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  #1  
Old 10-19-2015, 09:41 AM
Maczoid's Avatar
Maczoid Maczoid is offline
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Default Dr. Clavel's assessment

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
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  #2  
Old 10-20-2015, 08:36 PM
drewrad drewrad is offline
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Posts: 629
Default

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.
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  #3  
Old 10-26-2015, 01:39 PM
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Romakis Romakis is offline
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Default Comments

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.
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  #4  
Old 11-02-2015, 08:40 PM
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Maczoid Maczoid is offline
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Default Clavel's consultation Oct 29-2015

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
__________________
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
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  #5  
Old 11-09-2015, 02:32 PM
drewrad drewrad is offline
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Join Date: Jan 2014
Posts: 629
Default

Call me if you want to discuss. Curious about the cage used for fusion by Clavel's recommendation.
__________________
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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  #6  
Old 11-16-2015, 10:14 PM
Cheryl0331 Cheryl0331 is offline
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Join Date: Dec 2010
Posts: 890
Default I agree

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!
__________________
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
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  #7  
Old 11-17-2015, 07:11 PM
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Maczoid Maczoid is offline
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Join Date: May 2015
Posts: 28
Default Cage used in fusion by Clavel

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
__________________
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
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  #8  
Old 11-19-2015, 02:44 PM
drewrad drewrad is offline
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Join Date: Jan 2014
Posts: 629
Default

Thanks. Hmmmm.

Yeah, he used a Medtronic Sovereign spacer with a separate titanium & plate fixation with me.

Wonder why the switch???
__________________
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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  #9  
Old 11-23-2015, 09:35 AM
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Maczoid Maczoid is offline
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Join Date: May 2015
Posts: 28
Default The new fusion cage used by Clavel

drewrad,

When did you have your surgery withe Medtronic device?


Maczoid
__________________
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
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  #10  
Old 11-24-2015, 03:23 PM
drewrad drewrad is offline
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Join Date: Jan 2014
Posts: 629
Default

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.
__________________
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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