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  • clyde
    Member
    Post count: 4

    Hello, 5 years ago I had an ADR at L5-S1. Ever since then, my Facet pain has been off the charts. I have had many block injections and 5 or 6 Rhizotomies. They help about 50 percent. I was wondering if I could have a posterior fusion at that level to achieve permanent relief leaving the ADR in place. Thanks.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8368

    Unfortunately, one of the side effects of these lumbar artificial discs is the increased strain and motion of the facets. The facet blocks have indicated the source of continuing pain and unfortunately, the facet rhizotomies were unsuccessful.

    Yes- the only way to relieve the pain is with a posterior instrumented fusion of L5-S1. The success rate for pain relief is about 85%.

    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.
    texasspondy
    Member
    Post count: 25

    Dr. Corenman, is this a procedure that had to of been done overseas, Europe or something. I’m just curious as to my research or education on this is that in the U.S. it’s not approved except in the Neck or C area of the spine, and not the Lumbar, yes/no.
    Appreciate the knowledge….

    Donald Corenman, MD, DC
    Moderator
    Post count: 8368

    Lumbar artificial disc replacements (ADR) have been approved for the US market and have been implanted in the States for the last 5-6 years. My personal opinion is that the lumbar disc replacement is not currently the best treatment for lumbar degenerative disc disease. You will find surgeons who would disagree with me.

    I think that in the appropriate case, the cervical disc replacement is a very good implant and there are good indications for its use. I implant cervical ADRs but I do not implant lumbar ADRs.

    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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