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Artificial Disk Replacement



  • and i have had multiple spinal surgeries the last on was the dreaded ALIF and its failed from a pain relief point of view .i was not a candidate for ADR as was proved with a discographies make sure than any consultant who offers AND has plenty of experience and many have not and make sure a discography is done before you agree to ADRa fusion is the next best {i say with a bitter taste in my mouth } just be careful i had one of the UK'S best spinal consultants and i am now fit for nothing and in severe pain{intractable pain } ALL THE TIME .
    1997 laminectomy
    2007 repeat laminectomy and discectomy L4/L5
    2011 ALIF {L4/L5/S1}
    2012 ? bowel problems .still under investigation
    2014 bladder operation may 19th 2014
  • Had ADR inserted at l4l5 in 2004. Bigest mistake of my life , created a whole set of new pain symptoms nerve pain legs hurt all the time, Was fused leaving in the ADR in as no doctor in the right mind will remove it I was told,
    To date I am worse then I was before my surgery and nothing more they can do for me,
    They sold me on the ADR hook line and sinker, If I knew then what I know now about ADR I would never of taken the risk,
    It can make you or break you !

    I feel I would of done much beter with fusion from the start as it's only 1 level and I know many people who had fusion and are fine, I went in thinking ADR will get me back to work,golf, boating, sports, And ended up puting me on ssdi for life,
    And a he'll of a lot of pain to deal with,

    Always consult with more then 1 doctor,
    Flexicore ADR 2004 resulting nerve damage l4l5 Fusion 2006 same level, 2009 hardware removal with lami !
    2012 scs implant ,
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  • hi mark & everyone,

    this is my first post here, but i too am in the same position where i am unsure if adr is the correct route for me. i am in australia and i have ddd at 3 levels; l3/l4, l4/l5 and l5/s1. i am only 21 years old and have already had two operations (micro-discectomy l4/l5 and bilateral laminectomy at l4/l5), both which gave me temporary relief, but now my discs are too far gone.

    i have been very strict with my conservative treatment - i.e. exercise routine, physio, losing weight, pain management doctors, etc, however that is not working any more. i have been seeing a very good neurosurgeon for the past two years and he has recommended adr or dynamic stabiliser, and i have seen an orthopaedic surgeon who has recommended fusion. i would be operated on at l3/l4 and l4/l5 as these are the worst discs.

    being so young, i am worried about future complications with both options; however, i am leaning more towards adr.
    not many people have had adr's because it is a relatively new treatment in regards to fusion (which has been around for over 100 years), however, i think with more time it may become a better option.

    i read a really good paper which compared the two options (adr and alif) and it contained a flow chart which recommended if you were under 60 years old, not obese, had no abdmonial scarring , 1-2 level involvement, no stenosis, no listheisis and no significant facet joint osteoarthritis (oa) that adr was the way to go. however, if you did suffer from listheisis and facet oa that alif was the way to go.

    results from adr after two years have been said to be comparable, if not better than fusion (patel, v, 2008), and compared with fusion, adr may impede the development of adjacent segment disease (allied health, biomedical, usa).

    if you're interested in reading the paper with the flow chart, here's the link - https://www.mdconsult.com/das/article/body/404728469-2/jorg=clinics&source=&sp=23242346&sid=0/n/744356/1.html?issn=0030-5898

    good luck with your spine, and if anyone has any recommendations of adr over alif or vice versa, please let me know :)

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