Page 11 » Donald Corenman MD DC | Spine Surgeon Colorado

Forum Replies Created

Viewing 6 posts - 61 through 66 (of 81 total)

Previous 1 2 3 … 10 11 12 13 14 Next

Author

Posts
biofreeze
Participant

April 2, 2015 at 9:58 am

Post count: 99

in reply to: Micro – motion lumbar fusion #18077

This is extremely helpful information. Thank you.

What dose of BNP do you use for TLIF vs. the typical dose for ALIF ?

Would it be considered any safer to use if it were placed in the ALIF cage and stays contained in between the vertebrae ? Is the alleged fear that it will get absorbed in blood stream if it is not compressed in a cage ?

Why is BNP approved for ALIF, but is off label for TLIF ?

Based on what I have read, there does appear to be confirmation that BNP that can exacerbate benign tumors by 33% within three years of surgery, although I believe that was at higher doses.

biofreeze
Participant

April 1, 2015 at 12:32 pm

Post count: 99

in reply to: Micro – motion lumbar fusion #17769

Thank you.

IS the Cadaver bone filled with bone from laminectomy or is just solid bone cut in the shape of a PLIF cage ?

Will the cadaver bone take longer to fuse that regular bone, I want to fuse as quickly as possible ?

Also, I read on your website that when you place BMP in the front to “speed” up fusion that you shield it with the TLIF cage from the rest of the disc space and Dura. Will this be an issue PLIF being that there is these two cages ?

Last, you also have on your website that BNP has been associated with cancer risk, but without much supporting evidence. Will a low dose of BNP in front of spine be able to travel throughout the body ? There seems to be lot of people out of there on specific blogs that claim they were given BNP and developed benign tumors and other masses 3 years after surgery !

Thank you again !

biofreeze
Participant

March 31, 2015 at 7:59 pm

Post count: 99

in reply to: Micro – motion lumbar fusion #17680

I met with my neurosrgeon today, He says he wants to fuse L5,S1, spondylolisthesis with a PLIF using cadevor bone instead of PLIF cages.

He wants to augment fusion with BNP in front of disc space and then lay cadevor bone plif shaped cages, then lock it down with screws and rods and gutter fusion.

Have you ever heard of using cadaver bone for PLIF ?

Thank you

biofreeze
Participant

March 30, 2015 at 9:54 pm

Post count: 99

in reply to: Micro – motion lumbar fusion #17414

Is micromotion common for TLIf or PLIF surgery ?

Can this micromotion cause pain after surgery ?

Does PLIF or TLIF cover enough bone mass to support spinal column ?

biofreeze
Participant

March 30, 2015 at 12:30 am

Post count: 99

in reply to: Micro – motion lumbar fusion #15831

Also, is it true that PLIF will prepare disc space better for fusion vs a Tlif

I’ve read that TLIF can not disect as much disc as PLIF and there cages will not fuse ?

biofreeze
Participant

April 18, 2014 at 7:46 am

Post count: 99

in reply to: MIS TLIF #10759

Thank you so very much.

1.) What kind of accommodations are taken if nerve does not mobilize well ?

2.) Will fusion bed be big enough to produce a strong enough fusion with TLIF ?

My neuro originally wanted to do ALIF to get bigger fusion bed, this then switched to PLIF because he said the two cages would provide a strong enough fusion if I didnt want to go through the front.

He originally said that going straight through the back would not be enough to support me therefore we needed the ALIF spacer with the 4 screws built in along the four screws and two rods in the back – lot of hardware. 4 hour surgery.

It has been difficult to find a good direction on how to proceed.

I will be contacting your office to send you my MRI.
Author

Posts

Viewing 6 posts - 61 through 66 (of 81 total)

Previous 1 2 3 … 10 11 12 13 14 Next

Donald Corenman, MD, DC

Average rating:

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.

Submit your review
First Name, Last Initial:
Email:
Review Title:
Rating:	1 2 3 4 5
Review:

Check this box to confirm you are human.
Submit Cancel

biofreeze

Forum Replies Created