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Need some help Please!

keith_45kkeith_45 Posts: 71
edited 06/11/2012 - 8:51 AM in Back Surgery and Neck Surgery
Looking to see if anyone has had a 2 level fusion L4-S1 followed up with a ADR at the L3-L4. I am returning to this great site after 3 years. Everything was wonderful until 2 months ago and now my L3-L4 disc has degenerated and I'm back to that poor quality of life I once lived on all the pain meds. My surgeon took xrays in January and informed me it wouldn't be long before I would need to fuse this level. So, I was wondering if I could go with an ADR at this level to prolong any upper levels from failing like takes place after your fused. Insurance wouldn't pay for a 2 level ADR back in 2008 so I was forced to get the 2 lower levels fused. If anyone can shed any light on my situation I would greatly appreciate it! Going back to my surgeon on the 28th
and I know what he will advise me of what needs to be done. He doesn't do the ADR's but I'm sure he will tell me if it is possible or not! Just checking here before I go back to him. This is the worst feeling in the world trying to work in all this terrible pain again and then laying around depressed on your off days.



  • SpineAZSpineAZ WiscPosts: 1,084
    You'd have to search for opinions from a few orthopedic spine surgeons and/or neurosurgeons. It was my understanding that ADR was only an option when the adjacent levels were healthy (not fused, not compromised, etc). The success of ADR is mixed so you'll want to do a great deal of research and consultations.
    2 ACDFs, 2 PCDF, 3 LIFs; Rt TKR; Rt thumb fusion ; Lt thumb arthroplasty; Ehlers Danlos 
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