Donald Corenman MD DC | Spine Surgeon Colorado

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JeremyD
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November 13, 2017 at 1:36 pm

Post count: 11

in reply to: Direct Pars Repair #26817

I understand now, thank you for the clarification. I feel a lot better about all of it now. I do feel stable now compared to before surgery. I think most of my discomfort and confusion has been part of the healing process as the muscles still “fatigue” and flare up. I have also read that even the rare occasions of non-union people are still able to carry on with their “normal” lives and adjust as you stated. My surgeon did use BMP’s with my repair and believes that my CT scan 6 months post op will reveal good news. He feels great about it. So we will see in January, Again i thank you for your detailed explanations, your time and knowledge as well. I have never heard of a Dr. creating a forum for patients to ask questions and concerns in their desperate times. It truly is appreciated!! -Jeremy

JeremyD
Participant

November 8, 2017 at 3:06 pm

Post count: 11

in reply to: Direct Pars Repair #26794

If it is “delayed healing”, How long will the pars continue to try to fuse before it gives up and becomes sclerotic? Also, If this repair fails would the next step be fusion? Even with a healthy disc ? Or would another attempt at pars repair be logical? I understand Fusion success rates are very high with the big cages and implants and strong hardware. I do understand that the 6 month ct Scan is very important to evaluate the pars anatomy and detail. I just cant imagine having to sacrifice a healthy disc and undergo a fusion at age 31. Dr. Corenman what is your opinion on this?
Thank you -Jeremy

JeremyD
Participant

November 3, 2017 at 8:09 am

Post count: 11

in reply to: Direct Pars Repair #26752

Thank you for that clarification. Do u think that its possible that the hardware could be rubbing and irritating the muscle and tissues and causing my discomfort? I’m a slender guy and did not know if that was a possibility. I was told that rarely do patients have to have hardware removed. All around my incision and lumbar muscle feel great now, just on the left side(very deep) gets really sore and irritated by the end of the day. It may still be part of the healing process? Anyway, Thanks for always answering and sharing you knowledge. It means a lot -Jeremy

JeremyD
Participant

October 31, 2017 at 3:57 pm

Post count: 11

in reply to: Direct Pars Repair #26735

well with a muscle stripping “open” procedure, how long is likely for a patient to feel pain and discomfort in the healing and muscles? to my understanding it takes several months for this to settle down and feel normal again? And walking is to help speed this process along and rebuild the back muscles, correct? thank you

JeremyD
Participant

October 25, 2017 at 7:34 am

Post count: 11

in reply to: Direct Pars Repair #26672

Do you think that I am feeling “bone healing” as my source of discomfort or would you think its more related to the trauma from being an open procedure? I hear the muscle stripping is a much harder recovery than the muscle splitting mis techniques? I am 14 weeks post op today. And still a surprising amount of discomfort. I am still diligently walking every morning and evening 20-30 min. I just keep waiting for the pain and discomfort to fade away and it hasn’t happened yet. Also in your opinion, is this procedure a longer, harder recovery than a fusion?
thanks – jeremy

JeremyD
Participant

October 10, 2017 at 3:32 pm

Post count: 11

in reply to: Direct Pars Repair #26566

Do you think at 3 months post op a patient should should still be feeling the same way they were before surgery? Or does the hardware usually stabilize them enough to give decent relief? I’m begging my Dr to order a ct scan so we can see what is going on…. I do not know why he wont do it. This is super frustrating. Everything i have read and researched has shown patients feeling fixed and great from 5 days to 4 weeks… Please give me some blunt clarity.
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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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JeremyD

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