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#11
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That's typically only if both levels are equally bad/good. If one level is significantly different from the other, they'll recommend fusion for the one that most needs it. Also, you're talking about L45 and L34; as you have disks both above and below the two affected level, you'll be risking adjacent level degeneration regardless of which order you put them in.
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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 |
#12
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yeah that's a rough combo... you have to almost assume L5/S1 will go eventually... then it's TLIF time.
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US non-spine MD - laid up no more!!! had recurrent annular tear L5/S1, failed everything M6L done 10/19/11 w/ Dr Clavel getting back to my old self more and more every week! laidupdoc@gmail.com if my PM box is full The content herein represents my professional thought and opinions in a general sense only; they do not constitute professional advice or services. if you need medical advice, please consult a licensed physician. |
#13
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In fact, just thinking about it, your surgeon may want the ADR low thinking that it would give you mobility if L5S1 goes at some point. If you fused L5S1 and L45, you would likely end up with hip and SI joint issues in your lifetime. This is pretty wild speculation so a discussion with the surgeon is in order but this might be one reason for his recommendation.
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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 |
#14
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Quote:
I'll go back to my gentle exercises :/
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3/96 injury, bending over to pick up book and felt a snap. MRI's show DDD at L45 and L5S1, disc bulge at both levels. Discogram and CT 1999: posterior annular tears at both levels. TREATMENT: IDET, ESI's, Radiofrequency, Chiropractic, Pain Management, PT. No work since 1999. ADR Surgery at BetaKlinik, Bonn, Germany 11/30/11-Activ-L at L45,STALIF at L5S1--recovery good so far! http://backtalk2011.blogspot.com/?v=0 |
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