how do you fight their policy
From aetna web site
"Aetna considers prosthetic intervertebral discs experimental and investigational for persons who have degenerative disk disease at more than one level."
FDA has approved it. It has been found that the success rate of multi-level ADR is not much worse from single level ADR, but multi-level fusion leads to more complexity later.
Unfortunately ADR publications are limited. Only a few number of 5 year studies comparing ADR & fusion.
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46 yr old male/ USA
May 2015 MRI: Cervical Stenosis at C4/5, C5/6 and C6/7
Surgeon asked to do Fusion C4-C6
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