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#11
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The thing is that one surgeon already told me he is in doubt Im good candidate probably because of facets on L4/L5 but Bertagnoli statement is: "Your facets look well within tolerance or else the professor would have suggested another type of surgery. " Other doctor at home also told me its not that bad. So I go to specialist here in Czech who performer roughly 300 ADRs just to hear his overall opinion above my spine and then I decide. I have to say I believe in Bertagnoli quite. Since he does not do only ADRs but also all kinds of treatment. And I dont believe he would not intentionally suggest something what he knows is wrong. But since online evaluation is for free I understand that he cannot use time to spend time talking with me. |
#12
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Adr / fusion?
Hello Fathub, that's great news on your surgery, I have been avoiding a three level fusion for years. Was told I am not a candidate for a 3 level ADR because my spine is in layman's terms "bent", too curved for ADR. Question in reference to your statement:
"I had S1-L3 - 3 level ADR and a mobility preservation (instead of a fusion) at L4/3 where I have Grade 1 Spondylolisthesis". Do you have three artficial discs or just one at L3/4(mobility preservation)and fusion at S1-L5 and L4-L5? What do you mean by a "mobility preservation". Are you back to riding mountain bikes again , I used to ride desert, (motorcycles) miss it BAD. Thanks you |
#13
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Here is a link from Dr. Bertagnoli's site. http://www.dr-bertagnoli.com/360-mot...n-surgery.html This is what he did to my L4/3 as I wanted to preserve the joint with an ADR (for the natural disc above too) so this is a 'ball joint' so to speak that will allow the joint to move but not the vertebrate to slide forward. He's only done about 300 of these and claims no revisions to date. X-rays here: https://www.dropbox.com/s/4c5g0469kw...e%201.pdf?dl=0 Not on the mountain bike yet.....over 2 months away yet. Walking lots and bought some rubber bands (whole basement full of weights but that's a no no at this point)
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Dec 1/15 - 3 level ADR from S1/L3 c/w 360 mobility preservation at L3/L4 for Spondylolisthesis done by Dr. Bertagnoli in Bogen GmbH. Last edited by Fathub; 01-11-2016 at 07:15 PM. |
#14
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Fusion alternative?
The x-rays are amazing! This could hopefully be an alternative for people such as myself who have been rubber stamped "fusion only". Did you send your medical records and scans to Dr. B for an evaluation prior to going there for surgery? If I may ask what did American drs. offer, fusion only? Thanks much for the pics.
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#15
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I originally sent 14 month old MRIs to Dr. B and he did a preliminary evaluation based upon them. I then got up to date MRIs and had a phone consultation with him (and my trauma unit nurse daughter) to assess what he wanted to do. I asked if he could do the 360 mobility preservation instead of the L4/3 fusion as needed for the Grade 1 spondylesthesis he suggested (plus the S1/L5 and L5/L4 ADRs) and he agreed to attempt the 360 mobility preservation if when he went in to insert either the ADR or the pedestal that the present condition of the spondylesthesis allowed the L3 to move back into proper place easily, thus the 360 hardware would retain it on top of the ADR and L4. It did so I have 3 ADRs and the 360 mobility. FYI, I am a Canuck so Canada is extremely limited in what they will offer as it's socialized medicine with the lowest common denominator being all that's offered. There are some ADRs done but very few and limited and no one offering 3 level ADRs. I talked to a number of other Canucks in my position and they are back skiing, golfing, mountain biking (my addiction) and OF COURSE playing hockey!! One leading, well respected surgeon from the Blusson Spine Clinic said they don't do ADRs as a 15 year old study said they were no better than a fusion (really---15 year old study!!! My profession has changed huge in 15 years!) and also that they in fact do not do fusions anymore. I was lost and asked what he would do for me......he was somewhat vague but said he'd nerve block the various roots first so that he could ascertain the exact one causing trouble....then operate on that to tunnel out the nerve guide so as to relieve pressure on the nerve and the operation would then ultimately end up with a fusion from removing necessary natural stabilizing bone in the vertebrates. I asked if this would then lead to the other nerves needing done as the discs were desiccated and essentially crushed......he agreed and I replied "if my daughter hadn't have known you it would have taken me 2 years to come and see you, then 2 more years to get an operation so I'd be in constant distress and wait lists"........he agreed and said, "unfortunately, that's the Cdn health system".!!!
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Dec 1/15 - 3 level ADR from S1/L3 c/w 360 mobility preservation at L3/L4 for Spondylolisthesis done by Dr. Bertagnoli in Bogen GmbH. |
#16
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#17
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Dec 1/15 - 3 level ADR from S1/L3 c/w 360 mobility preservation at L3/L4 for Spondylolisthesis done by Dr. Bertagnoli in Bogen GmbH. |
#18
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Fathub , Thanks for the info. Do you know how long and how many dynamic stabilization surgeries Dr.B has done and if there are any other Drs. doing this? Was your surgery done from both the front and back (anterior /posterior) .Thanks again
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#19
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Omg!
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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 |
#20
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Yes both from anterior and posterior......feeling good a 6 months and riding a mountain bike 6-7 hours / week..
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Dec 1/15 - 3 level ADR from S1/L3 c/w 360 mobility preservation at L3/L4 for Spondylolisthesis done by Dr. Bertagnoli in Bogen GmbH. |
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