|
New Member Introductions If you just joined, please introduce yourself here. Please add a signature describing your spinal history (use the "User CP) and ask us how we can help you get started. |
|
Thread Tools |
#11
|
|||
|
|||
I'm a three level hybrid. Clavel fused my L5/S1 and inserted two M6s above that. That was 2.5 years ago.
He said my sacral slope was too steep.
__________________
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. |
#12
|
|||
|
|||
Just curious but how does the doc deal with spurring and facet arthrosis from an ante
When they put something solid in to fuse it, they restore to the height of what a normal disk would be. This takes the pressure off the nerves and the facet joints . The facet Joints will no longer be supporting the weight it should reduce inflammation and pain from the facet joints. Sometimes they also fuse the facets as well but not always.
__________________
WakesurfMike 2007 Herniated L5/S1 Lifting changing X-ray tube at work. MRI PT/ Steroid shots/med 2009 switched to Remote/phone support 2010 workman’s comp lawsuit 2011 Microdiscectomy approved 80% pain relief 2011-2016 few flare ups but would always get beter after a few days. 6/2016 Pain is not going way 07/2016 MRI, tramodol, Nucynta, Celebrex 08/2016 Regenerxx PL-Disc shot- didn’t work at all 10/2016 can't even stand or sit for work for 30 minutes before pain gets worse |
#13
|
|||
|
|||
Fusion at L5-S1 will always put you at risk of wearing out your SI joints, something to be aware of.
__________________
2009: Injure lower back while doing deadlifts March 2014: MRI shows moderate degeneration at L5-S1 |
#14
|
|||
|
|||
SI and hip and there's little you can do with the SI joints other than fuse them when they become problematic.
__________________
Laura - L5S1 Charitee C5/6 and 6/7 Prodisc C Facet problems L4-S1 General joint hypermobility Jim - C4/5, C5/6, L4/5 disk bulges and facet damage, L4/5 disk tears, currently using regenerative medicine to address "There are many Annapurnas in the lives of men" Maurice Herzog |
#15
|
|||
|
|||
Quote:
Quote from Dr. Rischke et al. in "Preclinical and clinical experience with a viscoelastic total disc replacement" published 2011 in the International Journal of Spine Surgery: "Some investigators advocate fusing the L5-S1 segment rather than implanting a TDR because of lower reported ROMs at this level. Although the ROM has been reported to be lower in some loading modes at L5-S1 compared with L4–5,ROM should not be the important factor in deciding between fusion and TDR. The compressibility of the L5-S1 segment is vital in the transition to the relatively stiffer segments of the pelvis below. Thus, in the degenerative state, the resistance to compressibility is lost, leading to clinical symptoms. This study shows that restoring stability and compressibility results in excellent clinical relief of symptoms. We therefore advocate the use of VTDR in this segment over fusion wherever possible." I wanted to bring this up, since I heard some parties use the range of motion (ROM) argument for fusing L5-S1. Even if ROM may be small in flexion and extension, the L5-S1 may play a vital role in compression!
__________________
2015 Lost ability to sit 2016 Gradually worsening despite conservative treatment 2016 L4-L5, L5-S1 activ L success! |
#16
|
|||
|
|||
Thank you!
Dear Blizzaga, Annapurna, Hanshan, Drewrad, and Pittipete,
This is a very belated thank you for the information that you shared on this thread I started a while back! I am sorry that my appreciation is so belated....I have been experiencing some pain when using the mouse and typing the past few weeks. I am now switching to voice activation. I will be getting ADR on levels L4-L5 and L5-S1 with Dr. Clavel on March 22nd. I am excited and a little nervous. At some point in the future, I will probably get my neck worked on too. I hope you are all doing well!
__________________
Juliette 1992 Neck injured in bad car accident For many years taught & choreographed dance & injured lower back in 1997 Loads of conservative treatment 2000, IDET procedure L4/L5 & L5/S1, 2001, orthoscopic laminectomies L4/L5 & L5/S1 & orthoscopic discectomy L4/L5. Surgeries didn't help Recent years- stem cell & PRP injections- helped a little. Recent MRI & x-rays show DDD & facet arthrosis in lower back & DDD & bone spurs in cervical spine. 3/22/17 L4-S1 ADR with Dr. Clavel |
#17
|
|||
|
|||
Quote:
|
#18
|
|||
|
|||
ADR instead of fusion on L5-S1
Yes. From everything I have read, it seems like the better choice. And it is what Dr. Clavel recommended. Also, I have heard from several different sources that surgeons in America are starting to recommend hybrid surgeries because it is more easily covered by insurance.
All the best to you!
__________________
Juliette 1992 Neck injured in bad car accident For many years taught & choreographed dance & injured lower back in 1997 Loads of conservative treatment 2000, IDET procedure L4/L5 & L5/S1, 2001, orthoscopic laminectomies L4/L5 & L5/S1 & orthoscopic discectomy L4/L5. Surgeries didn't help Recent years- stem cell & PRP injections- helped a little. Recent MRI & x-rays show DDD & facet arthrosis in lower back & DDD & bone spurs in cervical spine. 3/22/17 L4-S1 ADR with Dr. Clavel |
#19
|
|||
|
|||
Hi WakesurfMike, are you going down the surgery path? It seem like i have the same level problem with you L5S1. I am doing conservative treatment for almost 1 year and i am better with sitting and standing but not bending and lifting with more 3 kg. What do you think about surgery?
|
#20
|
|||
|
|||
I find it incredibly interesting that Tiger Woods went to TBI for his l5-s1 issues and went with a fusion over ADR. TBI is definitely a pioneer when it comes to ADR in the US, and Tiger Woods is arguably one of the most famous athletes of our generation. I wonder why they didn't choose ADR at the l5-s1? To me it's a bit telling.
__________________
HIZ tear at l5 s1 with mild disc height reduction and mild dehydration. |
Bookmarks |
Tags |
tiger woods |
|
|