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| Adjacent segment disease; fusion and ADR risk | |
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| Tweet Topic Started: 25 Oct 2014, 11:08 PM (229 Views) | |
| Andypugh | 25 Oct 2014, 11:08 PM Post #1 |
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Newbie
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Good day, I have surgery planned early in November 2014. S1-L5 fusion and L5-L4 ADR. Would have pushed for double ADR but a Pars fracture at S1-L5 and spondylolesthisis grade 1 eliminates the possibility of ADR at S1-L5 I am told. It is well known that fusion of one segment often leads to degeneration of the next level up, eventually also requiring fusion. In my case an ADR will be on that next level up. Will this spare me from adjacent segment degeneration or complicate it? How many others here have had similar procedure done and how are you doing? Are there any literature on the web that looks into this specific combination (fusion and ADR on top)? Links? Thanks Andy |
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| cindy2015 | 21 Aug 2015, 09:55 AM Post #2 |
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Unregistered
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Hello Andy, sorry to read you are having to have another operation after your fusion. I was reading an article recently about adjacent disc problems after fusion surgery, and that with each additional fusion surgery the outcomes are less and less satisfactory. I would imagine it depends on the individual, but that is what I read. Disc replacement surgery seems like a great option, as you can potentially keep a better range of movement, and so far reoperation rates are lower with disc replacement than with fusion. But the very long term implications are not yet known. I know I am weighing up both options as I type this, most surgeons who perform disc replacement will say it is superior to fusion, but with all surgery there are risks as you will already know. Perhaps as you have already had a fusion and require further surgery, disc replacement could be the better option? I hope someone more knowledgeable can answer your question a little better than I can. I do wish you all the best of luck with it and hope whatever you opt for, it will be a complete success. http://www.ncbi.nlm.nih.gov/pubmed/19444062 So far I have only found this. |
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