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  #1  
Old 01-12-2018, 11:03 AM
RAP1 RAP1 is offline
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Posts: 4
Default ADR with facet hypertrophy.

Hello,

Question from folks who have spoken to many doctors and have had surgery. I see very often doctors do NOT want to do Cervical ADR when you have facet degeneration and spurring.

Has anyone had cervical ADR with these type of symptoms? any other comments along this line would be great since some article say disks potentially could fail when having this.

I have multi-level issues C5-C7 C3-c4

Thanks for listening
Eric
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Multi-level Cervical C3-C7
Epidurals past two years
Left arm radiculopathy and upper left shoulder pain.
Researching Doctors
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  #2  
Old 01-14-2018, 07:27 PM
jeepbrew jeepbrew is offline
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Default

Quote:
Originally Posted by RAP1 View Post
Hello,

Question from folks who have spoken to many doctors and have had surgery. I see very often doctors do NOT want to do Cervical ADR when you have facet degeneration and spurring.

Has anyone had cervical ADR with these type of symptoms? any other comments along this line would be great since some article say disks potentially could fail when having this.

I have multi-level issues C5-C7 C3-c4

Thanks for listening
Eric
Hi Eric,

I did not have any facet joint issues; however, I would imagine docs would do ACDF in this instance. Perhaps not even to prevent the discs from failing, but rather, your facet pain would not go away even if you had all of the bad discs replaced. I'm not a doc... just my opinion.
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12/2017 - Cervical ADR C5/C6 with Mobi-C
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  #3  
Old 01-15-2018, 11:52 AM
annapurna annapurna is offline
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Default

Disks or ADRs fail - unlikely

As Jeepbrew suggests, the presence of facet hypertrophy would suggest that you could get ADR surgery and not have your pain fully resolve
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Laura - L5S1 Charitee
C5/6 and 6/7 Prodisc C
Facet problems L4-S1
Knee, Shoulder, Toe, Finger, Elbow Problems

Jim - no spine problem but lots of other fun medical challenges

"There are many Annapurnas in the lives of men" Maurice Herzog
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  #4  
Old 02-16-2018, 07:05 PM
Cheryl0331 Cheryl0331 is offline
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Default Depends

It depends on the hypertrophy severity. Dr. Clavel told me that if it's only mild to moderate you may still be a candidate. the only real way to find out for sure is to send your films. Best wishes...
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53 yr old female 5'7" 141 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 prothesis 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 prothesis by Dr. Schmitz Dusseldorf Germany
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  #5  
Old 02-16-2018, 07:07 PM
Cheryl0331 Cheryl0331 is offline
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Default true

Quote:
Originally Posted by annapurna View Post
Disks or ADRs fail - unlikely

As Jeepbrew suggests, the presence of facet hypertrophy would suggest that you could get ADR surgery and not have your pain fully resolve
it may not resolve all, but restoration of disk space and stability can help a lot. I had bone on bone with my C6/7. My quality of life is improved by 80%
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53 yr old female 5'7" 141 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 prothesis 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 prothesis by Dr. Schmitz Dusseldorf Germany
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  #6  
Old 02-20-2018, 01:29 AM
c4c7 c4c7 is offline
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Default

I was reading one of Dr. Todd Lanman's articles about ADRs for people with facet degeneration. I'm paraphrasing, but he said that people with mild to moderate issues can still get ADR. He's actually reversed fusions with people who have healthy facets. You can always denerve the facets as well. I'd call up the Texas Back Institute for hit up Dr. Lanman in Beverly Hills. TBI uses Mobi-C and Prodisc, and Lanman uses the Prestige LP. Both places can do multilevel ADR if you need it.

Unless you want the M6, it may be cheaper to just do it in the States, at least with TBI.
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C2-3: Mild desiccation with focal 1.5mm central disc protrusion.
C3-4: Unconvetebral osteophyte formation on the right with minimal foraminal narrowing.
C4-5: Focal 2mm disc protrusion which abuts the thecal sac and slightly abuts the ventral cord.
C5-6: Central right paracentral 2mm disc osteophyte fomplex. Abuts ventral cord with some cord flattening.
C6-7: Disc desiccation with broad based central 1.5mm disc osteophyte complex.
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  #7  
Old 02-20-2018, 01:55 PM
annapurna annapurna is offline
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Quote:
Originally Posted by c4c7 View Post
I was reading one of Dr. Todd Lanman's articles about ADRs for people with facet degeneration. I'm paraphrasing, but he said that people with mild to moderate issues can still get ADR.
There have been people who had mild to moderate damage who's facet degeneration actually reversed to some degree and, not only resolved their pain, but also improved the facet condition. There's also people who've gone down hill post-ADR having started with mild to moderate degeneration. It's a crapshoot and the further beyond mild you get, your odds for fully addressing your pain get worse; they just don't drop to zero.
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Laura - L5S1 Charitee
C5/6 and 6/7 Prodisc C
Facet problems L4-S1
Knee, Shoulder, Toe, Finger, Elbow Problems

Jim - no spine problem but lots of other fun medical challenges

"There are many Annapurnas in the lives of men" Maurice Herzog
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  #8  
Old 03-11-2018, 09:59 PM
GKTM300 GKTM300 is offline
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Default

look at bert facet replacement system a few here has them with excellent results looks like little springs
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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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  #9  
Old 03-11-2018, 10:11 PM
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Harrison Harrison is offline
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AnnaPurna sums up this complex nicely. And here are some good tech articles on grading the severity of facet arthrosis (there are several):

https://www.adrsupport.org/forums/sh...acet+arthrosis

Mild facet arthrosis is generally OK and not a contraindication. Overseas, they are more accepting and liberal -- because they can be. As well, if things go wrong, it's on the patient and not the doctor.
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Fell on my ***winter 2003, Canceled fusion April 6 2004
Reborn June 25th, 2004, L5-S1 ADR Charite in Boston
Founder & moderator of ADRSupport - 2004
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