adjust *12/10: PT & chiro *4/11 to 11/11: 5 sessions prolo and 3 prolo w/ PRP *12/28/11 ESI L L4/L5 - 1/13/12 ESI R L4/L5 - 1/24/12 L SI joint capsule - 3/8/12 TPI - 3/23/12 L L5/S1 - 4/11/12 ESI caudal - 5/23/12 TPI - 7/10/12 Facet inj L3/L4, L4/L5, L5/S1 *9/12/12: 30 - DRX9000 *12/21/12 schedule. for L4/L5 fusion-CANCELLED 1/7/13 *7/16/2013: 3 level M6(S1-L3) w/ Dr. Bierstedt |
#46
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You're in my thoughts and prayers for a very positive outcome and speedy recovery! I missed your earlier post that you had scheduled your surgery. Sorry, or I would have commented sooner. Be well and come home safely.
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2006: epidural shots did nothing; 2 surgeons recommended 2 level fusion, I declined. 2007 - 2010 4 foraminotomy and cord decompression cervical surgeries and 2 endoscopic discectomy T7-T8 surgeries; total 6 with Dr. Jho (Pittsburgh,PA) My C6/C7 autofused around 2009. 2013 - 2015: epidurals 3 times (again did nothing) and 4 Radiofrequency ablation (or RFA) procedures. 2016 more RFAs, hit the 10 year mark of this insanity and pain, 3 level M6-C ADR with Dr. Clavel May 19, 2016 |
#47
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You're in my thoughts and prayers for a very positive outcome and speedy recovery! I missed your earlier post that you had scheduled your surgery. Sorry, or I would have commented sooner. Be well and come home safely a new man free of pain!
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2006: epidural shots did nothing; 2 surgeons recommended 2 level fusion, I declined. 2007 - 2010 4 foraminotomy and cord decompression cervical surgeries and 2 endoscopic discectomy T7-T8 surgeries; total 6 with Dr. Jho (Pittsburgh,PA) My C6/C7 autofused around 2009. 2013 - 2015: epidurals 3 times (again did nothing) and 4 Radiofrequency ablation (or RFA) procedures. 2016 more RFAs, hit the 10 year mark of this insanity and pain, 3 level M6-C ADR with Dr. Clavel May 19, 2016 |
#48
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I think anyone considering ADR should strongly consider Clavel for all the reason's mentioned earlier. The man is great at what he does, but knows the limits of the patient's physiology, his own skill, and the technology at hand. He makes great judgements and keeps you as part of the process.
Couldn't recommend him more highly, and have never doubted my own choice once.
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Lifelong history of back issues from a young age, spasms etc. 1995 - Weightlifting injury 1997 - Hip Injury 2009 - Trampoline injury (just bounced down on my butt) 2009-2011 Physiotherapy and medication, progress but no lasting pain relief 2010 - X-Ray DDD L5-S1, L4-L5, L4-L3 2010 - MRI Herniation L5-S1, Bulges L4-L5, L4-L3 2011 - Epidurals - No relief 2012 - Facet Injections - No relief 2012 - Discogram TBI - positive L3-S1 L3-S1 ADR M6-L w Clavel 11/28/2012 |
#49
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Antifragile, feeling better when you wake up than when they put you out is such a rush. Wishing that for you. Good luck tomorrow, you're going to do great!
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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 |
#50
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Antifragile, best of luck to you. I am anxious to hear how you are doing.
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1979 car accident: rear ended 1980 ACDF C4-5 4/8/11 stopped, hit again 3 epidurals, PT, 2 MRI's,etc. scheduled 3 times for C5-6, 6-7 fusion, plus laminectomy at C3-4, and C 7, advised to do Bilateral lamino-foraminotomy C5-6, C6-7,a Percutaneous Discectomy L4 -L5 7/14 RFA on L3 to L5 (awake, local only) C5-6,6-7 M-6 ADR with Dr. Clavel 9/17/14, 12/7/15 RFA L2-S1, Facet injections C2-7 6/3/16 RFA L2-S1, epidural L4,5, 8/26/16 RFA C1-7 |
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