ADR and Reverse Cervical Lordosis

///ADR and Reverse Cervical Lordosis
ADR and Reverse Cervical Lordosis
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  • AvatarCalhoonms
    Participant
    Post count: 2

    Dr. Corenman,

    I’m facing dual-level ACDF surgery (C5/6 & C6/7), but would prefer ADR surgery based on input from friends and colleagues whom I have spoken with over the past three months. However, I have mild Reverse Cervical Lordoses. As such, my surgeon is telling me I am not a candidate for ADR.

    With the above as background, do you know why ADR wouldn’t be appropriate in my case?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7138

    Not knowing how degenerative or narrowed the disc space is, if there is central stenosis or if there is a slip or degenerative facet disease puts me at a disadvantage. Assuming that these elements are not present, a gentile reversal of the normal cervical curve is not a contraindication for an ADR (artificial disc replacement). Realize that an ADR does not put the segment in lordosis like a fusion will but in neutral alignment.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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