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| Facet Resurfacing Technology; Treatment for Facet Joint Degeneration | |
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| Tweet Topic Started: 10 Apr 2012, 05:51 PM (2,807 Views) | |
| WPKat | 10 Apr 2012, 05:51 PM Post #1 |
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In March of 2009, I had a laminectomy on L3/L4 and laminectomy with disectomy on L4/L5. This operation failed; I was left disabled and in 24/7 pain. I was given no options in Alaska or anywhere else the United States aside from a lifetime of pain management. I broadened my search worldwide for relief and in June of 2010, I had a double artificial disc replacement using M6-L, which was done by Dr. Ritter-Lang in Germany. My severe facet degeneration existed prior to ADR. Despite this, my condition improved immediately. Before ADR, I could barely walk with the help of a cane; a short walk around one aisle of a grocery store spiked my pain beyond tolerance and sitting was even worse. After ADR, I retired the cane, stood upright and walked with a normal stride. Although it took a lot longer to improve and I am still limited, I can sit for longer periods as well. I was told that the M6-L artificial discs would restore proper disc space, reposition my facet joints and that they would calm down so I could live a normal life. But unfortunately, I am still plagued with powerful muscle spasms, intense body aches, a deep, burning pain on the left side, leg pain and numbness, periodic "ice pick" jabbing pains, abdominal swelling and exhaustion. The intensity of which is associated with activity; the more I do, the higher my pain levels and the more problematic my symptoms become. If I micro manage my activity beforehand and maintain a physical therapy routine (avoiding trunk rotation and back extensions), I can make it through a grocery store, drive short distances and sit for longer periods then before ADR. The bottom line: I am better off then before ADR despite an imperfect outcome. I attempted to return to work from June 13, 2011 to December 2, 2011. It did not take long for my pain levels to rise significantly with little relief from pain medication. Four days after I quit work, I had a medial branch block done on both the sides of my lumbar. While I have had this procedure done twice before with no procedural pain, when the numbing medication was injected, I experienced lightening bolt pain down my leg along with my leg muscles seizing up twice ... once on both sides. My pain specialist said my facet joints were super inflamed. Once I stopped working, it took over 2 months of high pain levels and little activity for my pain levels to subside. I am still recovering as my pain levels still rise higher and quicker with activity then before I tried to return to work. At my pain specialist's office, I have the following options: (1) Epidural Steriod Injections (2) Radiofrequency Thermocoagulation (i.e., RFA) (3) POSSIBLE Stem Cell Injections (not yet confirmed) Aside from option 3, I already tried the other two with limited relief. In part because only half of the affected area was treated with RFA and only one epidural steriod injections was tried. I could opt for a total of 8 epidural steriod injections (a distinct possibility) or 8 RFA's (no thanks, the healing process from 4 was excrutiating). I would love to try Stem Cell Injections. However, the technology is brand new to our area, the focus so far has been on cervical patients and I would be the first lumbar recipient (I offered) ... my pain specialist is all for it, but it's up to the head of department. My pain levels and limitations have brought me back to the place of searching for a more permenant solution ... this time for my facet joints. Both devices I found are in clinical trial and not yet approved as a medical device in Europe. Unlike the USA, surgeons in certain other parts of the world have more flexibility and discretion to use these non-approved medical devices outside of the clinical trial setting. In other words, because I have multi-level involvement and artificial disc replacements (two M6-L's), I would not qualify for most (if any) clinical trial. However, it does not mean the medical device would not be ideal in my case, only that I could not officially participate in the clinical trial. Dr. Bertagnoli in Germany http://www.dr-bertagnoli.com/facet-replacement.html Dr. Pimenta in Bazil http://www.zygatech.com/glyder.php http://www.luizpimenta.com.br/?idioma=eng http://www.patologiadacoluna.com.br Both surgeons and/or their representatives have reviewed my case and believe that I could benefit from their device. So far, however, few patients have received the Zyre device and I am not sure how many have received Glyder system yet. At this point, I am still in the process of researching my options and asking questions on the existing facet technologies. If you have any questions about what I learned so far, or you know of other solutions, please let me know. K |
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Diagnosis L2/L3 bilateral facet joint arthropathy - sclerotic (B-FJA-S) L3/L4 M6-L ADR; severe B-FJA-S; mod foraminal stenosis R L4/L5 M6-L ADR; severe B-FJA-S; posterior decompression L5/S1 bilateral hemisacralized; B-FJA-S Procedures 3/09 L3.L5 Laminectomy; L4/L5 w Disectomy 7/09 FJI, Radiofrequency Thermocoagulation 4L 4/10 Discogram 6/10 L3.L5 M6-L ADR 8/11 L4/L5 Epidural Steriod Inj L 10/11 CT Myleogram 12/11 Medial Branch Blocks 8 | |
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| Lynda | 10 Apr 2012, 07:29 PM Post #2 |
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Welcome to the forum WPKat and thank you for sharing your story, I am sorry that you have continued pain like this following your lumbar disc replacement. I empathize as I too have facet arthrosis at the level of my two lumbar artificial discs. I was okay for a few years but unfortunately the progression degeneration became symptomatic four years or so post surgery. Intra-Facet blocks do help me significantly, I have been offered RFA but have declined for now and like you have been following innovative technologies and developments. Here's a couple of reports I've come across recently which may interest you. UK Experience with Total Facet Joint Replacment J.C. Sutcliffe1, H. Bhatti1 1London Spine Clinic, London, United Kingdom Study design: Case series and surgical technique. Introduction: Facetectomy has often been a requirement of posterior lumbar spinal decompression, but in creating instability has required fusion. While this has been recognised as an appropriate treatment modality, many of these often elderly patients will have adjacent level pathology. Therefore, the concern has been that a rigid fusion may cause adjacent level pain, leading to a requirement for further surgery. Biomechanical studies have shown that total facet replacement systems have overcome these issues and retain movement within the physiological range after total bilateral facetectomy and canal decompression. This paper highlights the triage, surgical technique issues and rehabilitation designed specifically to optimise results. Materials and methods: 12 patients were selected for TOPS plus decompression on the basis of severe canal stenosis with facet hypertrophy and facet mediated pain, unresponsive to exhaustive conservative measures. Nine had undergone previous surgery at the same level, discectomy, laminectomy or interspinous spacer implants. 5 patients had a degree of degenerative scoliosis, with Cobb angles of less than 20o and 5 patients had a grade I spondylolysthesis. Four patients were female. Ages ranged from 37 to 86 years. The TOPS device [Impliant medical, Israel] was used in all cases, being licensed in Europe for use at L3/4 and L4/5 levels. Operative technique: The patient was positioned prone on a Montreal mattress and a midline incision was made and muscles retracted to expose the spinous processes of three levels. A laminectomy was performed in routine manner, to achieve adequate canal decompression and this was continued out laterally through both facet joints (which were grossly hypertrophied). Pedicle screws were then positioned bilaterally under fluoroscopy, into the levels above and below, using the angulation guides and the trial prosthesis was then used to determine the size required. The TOPS implant was then secured to the pedicle screws. X-ray confirmation of an appropriate placement was obtained and the wound was closed over a drain. Results: 10 patients underwent surgery at L4/5, two at L3/4. There were no deaths, no neurological complications and no implant related complications. Average operating time was 147 minutes, average blood loss was 550mls (no patients requiring transfusion) and average hospital stay was 6.5 days. None of these patients had a CSF leak. There were no deep or superficial infections. All patients had good/excellent outcomes, with a maximum post-op ODI of 12%. 7 of the 12 who had previously been employed, returned to work. Discussion: Maintaining normal movement in the spine is the goal of all therapies, whilst decompressing the neural elements. The TOPS device allows this, with an acceptable complication rate and good patient outcomes. In these difficult cases, with instability, kissing facets or gross facet damage, TOPS may represent an alternative to posterior fusion Facet Resurfacing: First Experience with the FENIX® Facet Implant E. Van de Kelft1, M. Ahrens2, H. Hale3 1AZ Nikolaas, Neurosurgery, Sint Niklaas, Belgium, 2Roland Klinik Bremen, Center for Spine Surgery, Bremen, Germany, 3Gerraspine AG, St. Gallen, Switzerland Introduction: It is estimated that pathological changes at the lumbar facet joints account for 15-45% of low back pain, however, surgery to treat these problems is rare. The FENIX ä facet resurfacing implant is a partial facet replacement prosthesis and is designed for motion preservation at the index level whil reducing the pain significant. In this feasibility study the design of the FENIX TM device, the intended patient population and the surgical technique were evaluated. Materials and methods: Patients between 40 and 70 years attending the implanting surgeons clinic with facet joint syndrome, that proved to be refractory to at least 6 months conservative treatment, including radiofrequency denervation, were considered candidates for participation in this study. The pain intensity was rated > 5 on the Visual Analogue Scale (VAS). Facet joint degeneration Fujiwara grades 2 and 3 at the affected lumbar level should be demonstrated by MRI. A CT-SPECT should confirm a facet joint osteo-arthritis at one or both sides of the affected level as single pain generator. The patient should experience at least 50 % pain reduction after a diagnostic block of the CT-SPECT identified affected facet joint. Results: Seven of the eight (93.75 %) patients had their implants in place 24 months after surgery. Flexion and extension X-ray analysis showed preservation of motion in these 7 patients. No Modic changes were detected at the discs of the treated and adjacent levels, with respect to the baseline observations and no signs suggestive for loosening of the implants were noticed at the index joints. Moreover, CT-SPECT was normalized in all seven patients at monts 6 follow-up. In one patient (6.25 %), routine X-ray at 6 months followup showed unilateral superior facet implant dislocation. This patient had significant pain reduction and a better ODI score than at baseline. He did not report any change since his last visit at 6 weeks. This patient has been re-operated and the devices were explanted and a posterior lumbar interbody fusion (PLIF) was carried out. At the occasion of explantation, the soft tissue around the implants did not show any form of metallosis under microscopic magnification. No surgical complications were encountered nor side effects that could be related to the implants. The ODI improved from 48 (10-80) at baseline, to 21.5 (0-34) at six months and to 16.5 (0-24) at one year postoperatively. The NRS for pain intensity improved from 7.2 (5-10) to 2 (0-5) and for pain frequency from 6 (5-8) to 2 (0-3) at one year Discussion: In our pilot study patients with facet joint osteoarthritis experienced considerable pain reduction and improvement in functionality after bilateral monolevel facet resurfacing. Only one implant dislocation was noted in this pilot study. The dislocation was attributed to the cross fixation of the upper resurfacing component and was the reason for a change in the fixation modality of this component in the second generation implants. |
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May 2008 onwards - Lumbar facet injections - First post-op ones four years post surgery, have lost count of the number I've had since then but they do help. Pre-op they didn't make much difference- Mr Shackleford, Warrington Feb 2008 - Cervical TDR, (Activ C's) C5/6 & C6/7- Mr Shackleford, Warrington May 2006 - Craniotomy and resection frontal lobe brain tumour - The Walton Centre for Neurology and Neurosurgery Feb 2004 - Lumbar TDR, (ProDisc's) L4/5 & L5/S1 - Mr Shackleford, Warrington | |
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| WPKat | 10 Apr 2012, 09:23 PM Post #3 |
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Hi Lynda, I really appreciate your sharing the reports! Do you know which surgeons use the TOPS or FENIX facet devices? Thanks, K |
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Diagnosis L2/L3 bilateral facet joint arthropathy - sclerotic (B-FJA-S) L3/L4 M6-L ADR; severe B-FJA-S; mod foraminal stenosis R L4/L5 M6-L ADR; severe B-FJA-S; posterior decompression L5/S1 bilateral hemisacralized; B-FJA-S Procedures 3/09 L3.L5 Laminectomy; L4/L5 w Disectomy 7/09 FJI, Radiofrequency Thermocoagulation 4L 4/10 Discogram 6/10 L3.L5 M6-L ADR 8/11 L4/L5 Epidural Steriod Inj L 10/11 CT Myleogram 12/11 Medial Branch Blocks 8 | |
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| Lynda | 10 Apr 2012, 10:50 PM Post #4 |
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Hi K Mr John Sutcliffe of The London Spine Clinic, Harley Street, London was involved in the TOPS study. I recall reading somewhere ( I think it was a US TOPS study) of late complications ...... 6-9 months down the line fractures occured around the screws. If I can find it I'll let you know. I don't know who is using the FENIX device, here's a link to the manufacturer who may be able to provide the info http://www.swisslifesciences.com/swisslife...36;SnS0kJL38vZk I think the stem cell treatment sounds very exciting and look forward to hearing if you are able to persue that option, when will you know the Head of Depts decision? |
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May 2008 onwards - Lumbar facet injections - First post-op ones four years post surgery, have lost count of the number I've had since then but they do help. Pre-op they didn't make much difference- Mr Shackleford, Warrington Feb 2008 - Cervical TDR, (Activ C's) C5/6 & C6/7- Mr Shackleford, Warrington May 2006 - Craniotomy and resection frontal lobe brain tumour - The Walton Centre for Neurology and Neurosurgery Feb 2004 - Lumbar TDR, (ProDisc's) L4/5 & L5/S1 - Mr Shackleford, Warrington | |
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| WPKat | 12 Apr 2012, 04:44 PM Post #5 |
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UPDATE I received word Tuesday afternoon that the head of the department at my pain specialist office gave approval to start stem cell treatments to my facet joints. The procedure should be scheduled within the next 2 weeks. I am excited and will keep you posted. K |
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Diagnosis L2/L3 bilateral facet joint arthropathy - sclerotic (B-FJA-S) L3/L4 M6-L ADR; severe B-FJA-S; mod foraminal stenosis R L4/L5 M6-L ADR; severe B-FJA-S; posterior decompression L5/S1 bilateral hemisacralized; B-FJA-S Procedures 3/09 L3.L5 Laminectomy; L4/L5 w Disectomy 7/09 FJI, Radiofrequency Thermocoagulation 4L 4/10 Discogram 6/10 L3.L5 M6-L ADR 8/11 L4/L5 Epidural Steriod Inj L 10/11 CT Myleogram 12/11 Medial Branch Blocks 8 | |
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| WPKat | 18 Apr 2012, 09:57 PM Post #6 |
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Cervical Facet System http://www.providencemt.com/dtrax-facet-system http://www.providencemt.com/contact-us The second link lets you know where it is available. I sent an inquiry and asked if they have a lumbar version; I will keep you posted. |
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Diagnosis L2/L3 bilateral facet joint arthropathy - sclerotic (B-FJA-S) L3/L4 M6-L ADR; severe B-FJA-S; mod foraminal stenosis R L4/L5 M6-L ADR; severe B-FJA-S; posterior decompression L5/S1 bilateral hemisacralized; B-FJA-S Procedures 3/09 L3.L5 Laminectomy; L4/L5 w Disectomy 7/09 FJI, Radiofrequency Thermocoagulation 4L 4/10 Discogram 6/10 L3.L5 M6-L ADR 8/11 L4/L5 Epidural Steriod Inj L 10/11 CT Myleogram 12/11 Medial Branch Blocks 8 | |
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| WPKat | 19 Apr 2012, 04:59 PM Post #7 |
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FENIX Facet Resurfacing Implant ** Excludes Patients w: Laminectomies ** Approved in Europe info@gerraspine.com (General Information) erik.vandekelft@neuro-chirurgie.org (Specialist) http://www.swisslifesciences.com/swisslife...36;SnS0kJL38vZk |
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Diagnosis L2/L3 bilateral facet joint arthropathy - sclerotic (B-FJA-S) L3/L4 M6-L ADR; severe B-FJA-S; mod foraminal stenosis R L4/L5 M6-L ADR; severe B-FJA-S; posterior decompression L5/S1 bilateral hemisacralized; B-FJA-S Procedures 3/09 L3.L5 Laminectomy; L4/L5 w Disectomy 7/09 FJI, Radiofrequency Thermocoagulation 4L 4/10 Discogram 6/10 L3.L5 M6-L ADR 8/11 L4/L5 Epidural Steriod Inj L 10/11 CT Myleogram 12/11 Medial Branch Blocks 8 | |
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| Lynda | 19 Apr 2012, 06:04 PM Post #8 |
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Thanks for the posts K, very interesting. How wonderful that you've got approval for the stem cell treatment. I look forward to reading how it goes for you and wish you every success. Have you got a date yet? Lynda |
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May 2008 onwards - Lumbar facet injections - First post-op ones four years post surgery, have lost count of the number I've had since then but they do help. Pre-op they didn't make much difference- Mr Shackleford, Warrington Feb 2008 - Cervical TDR, (Activ C's) C5/6 & C6/7- Mr Shackleford, Warrington May 2006 - Craniotomy and resection frontal lobe brain tumour - The Walton Centre for Neurology and Neurosurgery Feb 2004 - Lumbar TDR, (ProDisc's) L4/5 & L5/S1 - Mr Shackleford, Warrington | |
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| WPKat | 19 Apr 2012, 10:04 PM Post #9 |
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Lynda, Oh my, what a SLOW process! I was told today that the hold up is scheduling with the lab that extracts the stem cells. It will be a long day for me while they "drain my blood" ... no kidding, those were her exact words (it doesn't scare me though). The stems cell have to be extracted and then injected all within 4 hours so the timing of it all has to be spot on. It means that the lab, pain specialist, and spine surgery center all have to be coordinated and scheduled perfectly. The target date is Wednesday, May 2nd. I really would like to get a move on. My pain levels are such that I'd inject it myself if I could. I seriously need a break from pain, or some hope that I can calm things down at least. I am looking for other facet technology in the meantime so I know what my options are and so I have something meaningful to do during my down time. K |
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Diagnosis L2/L3 bilateral facet joint arthropathy - sclerotic (B-FJA-S) L3/L4 M6-L ADR; severe B-FJA-S; mod foraminal stenosis R L4/L5 M6-L ADR; severe B-FJA-S; posterior decompression L5/S1 bilateral hemisacralized; B-FJA-S Procedures 3/09 L3.L5 Laminectomy; L4/L5 w Disectomy 7/09 FJI, Radiofrequency Thermocoagulation 4L 4/10 Discogram 6/10 L3.L5 M6-L ADR 8/11 L4/L5 Epidural Steriod Inj L 10/11 CT Myleogram 12/11 Medial Branch Blocks 8 | |
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| Lynda | 2 May 2012, 02:55 PM Post #10 |
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Just want to wish you good luck for today's stem cell treatment K (hope they didn't change the date). I hope the procedure goes well and with great results. I am very interested in your outcome. I was talking to my pain mangement doctor about your treatment, he didn't know of anywhere in the UK doing stem cells for lumbar facet joints yet and he too was interested in where you were having it done. Lynda |
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May 2008 onwards - Lumbar facet injections - First post-op ones four years post surgery, have lost count of the number I've had since then but they do help. Pre-op they didn't make much difference- Mr Shackleford, Warrington Feb 2008 - Cervical TDR, (Activ C's) C5/6 & C6/7- Mr Shackleford, Warrington May 2006 - Craniotomy and resection frontal lobe brain tumour - The Walton Centre for Neurology and Neurosurgery Feb 2004 - Lumbar TDR, (ProDisc's) L4/5 & L5/S1 - Mr Shackleford, Warrington | |
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| WPKat | 2 May 2012, 03:19 PM Post #11 |
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Lynda, I am sorry to say that it is not happening today. I have no idea what is going on since I have been unable to get anyone to return my call; usually they return calls within a day or two and it has been well over a week. I am not giving up on stem cell injections quite yet and will let you know as soon as they call me back to explain why there has been such a long delay. I may have encouraging news on a facet replacement option in a week or two. I hope you are doing well today! K |
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Diagnosis L2/L3 bilateral facet joint arthropathy - sclerotic (B-FJA-S) L3/L4 M6-L ADR; severe B-FJA-S; mod foraminal stenosis R L4/L5 M6-L ADR; severe B-FJA-S; posterior decompression L5/S1 bilateral hemisacralized; B-FJA-S Procedures 3/09 L3.L5 Laminectomy; L4/L5 w Disectomy 7/09 FJI, Radiofrequency Thermocoagulation 4L 4/10 Discogram 6/10 L3.L5 M6-L ADR 8/11 L4/L5 Epidural Steriod Inj L 10/11 CT Myleogram 12/11 Medial Branch Blocks 8 | |
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| WPKat | 3 May 2012, 03:33 AM Post #12 |
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UPDATE Lynda, WOW, it is truly amazing to me how quick things can change. I received a call this afternoon from the coordinator at my pain specialist's office regarding the status of the stem cell injections. The delay was caused by a simply lack of understanding of what paperwork the lab required from them to get the ball rolling. Don't you just love paperwork! :rolleyes: This is what I know so far: Now that they have ironed out the paperwork maze, I am suppose to receive a call from the lab tomorrow morning to set up a "rather long appointment" with them to go over my life story and sign on the dotted line. Depending on the date of the lab appointment (and it was implied that it would be scheduled quickly), the big day should be scheduled for next Wednesday, May 9th. On the day of the stem cell injections, I am to arrive bright and early at the lab where they will "drain my blood" (they take more then if you donate to the blood bank) from which they will extract the stem cells. They take more then they need for the procedure to be able to store as much as they can for future use. The process of extracting stem cells is expensive so I am assuming this is done to get the best bang for their buck (and mine as well since my insurance will not pay for the stem cell extraction process). You don't want to know what I think about my health insurance. :angry: I am not afraid of needles, but I am sure not going to watch as my blood is drained. I made a joke about vampires and the coordinator thought it was pretty funny (she's the one who characterized it as "draining your blood" and I just couldn't resist). I cannot eat 6 hours prior to the big event, which will be interesting because I know donating blood can make you dizzy. I am not sure how I will react, but I have been through a lot worse, so bring it on! I do not know exactly how long it takes to extract the stem cells, however, they will be injected on the same day so I am guessing that it will be done sometime in the afternoon. ************ BACKGROUND After I did some preliminary research into the potential of stem cells several months ago, I was quite surprised to find a few U.S. companies currently using it to treat facet joints: http://www.stemcellorthopedic.com/conditio...cet-joints.html http://www.regenexx.com/2011/09/low-back-f...and-stem-cells/ After reading about it, stem cells peaked my interest even more; as a patient I view it as a potential restorative option vs. many of the customary, but temporary conservative facet treatments currently available. I asked my pain specialist and was surprised to learn that her colleague was in the process of beginning to treat a few of his cervical patients with stem cell injections and so far was experiencing positive outcomes. What he is doing is a bit different then the sites referenced above. The bottom line is that I wanted an opportunity to give it a shot and volunteered to be his first lumbar patient (provided my pain specialist will be there and involved as learning experience for her as well). There will be no more pain associated with the the stem cell injections then with any of my prior procedures (and far less then RFA). The risk is minimal, the expense doable, and at I least I can say I tried all conservative methods of facet treatment before seeking out surgical intervention (and yes, I have been actively looking into that as well). I am not expecting a miracle; I know my facet degeneration is severe on 2-levels. As I spent my afternoon doubled over with pain on my left side despite my excitement about trying this out ... I thought, "Why not?" and "can I please do it today?" I will keep you posted! K |
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Diagnosis L2/L3 bilateral facet joint arthropathy - sclerotic (B-FJA-S) L3/L4 M6-L ADR; severe B-FJA-S; mod foraminal stenosis R L4/L5 M6-L ADR; severe B-FJA-S; posterior decompression L5/S1 bilateral hemisacralized; B-FJA-S Procedures 3/09 L3.L5 Laminectomy; L4/L5 w Disectomy 7/09 FJI, Radiofrequency Thermocoagulation 4L 4/10 Discogram 6/10 L3.L5 M6-L ADR 8/11 L4/L5 Epidural Steriod Inj L 10/11 CT Myleogram 12/11 Medial Branch Blocks 8 | |
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| Alastair | 3 May 2012, 08:06 AM Post #13 |
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Alastair
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Good luck with this procedure and do come back and tell us how you got on Best, Alastair
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Founder of this board 24th February 2007 Slow and Steady Wins This Race Over 23 Years experience and research into spine surgery and over 2500 surgeries discussed and recorded ADR L5/S1 Surgery with Dr Zeegers 26th July 2002 in Munich 8 facet joint ablations 28 – 8 – 12 with Dr Baranidharan and Jake Timothy in Leeds Diagnosed Forestiers disease Your Best Asset Is Your Health I live in West Yorkshire aged 81 now Knowledge is power | |
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| Alastair | 3 May 2012, 03:33 PM Post #14 |
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Alastair
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Just some information from Mr John Sutcliffe in London, apparently he has been using to the appropriate patients the TOPS resurfacing prosthesis which apparently was developed in Israel since 2007. He has been presenting this to colleagues and is also is publishing the data from his research at this moment in time. It is such a minimal invasive thing that if it has good patient efficacy could make a huge difference to many many patients he been asked to join the studies to look at the facet resurfacing system from one to the European companies. Best, Alastair
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Founder of this board 24th February 2007 Slow and Steady Wins This Race Over 23 Years experience and research into spine surgery and over 2500 surgeries discussed and recorded ADR L5/S1 Surgery with Dr Zeegers 26th July 2002 in Munich 8 facet joint ablations 28 – 8 – 12 with Dr Baranidharan and Jake Timothy in Leeds Diagnosed Forestiers disease Your Best Asset Is Your Health I live in West Yorkshire aged 81 now Knowledge is power | |
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| Lynda | 9 May 2012, 08:49 PM Post #15 |
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Hi K, How did it go today? Lynda |
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May 2008 onwards - Lumbar facet injections - First post-op ones four years post surgery, have lost count of the number I've had since then but they do help. Pre-op they didn't make much difference- Mr Shackleford, Warrington Feb 2008 - Cervical TDR, (Activ C's) C5/6 & C6/7- Mr Shackleford, Warrington May 2006 - Craniotomy and resection frontal lobe brain tumour - The Walton Centre for Neurology and Neurosurgery Feb 2004 - Lumbar TDR, (ProDisc's) L4/5 & L5/S1 - Mr Shackleford, Warrington | |
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