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  • Stephenley
    Participant
    Post count: 4

    Hi Dr Corenman

    I had a Coflex l4/5 and a non instrumented ls/s1 facet fusion surgery performed in February 2021 by a surgeon who puts coflex in a lot of his patients combined with decompression. Unfortunately i didn’t get a second opinion and watched a couple of coflex testimonials on youtube.

    About 6 weeks out i started to feel a host of new symptoms.

    I have pain in extension from l3 to t12 and in flexion at t11/12, L1. My TLJ feels extremely painful and there is a burning irritation in the mid and lower back, Pain around the tops of my illium and into my groin and what feels like the SI area. Both sides. My left leg weakness also seems to be getting worse.

    The only pain i had before surgery was mechanical lower back pain.

    The operating surgeon kept saying the symptoms should resolve. I have lost confidence in him.

    I have seen another surgeon who believe some of the symptoms could be coming from the Coflex as my discs are very degenerate. He is willing to take it out on the NHS.

    Myquestion is what problems could possibly arise as the supraspinous and interspinous ligaments have been removed?

    Thank you
    Stephen

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Coflex is a device that has limited use. The problem with the device is that the vertebra is forced into flexion, the supraspinous and interspinous ligaments are removed and pressure on the spinous processes can erode or even fracture them. I would recommend a CT scan to determine spinous process status for prognosis. If your pain is generated from that particular disc, removing the device can be helpful. If the disc is very degenerative and the level is stable on flexion-extension X-rays, you should be OK removing the device.

    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.
    FranMaoo
    Participant
    Post count: 3

    stephen did you have your coflex in uk,
    You mentioned having the device removed on nhs.
    I am also in uk and had a coflex device placed and now in a far more pain.
    Did nhs remove it for you and did you have to have a fusion

    Fran,

    Donald Corenman, MD, DC
    Moderator
    Post count: 8409

    Coflex implantation causes the vertebra to be forced into flexion (bending forward). This device can then erode into the bone, causing pain. If that is the reason for pain (and not the narrowing of the spinal canal), removal of the device can be helpful.

    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.
    FranMaoo
    Participant
    Post count: 3

    What complications could arise with removal of coflex implant

    fran

    FranMaoo
    Participant
    Post count: 3

    What complications could arise with removal of coflex implant

    fran

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