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3 level Lumbar Disc Replacement

AnonymousUserAAnonymousUser Posts: 49,731
edited 06/11/2012 - 8:27 AM in Back Surgery and Neck Surgery
Has anyone had 3 level lumbar disc replacement?
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13

Comments

  • Maybe things have changed recently, but I believe the FDA only has approved a one level disc replacement. I think you'd need to go to Germany for a 3 level. There is quite a lot of information on the internet about the leading clinic in Germany.

    They are used to treating patients from all over the world. It seems like their practice is well organized to treat those of us from the U.S.

    I gather your fusion isn't working out for you?
  • I just saw the other post from someone who had a 3 level ADR in the U.S. so I am mistaken in what I wrote. I didn't realize they were doing them here and am eager to hear where the poster had the surgery and what the outcome is down the road.
  • I also never heard of the FDA allowing a two or a three level disk replacement, just authorized by the FDA on neck surgery for more than one level.

  • I know two individuals who have gotten more than one adr in the US. One has two in his lumbar and the other has three also in the lumbar. Both covered 100% by United Healthcare (AT&T's insurance group. $40.00 copay for hospital visit. I think it is up to the insurance company if they are going to approve it (pay for the multiple levels). I've only read of two adrs in the cervical region.

    There are a number of trials going on with multiple levels right now.



  • in December in Britain. It's very rare here too.

    I'm bitterly regretting having mine, but I know that some people really benefit from it.

  • Hey Delaware Girl, My name is Dave and I had a 2 level adr using the ProDisc. The FDA only recognizes single level use of the ProDisc but there must be ways around that because my workers comp covered the entire operation. The orginal Artificial Disk was the Charite which is approved for multi level surgeries. Iwould not recommend this disk because the design can cause slippage. My surgeon only uses yhe ProDisc because the keel design prevents that problem (slippage of the Charite disk probably has slowed the use of adr in the U.S. but hopefully the ProDisc and other new designs will change that) Ihad my surgery in California where I live and it was the best thing I ever did as I am now pain free and living life again. Good luck and feel free to respond with any questions
  • I just had a 3-level fusion in November. I wish I had known it was possible to get replacements instead. I am so stiff and miserable. I am beginning to 'turn the corner' as they say, but I would much have preferred to keep some movement in my spine.

    Linda


    3 level spinal fusion, L3/4, L4/5, L5/S1, November 2008. Stiff, but I can walk.
  • I had a three level "hybrid" which was a Charite ADR at L3/L4,L4/L5 and an ALIF fusion at L5/S1 on April 22nd last year, in the UK. Still having problems but seems to be with the cause of the damaged discs rather than the remedy.
    Brian
  • Hello all I am a survivor of a three level lumbar disc replacement. Contrary to what you may have read or been told, this procedure is performed here in the USA. It has not been the procedure of choice for most due to the fact that it is a fairly new process here in the states. In addition to the fact that insurance companies dont like to approve the replacement. Although I personally was a candidate for the disc replacement procedure, it is not for all. I had to have testing done to prove that this was a viable choice. And each one of us is a different case. So my advice to you if your considering a replacement discuss your options with your doctor.
    These are a couple of reasons I opted to go with disc replacement. One is the longevity of the prosthesis used, it is expected to last 40+ years. Secondly is the range of motion that is to be expected as a result of disc replacement.
    The above mentioned information is a personal experience and opinion based on what i have endured. If you have any questions feel free to contact me.

    I wish you all the best of luck, whatever choice you may make.
  • What levels did you have done?
    Which disc did you use?
    What has your range of motion been like with the artificials compared to your original discs?
    Any adjacent level problems?
  • Dave, can you share who did your implantation/surgery?

    I am in SoCal.
    -----------------------------
    On the sunny and mild Central Coast of California

    L4-L5 endoscopic transforaminal microdiscectomy June, 2007
    L5-S1 endoscopic transforaminal microdiscectomy May, 2008
  • Hi DelawareGirl:
    My 47 years old husband had a 4 level L2 to S1 surgery on May 13th, 2009! We live in Venezuela. His Dr. is an expert who made this 4 level surgery for the first time, although he has lot of experience with 1, 2, and 3 levels.
    We don´t know about anyone in this forum with this number of levels.
    He is doing well so far, today we had the 4th week appointment and RX look really good.
    He is taking very little dosis of an anti-inflamatory and gabapentin once a day. He walks a lot in his walker, 2-3 km in 30 min sessions daily.
    Not allowed to drive nor doing PT yet.
    Feeling a little better every day.
    Good luck!
    SLG


  • Hi, I was just wondering how long its been since your surgery & how well you are doing? I have lumbar degenerative disc disease from l3 to s1 & was told I can only have spinal fusion surgery which is not the way I want to go. I would like to have disc replacement but my Neurosurgeon will not agree to it. I am now searching for a 2nd opinion and am in the New York area. Any words of advice you can offer would be greatly appreciated.
  • who was your doctor. How was your recovery and did you get Prodisk L or Maverick. I am scheduled for surgery Sept 17, 2009. With Dr Jack Ziggler at the texas back institute
  • I would love more information from those of you who have had multilevel adr. My doc has treated me medically for 4 1/2 years with little result. He says the only option right now is live with it or have fusion. The other issue is that it is from a work injury, so I am dealing with Worker's Comp.
  • I've seen a couple of posts from multi-level ADRs here and, for the most part, they seem to have regretted the procedure. Perhaps I am better off with my fusion. I'm gradually learning to live with it. About the worst of it is that sometimes when I get down on the ground, I have a hard time getting back up. I'm doing okay though.

    Linda

    3 level spinal fusion, L3/4, L4/5, L5/S1, November 2008. Stiff, but I can walk.
  • you are not alone I had a triple fusion with metal rods on my lower back 4 years ago. I had suffered with this pain for 15 years. I found a doctor in Baltimore Maryland who changed my life. I have restrictions but very little or no pain at all. He is the best thing to happen to me in a long time.
  • Smileys,
    Anyone looking for a great back surgeon look no further, Dr. Mark Rosenthal is the director of the spine institute at Sinai hospital in Baltimore Maryland and he is the best at triple fusions with instrumention I know. 4 years post and I feel better now than I have in 20 years. This surgery can and is being done in this country. Instead of bone fusion he uses a device called a cage that goes in between the disc and puts bone growth hormone in the cage to fuse them together. Lock it all together with bolts and rods and a better life. Look him up on the internet and you will see what I am talking about
  • Smileys,
    Anyone looking for a great back surgeon look no further, Dr. Mark Rosenthal is the director of the spine institute at Sinai hospital in Baltimore Maryland and he is the best at triple fusions with instrumention I know. 4 years post and I feel better now than I have in 20 years. This surgery can and is being done in this country. Instead of bone fusion he uses a device called a cage that goes in between the disc and puts bone growth hormone in the cage to fuse them together. Lock it all together with bolts and rods and a better life. Look him up on the internet and you will see what I am talking about
  • and feeling great!

    I'm a 31 yo female and relatively small, so those factors work to my advantage, but I'm only taking extra strength tylenol for the pain. I've never had to take anything stronger since leaving the hospital. I've had help for the past 10 days, but tomorrow I will be living on my own. I will need help with groceries, etc. as I can't lift more than 5 pounds for the next 5 weeks. The pain is different then the pain I had before. Now it moves all over my lower body as my muscles and nerves adjust to the implant. I'm walking without my walker for 15-20 minutes at a time. My only problems related to the surgery had to do with my sensitive GI system, but I won't share those details. I had my surgery done by Dr. Michael Kropf at the spine institute in Santa Monica. I still get really tired just taking a shower, but am able to dress myself using a grabber device and am going to get a cane to use in public so no one bumps into me. I'm hopeful for a quick recovery and am going out for a quick sushi dinner tonight:)
  • I hear Dr Lewis he's in Buffalo New York has done up to three levels his ph # is 716-677-6000 his staff was great to talk to unfortunately I was not a candidate good luck Tony
  • embrd said:
    and feeling great!

    I'm a 31 yo female and relatively small, so those factors work to my advantage, but I'm only taking extra strength tylenol for the pain. I've never had to take anything stronger since leaving the hospital. I've had help for the past 10 days, but tomorrow I will be living on my own. I will need help with groceries, etc. as I can't lift more than 5 pounds for the next 5 weeks. The pain is different then the pain I had before. Now it moves all over my lower body as my muscles and nerves adjust to the implant. I'm walking without my walker for 15-20 minutes at a time. My only problems related to the surgery had to do with my sensitive GI system, but I won't share those details. I had my surgery done by Dr. Michael Kropf at the spine institute in Santa Monica. I still get really tired just taking a shower, but am able to dress myself using a grabber device and am going to get a cane to use in public so no one bumps into me. I'm hopeful for a quick recovery and am going out for a quick sushi dinner tonight:)
    Awesome. I consulted a couple of times with Dr. D at the same place.
    How was your experience with Dr. Kropf?
    -----------------------------
    On the sunny and mild Central Coast of California

    L4-L5 endoscopic transforaminal microdiscectomy June, 2007
    L5-S1 endoscopic transforaminal microdiscectomy May, 2008
  • I had a 3 level fusion i have 10 screws in my back now!! this was my 2nd surgery.... had L_2 L_3 L_4 L_% S_1. the 2nd time and it sux i realize i will never be 100 percent but i get up and walk in the pool daikey for the last 5 months or so i believe in the power of being positive , the mind is stronger than the body.. i still have pain and numbness, but i have to get better i want to get better and return to my life , i know i will never be pain free. if i had to do it over i would not!! i was in physical therapy 2 yrs before surgery i have done everything before having surgery. But i thank G-D i can walk
  • Hi Delaware Girl,

    I had a 4-level ADR done with Prodisc in April of 2008 and have not regretted it. I had L2/L3, L3/L4, L4/L5, and L5/S1 replaced. The only complaint I have now is that I fatique too quickly. Some of it is because I'm approaching 50 years old (grin), but it just feels different than normal "I worked too hard in the yard" fatique. I grump about the fatique but the fact is that I'm getting stronger as time goes along.

    Feel free to contact me with any questions.
  • I am in the research mode of learning about disc replacement. I have just found out that I now have 3 herniated discs at age 31. I had an appointment with a neurosurgeon in Syracuse, NY and I think my MRI scared him off or something. He referred me to another Neurosurgeon at Syracuse University Hospital. Im looking forward to this appointment to see what can be done to return to a more normal life. I also refuse to do pain management due to the fact that I would like to start a family. Should be interesting!
  • Saw a neurosurgeon today and was told that I need a tri level fusion/decompression surgery. At age 31 that just scares me!! I have contacted Dr. Lewis' office in Buffalo since I live in upstate New York to see if I am a canidate for the replacements. Most people really like the replacements, so Im going that route for now.
  • MistiBean let us know what Dr Lewis recomends. Thanks Tony
  • Will do Tony! This is my last stop for now. I know that some doctors are doing multiple replacements, dont know how with the FDA only granting their permission on one to be done so Im going to see whats up =)
  • Made the 3 hour drive to Buffalo, NY yesterday to see Dr. Lewis. So far it was worth it. This is a far cry from the 5 vertabrae fusion that the other neuro wanted to do. He reccomended that I get one disc replaced, thats it. He recomended that the worst disc be replaced which is the L-6, S1 the very bottom one. I found out that I have an extra vertabrae so the numbering of the vertabrae gets confusing to some when I am concerned. The hope is that with the firm foundation of the disc replacement that the other two will heal. I have a feeling that the other two will eventually need to be replaced but maybe by then the FDA will approve the replacement for more than one to be used at a time. I still havent quite figured out how others have multiple tdr's done in the us, maybe they are being done out of country IDK. Anyways, this makes me happy for now and hopefully this takes care of the pain in my legs.
  • Long Island Girl, have you found anyone for your second opinion yet? You could try my surgeon, Dr. Michael Shapiro at Orlin and Cohen on Long Island. 516-536-2800. He is also the head of spinal surgery at South Nassau Communities Hospital. He uses the ProDisc and has had good results with it. He just applied for authorization for 2 level replacement for me, L4-5, L5-S1. He said it is off label to do 2, but he will do it if Comp will pay. Everyone keep your fingers crossed!
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