Failing prodisc l5-s1

Tagged: Lumbar artificial disc replacement failure

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Donald Corenman, MD, DC
Moderator

July 1, 2017 at 4:35 am

Post count: 8660

#25363

I cannot give you specific guideline regarding who to see in your area. If you want to come here, simply call the 888 number at the top of this page and talk to my office manager.

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.

Vickerst
Participant

February 28, 2018 at 10:30 am

Post count: 2

#27749

I need some help.. finding info on device failers is very hard yo find, and after reading the above I can see why the manufacturer is very quick to take back any failed products before they are known/published, also hearing that they are not removelable is new to me as i was not told this before my surgery or since… I am concerned that I also have a failing pro disc l at L5-S1, I also have a fusion at L3-L4 and a Dallas grade 5 tear in my disc at L4-L5. I have very painful poping and movement at L5-S1 from the prodiscL.. I had my surgery in June 2007 here In Florida, the surgeon office dismissed me as a client and I have no one qualified with my device to follow my case, I have to be lying down most of each day, little to say I am living in exurshating pain.. I have been in pain management since 2006 and have had everything you can think of, due to prolong use/treatments with steroids (enduced addison) I can no longer receive any pain management procedures as steroids are always given so I have no relief except pills which do not cover the pain.. medical mj in Florida is a joke ..

Can you please help me with finding someone experienced with my device in my area and any info on pro disc L failers.. mine sounds like it is farting every time I move..

Donald Corenman, MD, DC
Moderator

February 28, 2018 at 12:31 pm

Post count: 8660

#27752

When a disc fails, it can be from the interface bone/metal endplate fracture or settling, initial malplacement, wear of the polyethylene insert or facet failure. The normal “fix” is a posterior fusion to immobilize the disc as an anterior approach can be very frustrating (up to dangerous) due to adhesions of the common iliac veins to the prior adhesions from implantation.

I cannot recommend anyone in particular in your area. Find a very experienced, meticulous spine surgeon with whom you feel confident.

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.

Vickerst
Participant

February 28, 2018 at 4:03 pm

Post count: 2

#27759

Thank you for the quick response, it’s so hard sometimes, I guess I will be doing more research to find someone who is knowlegable with my device.. it’s easiest sometimes to just give into the pain and despair than to find someone who understands what it is to have these issues and the amount of pain we live with.. I will be 50 in May and I have no life, I don’t date, all I have is my grandkids and 4 legged kids in my life due to my faith in a device that I believed would give me the best outcome & treatment as an active independent single mom at the age of 38..

PS If I do not find a Dr in my area would you be willing to treat me if I was to travel to Colorado?? I had planned on having a camper this year and trying to travel at my pace, to return to my favorite places and see some new places before I am no longer able to. I lived in Colorado Sprinprings (Ft Carson) in 93..

Donald Corenman, MD, DC
Moderator

February 28, 2018 at 4:56 pm

Post count: 8660

#27761

The surgeon you find does not have to have intimate knowledge of your particular device as they all have the same mechanical principles.

I would be happy to treat you if you come out here. You might first consider my “long-distance consultation” program so that we both can be prepared for an actual visit.

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.

Jeremyg09
Participant

March 1, 2018 at 2:10 pm

Post count: 5

#27771

Hello dr corenman and vickerst,

I have recently had a spine surgery to stabilize the disc. It was found that even though the disc is set well in the bone is had significant movement in the l5-s1 joint causing severe arthritis. It also explains the popping and clicking as the disc would move around and become pinched (only way I can explain it) in the joint and pop. They placed pins around the disc and used rods and screws to stabilize. If this doesn’t work they have a way to remove it safely. If victorst would like to contact me about this or you dr corenman id be happy to go into further details on how they remove the failed disc. From what I’ve been told a law was passed in California preventing the use of artificial discs in the lower lumbar region. I have had relief from the surgery it was on January 4th if this year. I’m very happy with the results. However it has also been extremely painful as I was warned this would surgery would aggravate the arthritis. It did.
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Donald Corenman, MD, DC

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81 reviews

Eric S

Sep 26, 2021

by Eric S on Donald Corenman, MD, DC

Successful pars repair at 46 years old

Back in November of 2018 (at 46 years old) I came from Vancouver BC to have a pars repair done with Dr. Donald Corenman at the Steadman Clinic in Vail Colorado. I'm finally posting this review nearly three years later in late 2021. The reason I waited so long was I wanted to know the final result before I posted my review. Unfortunately in that time Dr. Corenman has retired. Nevertheless, I want to post this review of Dr. Corenman and his staff at the Steadman Clinic in their excellent treatment of my L5 pars interarticularis.

I fractured my pars at age 42 back in 2014 when rolling on the gym floor, and was denied treatment by the Canadian healthcare system, probably due to my age. First my GP told me there was no surgical option for a pars defect, which was quite incorrect! I tried to live with it, but the symptoms worsened (periodic random spine slippage and weeks of resultant pain after just bending over to tie my shoe, so I eventually learned to mostly squat and hardly bend). When I finally consulted with Canadian spine surgeons, I was told they believed my pars defect had been congenital (since birth). This was absurd, considering I had done extreme martial arts (including jiu jitsu) for years prior, as well as 5 years of reinforcing steel full time in my 20s, probably the hardest job on the back you can find. No pars defect like mine would possibly have allowed this--ergo it was impossible that I had had the defect since birth. I did however have an asymptomatic congenital spina bifida occulta that made me more susceptible to a pars fracture. In 2014 in one instant, I went from having the strongest back people I knew said they'd ever seen, to being unable to safely bend over and tie my shoe without a non-negligible risk of my spine slipping randomly (which would lead to weeks of pain after each occurrence). This was due to the unilateral L5 pars defect, otherwise known as spondylolysis. It was when lying in pain on the floor 4 years later after maybe the 6th spine slippage event post injury, that I had had enough, and resolved to have surgery. If Canada's "universal health care" said no, I would make lemonade from lemons, and find the very best surgeon in the world at pars repairs. That was Dr. Donald Corenman. Dr. Corenman back in 2018 ran a website https://neckandback.com/ that dedicated many pages to the science of every aspect of pars repairs, from eligibility (good discs on MRI), to best surgical techniques (minimal open compared to minimally invasive), best imaging to use (i.e., O-Arm with Stealth imaging vs. older fluoroscopy), the ideal amount of BMP to use and why not use too much or too little, and much more, all to do with pars repairs, pages upon pages of his site just on the pars, with scientific references and his own extensive expert opinion. As a health research statistician, I was very impressed with this. It was in stark contrast to the websites of other spine surgeons which barely gave the pars a word or two, focusing almost exclusively on fusions. I had found the best surgeon in the world for pars repairs, and so after Dr. Corenman personally screened my MRI to ensure my discs were healthy, I booked the surgery.

Being 46 years old at the time of surgery in 2018, with a 4-year-old pars fracture from 2014 combined with a congenital SBO meant my pars fragment was somewhat atrophied, but it was "very solid", said Dr. Corenman in the operative report. Nevertheless, it was challenging with two things to fix, the pars and SBO, and OR time was around 4 hours. Recovery over the following months was guided by a very clear "Spine binder" from the Steadman Clinic with strict rules of "no BLT" (no bending, lifting or twisting), and illustrated physiotherapy guidelines. They even warned patients to avoid fish oil supplements, which could excessively dampen inflammation and hence slow bone healing. They answered many questions I had during months of recovery, with responses coming from the very supportive Lori Fugate (then director of Dr. Corenman's practice), and Ehrich Bean (then physician's assistant at the practice), as well as a couple calls with Dr. Corenman himself after two of the CT scans. Ehrich Bean offered great advice for taking the spine binder conservatively due to the nature of pars repairs vs. fusions. The final post-op CT scan I had was a couple weeks ago at 34 months post-op, and Dr. Corenman had retired, but I got a very positive and informative call from Eric Strauch (current PA at the Steadman Clinic under Dr. Corenman's replacement there, and who had also worked with Dr. Corenman previously). The staff at the Steadman Clinic were extremely supportive all the way through the process. I should mention, the local Canadian spine surgeon did offer me very good post-operative support including antibiotics as needed to deal with a mild surface incision-site infection early on, booking numerous x-rays when I felt something was amiss, as well as booking all four of my post-op CT scans. I am very grateful for that support also.

My final result shows plenty of solid bone across the pars and a healed SBO, with my vertebral body now a solid bone ring instead of being broken at two places as it was pre-op. Does my spine hold up in the real world? You bet! I have recently dug and moved several yards of dirt and sand and gravel by myself (shovel and wheelbarrow!) to fix our water main, pulled roots from the yard, moved several "portable" (these are HUGE) air conditioners up several flights of stairs my myself, and lifted weights. I now run 2 miles (3.2 KM) several times weekly with a hard 100 meter dash in the middle. I bend deeply before each run I go on, with no spine slippage. My spine feels amazing. I can bend over to do exercise, or real word tasks, with no risk of spine slippage.

My sincere thanks to God, Dr. Donald Corenman, Lori Fugate, Ehrich Bean, Eric Strauch, and the Steadman Clinic, as well as the Canadian spine surgeon who offered me excellent post-operative care back in Canada. You have all given me a new lease on life.

Sincerely,
Eric S

Robert S

May 11, 2021

by Robert S on Donald Corenman, MD, DC

Back Fusion Surgery

I had my entire lumbar spine fused in November of 2018. I had scoliosis , with pinched nerves that were so painful I could hardly walk - and standing for more than a few minutes was impossible. Even sitting was painful.
The fusion surgery produced immediate relief! And the recovery was much easier than I expected.
To this day I can do all the activities I love from hiking, to standing in a stream fly fishing to riding my bike long distances - or just walking down the street with my wife.
Kudos to Dr. Corenman and his staff, (including the two Erics) for taking such good care of me!

Leslie R

Jul 9, 2020

by Leslie R on Donald Corenman, MD, DC

TLIF

I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. I highly recommend Dr. Corenman and the Steadman Clinic.

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