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| Spinal Roundtable Discussion, news and commentaries that delve into all other (non-ADR) spinal procedures. Find threads on fusion, IDET, discectomies, discograms, epidurals imaging (XRays, MRIs, MRNs) and all other procedures here. Pain management, medication and related topics are also here. |
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#1
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Hi i'm not sure if this is the right place to ask but i had a question. I am on the waiting list for surgery on my lumber spine & my consultant has suggested doing hybrid surgery - i have 3 discs that need doing & they are talking about doing a fusion and an ADR at the same time.
Has anyone here had this kind of surgery before who can tell me a little about how it is done & what it involves? I wont see my Dr for a while & just want to do my own research in the meantime. Mark. |
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#2
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Quote:
I had a hybrid done in London on April 22nd. My surgeon is Mr John Sutcliffe at the London Spine Clinic. I had Charite ADR L3/L4, L4/L5 and ALIF (fusion) at L5/S1. ALIF means Anterior Lumbar Interbody Fusion. That means they went in via an incision on the lower abdomen. It was done with a cage and synthetic bone material with no instrumentation. If you have any specific questions then feel free to PM me any time and I'll help all I can. Regards Brian
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Microdisc 1998 Chiro 2001-2007 DTMassage 2001 ongoing MRIX4 Lots Facet injectionsx4 times 2003-2005 EMG Epidural, Nerve Root Blocks Denervation all 5 lumbar levels Discogram Charite ADR L3/L4, L4/L5, ALIF L5/S1 22 April 2008 Tramodol April-Sept 2008 Fentanyl Patches Sept to mid October CAT Scan, Facet Joint Inj, SI Inj, trigger point inj Oct 2008 Tried Oxycom, Oxynorm unsuccessfully and now Arcoxia, Amitryptiline and Diazapam and now Diclofenic and still struggling |
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#3
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hi mark,
i had a hybrid procedure at L4/5 (Maverick) and L5/S1 ALIF. after much research i decided with this option over a two level fusion (was never offered a two level adr and never thought to ask about it). it was a very personal decision with many postivies and negatives for both options, however in my individual case i felt adr was indicated at L4/5 and would give me the best chance of avoiding the cascading affects of adjacent segment degeneration. my facets at L4/5 were in perfect condition on CT scan which was a big part of the decision. feel free to ask me any questions, rachel
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L4/5, L5/S1 disc prolapses post wakeboarding accident Oct 06 (grade 5 and grade 4 annular disruption, repectively). 2X epidural steroid injections, lots of drugs and conservative treatment, positive discogram. Surgery May 08 (L4/5 A-Mav disc replacement and L5/S1 ALIF) |
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#4
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Hi Rachel, thanks for replying to me. I have been talking with other people who have had hybrid surgery just so that i can go into it informed as such so it's good to hear from as many people as i can about thier personal experience.
I've had problems with my back for 10 years & been through all the treatments available before surgery but nothing has worked so this is my last resort. I am particularly interested in the aftercare & what sort of things you need to do afterwards to make the most of surgery. Mark. |
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#5
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Mark:
I was very fit prior to my 4 level ADR surgery. I had the surgery November 4, '06 and resumed driving as soon as I got home on November 18th. I then drove 10 hours to Minnesota at Christmas time and then went back to work January 4th. I started snowshoeing right away and being on a spinning bike. I then started bicycling in April in Michigan and rode 2,235 miles last season and over 1,400 miles this season so far. The only thing I was very careful with is what I lifted and I even misbehaved there. I am probably a horrible role model as I work to be fit and look at things as challenges to be overcome in life. This was just another challenge for me. I'm not going to lie to you though; the recovery was a roller coaster ride. The distraction pain was intense for a quite awhile. I was on Lyrica, 400 Mg for 7 months after surgery. I was also on light pain medication for the first year and have been on Suboxone since to deal with pain and, now to wean off of the opiates entirely. I am on 1/4 - 1/2 of an 8 Mg. Suboxone pill daily so I am almost completely weened off. I went slow to allow my body time to shed the opiates without going through withdrawals and to deal with residual pain. I feel like my surgery was very much a success and I have went on with my life. I hope the Maverick and Prestige discs I have in my spine last the rest of my lifetime and I never have to go through this horrible intense pain again. Prior to surgery I walked with a cane for many, many months and looked like a little, old man. Any other questions, you've come to the right spot. Terry Newton
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1980 ruptured L4-L5 1988 ruptured SI-L5 1990 ruptured C5-C6 1994 ruptured C6-C7 1995 Hemi-Laminectomy C5-C6, C6-C7 Mayo Clinic Bicycle Accident 2004 MRI, EMG, Facet Injections, Epidural Blocks, Lumbar Discogram. Stenum Hospital Surgery November 4, 2006 Prestige Disc C5-C6, C6-C7 Maverick Disc S1-L5, L4-L5 |
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#6
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That all sounds pretty positive that you were able to do so much after surgery really. From what i am reading it seems to be the recovery that's the hardest. To be honest i am really looking forward to surgery because i have lived with the pain for so long.
Mark. |
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