LONG TERM RESULTS of Disc Replacement Surgery. Interviews with patients up to 15 years after ADR .
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- Опубліковано 20 вер 2024
- We interview 8 patients who are 5-15 years post ADR surgery about LIFE AFTER ADR.
For a complimentary surgical consultation, visit Enande.com/eval...
For a copy of To Fuse or Not To Fuse, visit tofuseornottof...
More Info:
Long-term clinical and radiographic outcomes of the Prestige ... - NCBI
www.ncbi.nlm.n...
by TH Lanman - 2017 - Cited by 4 - Related articles
Apr 7, 2017 - Long-term clinical and radiographic outcomes of the Prestige LP artificial cervical disc replacement at 2 levels: results from a prospective randomized ... assess long-term clinical safety and effectiveness in patients undergoing anterior cervical surgery using the Prestige LP artificial disc replacement (ADR) ...
ADR in the Corporate Environment: A Practical Guide for Designing ...
books.google.c...
M. Thérèse Reilly, Deborah L. MacKenzie - 1999 - Conflict management
The intangible results can often have the most significant impact upon the organization in terms of its long-term growth, productivity and public image. Following a thorough analysis of the effectiveness of the corporation's existing dispute-resolution processes, the Steering Committee may conclude that the various ADR ...
Long-term Care Skilled Services: Applying Medicares Rules to ...
books.google.c...
Elizabeth Malzahn - 2011 - Medical
Resident name: Part A/Inpatient Claim Time period in review: ADR document received: ADR documents due: Documents Requested N/A Date gathered Detailed ... Treatment records Flow charts Vital sign records Weight charts Lab and other test results Resident name: Part B/Outpatient Claim Time period in review: ADR.
Surgical Anatomy and Techniques to the Spine E-Book
books.google.c...
Daniel H. Kim, Alexander R. Vaccaro, Curtis A. Dickman - 2013 - Medical
Contrary to these contentions, short-term results of randomized trials suggest the clinical outcomes of ACDF and C-ADR are equivalent. However ... Reports of C-ADR revisions for inadequate decompression have already begun to surface.15,30,31 In the long term, successful ACDF also eliminates motion and thus halts the ...
Perez and Brady's Principles and Practice of Radiation Oncology
books.google.c...
Edward C. Halperin, Carlos A. Perez, Luther W. Brady - 2008 - Medical
r: E. FH, favorable histology, AMD, dactinomycin, WCR, wincristine, ADR, doxorubicin, RI, radiation therapy, CY, cyclophosphamide: UH, "Favorable sites: Orbit, head and neck (nonparameningeal), genitourinary (non-bladder-prostate); unfavorable. LONG-TERM RESULTS OF NATIONAL WILMS IUMOR STUDIES 3 AND 4.
What are the pros and cons of cervical disc replacement vs....
www.researchga....
Objective. To clarify the results of a long-term (30 years) follow-up study of artificial disc replacement (ADR) for the treatment of cervical disc disease. Summary of Background Data. The use of the ADR procedure has become widespread over the past 10 years. Its purpose is to preserve motion of the functional spinal unit.
Artificial Disc Replacement (ADR) - USC Spine Center
www.uscspine.com › Treatment Options
ADR is generally NOT recommended for patients with spinal fractures, instability, neurologic compression, or multiple level degenerative disc disease - spinal fusion remains the treatment of choice for these conditions. The advantages of ADR include a faster recovery time than spinal fusion and preserved motion at the disc ...
Mid- to Long-Term Outcomes of Cervical Disc Arthroplasty versus ...
journals.plos....
by Y Hu - 2016 - Cited by 20 - Related articles
Jump to Results - NDI success was defined as postoperative NDI score improvement of at least a 15-point increase from preoperative score. Three studies [53, 57, 58] reported the NDI success data. Pooled analysis revealed a higher rate of NDI success in CDA group (RR = 1.10; 95%CI: 1.04, 1.18; P = 0.002; ...
I had ADR 22 years ago at this writing and I've had fantastic results! I couldn't recommend it enough based on my own experience.
Wow what disc did you get? And what levels?
Why is there no updated post surgery reviews newer than 5yrs old??
Thank you all soooo much for doing this!! I have hpoe for the first time in 7 years..
Distraction pain...yes, Thank yall for covering that issue!!!!
"nobody knows how much a man can whine than his wife." Great quote, Darian! haha
I had adr c 4-5 and C 5-6 about 6 months ago. Best decision I think although I still have arthritis type pain in my neck at times but it's relatively mild. I felt like 90-95% better. NOTE: This surgery is no cake walk, worse then my C section and longer recovery then expected. BUT my main ssue now is I woke up a few weeks back with rather severe pain. I also have C 6-7 not replaced but a bad disk. Mild herniation. The pain could be coming from there because I fell two months back. The disk may be worse now after falling. Unfortunately in the US you can only have a double disk replacement which I had but the other disk would need fusion possibly.. The surgeon said C 6-7 wasn't bad enough for surgery.
I hope your recovery is doing well. I am being encouraged to get a fusion at c6,c7 in a month and I'm really freaked out by it. I'm glad that your procedure went well.
Wonderful video and group of people...i really appreciate everyone's input and time. I would love to see a followup video. Thank you!
I had 2 disc replacement at the neck 3 years ago. I got some relief for a couple of months or so. Today i am worse than before the surgery.
Hello Mario sorry for your pain. I'm from India and too poor to afford to fly to Germany to get ADR . What should I do
Before the surgery i was advised by some doctors to enter a controlled pain management program, as an alternative to surgery. Perhaps it can be a relief for some people. My problem was the ruptured discs were pressing the medula so it was necessary to remove the pressure and pain killers were not a solution, but might help you. The surgery did cost 35K USD and yes, it is expensive. The surgeon told me before the surgery, it is advised to wait for at least a couple of years before having the surgery if there is no neurological complications, because sometimes the pain may subside with time.
Thank you so much for this video, I’m going for S1/L5 and L4/L5 lumbar disc replacement with ONZ spine connection in 4 weeks and this has settled my nerves somewhat so thank you.
Greetings, how did the surgery go?
@Vishal Patel I think most of those who leave comments like that must be commercial comments, otherwise they are nonsese
Great video. Do you think someone in their 30's could make it through a police academy after this procedure? It's over 3 miles running daily with strength exercises like firemans carry other people, and other intense workouts between everything else.
I was wondering the very same thing...
You should always be cleared for anything prior to doing it. Based on what I have seen, read and think (personally) is to wait one year before you join.
5 years since this channel last posted a video 😣
In 2010 on the right side of my neck I had 2 disk replace in my neck , Now I feel like more went bad Like number 3 and 4 crushed on me , Every since I done this , it destroyed my life and all it is hurt 24/7 , I cannot go to sleep at night like a normal human being I feel like I'm on crack cocaine or something , and all I do is take pain killers,
What can you tell me to do about this so I can get fixed and go back to work , The doctor that done this he absolutely FAILED, He did not know what he was doing , He discharged me and I had problems 3 months later And he would not see me no more
Wow ! Colene history is just like mine! I had the back attacks just like her! I was getting paralyzed when I had the back attacks! Oh my goodness!
I had the Charite Disc in 2005 at 37, was one the first to have done, and that disc was removed from market in 2012. Chronic pain for 13 yrs as I am now 50 biggest complaint and something you discussed in video “cushion” one of the design flaws, IMO, with the Charite disc is it doesn’t mimic natural movement nor provides cushion. Many issues surrounding the Charite thus why removed. So much in Advancement only wish I didn’t have my issues. Research these devices ask questions as I know that this a cutting edge tech, and is a lot more advanced then what hit market in 2004. My surgery was L5/S1 in Dec 2005 on regiment of medicine to deal with pain and nerve pain. Procedure done in the US
I
sgriff36 yes newer disc has movement but either it has more movement than natural disc or less movement. It’s big negative points of newer disc too . Also bone growth around disc is another negative points of ADR.
For l5/s1 fusion isn't a bad option.
So , disc replacement is better than fusion?
Did most of you have the titanium ADR? My surgeon has recommended this surgery for me after having microdiskectomy of L4-L5. My disc has re-bulged and encroaching my nerve and at risk for reherniation. I see the vascular surgeon for consultation on Oct. 3rd and then go from there. Very scared of the recovery
How are you?
Gordon ... I'm impressed. I'm in Spanish Fork Utah. Please someone help me. I'm.a BYU fan also.
How these people doing today
🦗 5 years later
Do you know of any surgeon who has the ability to perform the spine disc replacements in the United States?
is there any surgeon that does this exact disc replacement in usa ?????have l4-5 degerative disc had a laminectomy
my question is what happens if the disc in the lumbar region goes bad? can it be replaced?
Yep!
35:00
Him: 'Crossfit'
Me: 'Uh oh'
Where in Germany Jim had his surgery? Which doctor please?
Waw i had no idea people were doing double and triple disc replacements. Amazing
I've seen 4 in the cervical! America who?! 😂...Germany 🇩🇪 💪
Due to have a double in the next few months.
Can you do boxing,mma and lift weights after ADR? Or is there limits?
I was wondering the same
Can people who underwent surgery show their recent MRI?
I wish I could speak to all of you
in the 2000 patients who had any problems?
Hey guys, I'm from Bremen Germany and have an appointment next week. I have three messed up discs in the neck and four in the lower back, did you ever hear about people getting the neck and the back at the same time done?
It happens, but 7 discs at once is an absolutely massive surgery. You'd be looking at separate surgeries more than likely.
Hope your op goes well , best wishes
You are looking at 2 separate surgeries I had my neck c3,4,5,6,and 7 also had 3 discs replaced with cadaver discs they came in first from the front then from the back but surgery failed then I had my back fused from t9 to l2 it also failed I’m worse than before I had the surgeries my life is hell right now a lot of pain I have been in pain meds since my surgeries I I have talked to different doctors they can’t find the root of my pain I was diagnosed with failed back syndrome hope everything goes well god bless
@@jessecano2392 I got my neck done in Stenum Germany,I big mess up, they damage my spinal cord and I have so much pain for a year now. At the hospital where they done my operation didn't even help me to operate it me and kikt me out. Next month go in a different hospital to help me with my pain.
Hi can you update about your surgery and financial cost?and post operations?
What is ADR
artificial disc replacement
I was injured in a car accident in 1995. I had 5 back surgeries following. On the 5th surgery the neurosurgeon scalpel slipped and he cut my spinal cord. I've continued to live disabled since a year ago. I started falling often all last winter. The three bones above L4 have collapsed. I have had lots of tests MRI and nukemed MRI. I was just told there wasn't anything that could be done.
I need this so bad 😢
Hi, I had a very large herniation l5 s1 and five spurs of bone. I had a microdesectamy. Since then I have re herniated the disc and are in extreme pain.
The surgeon has recommended a fusion over a disc replacement and says its 70% success rate. Anyone else's opinion would be massively appreciated! Dire straights at the moment.
Thank you.
Go for artificial disc if possible
What are the most recent results? I understand fusion is still 33% improve, 33% see no change, and 33% get worse. I've heard similar results for ADR. Is that true, or has the success rate improved in the last 5 years? I'm an L4 L5, L5 S1 candidate due to DDD. My doctors have never even discussed ADR. I have always been told there was nothing other than fusion. I found out about you on my own.
HI Mahoney. The stats on ADR are pretty impressive, especially when working with second generation devices. We would encourage you to pick up a copy of To Fuse or Not to Fuse. It is full of information and statistics. You can get your own copy on Amazon or for free at this link: tofuseornottofuse.com
Mahoney Same here, my friend: I stumbled upon ADR out of desperation in severe L5/S1 herniation pain...just to find out that Spinal Kinetics manufactuers M6 IN THE USA and yet, FDA doesn't allow it (not sure if my info is up to date on that, but that was the latest when I looked a month ago). With that, I am saving serious money to habe it ready for when I need my L5/S1 replaced (the day is coming with the initial DDD diagnosis on my MRI. Maybe by then FDA will grow up and admit it based on international trials (quite successful, mind you)...if not, I will pay for it myself. I cannot have this pain again for the rest of my life (recovered about 90% as we speak). Good luck to you.
Thanks Artur. We feel the same way about the M6. They are nearing FDA approval for the cervical version, but they tell us they will likely devote their resources to getting multi-level cervical approval in the US before turning to lumbar. Of course, we have been doing 3-4 level cervical and lumbar for many years with the M6.
I became disabled after my spinal lumbar fusion at only 27 years old. I am 34 now and still on disability and just discovered I now have a severe herniation at T10-11 thoracic spine with severe stenosis. It’s so bad I actually have a visual bulge in my back that’s hard as a rock like a baseball is under my skin. Extremely painful and doesn’t respond to steroids or muscle relaxants. I am TERRIFIED of being operated on from the front side! I have to drive 3 hours away because no surgeons in my area even attempt thoracic spine surgery which really scares me. I feel like if I was offered disk replacement I wouldn’t be where I am today. Now that I have Fusion I keep herniating disks above the Fusion. I’ve had a ruptured disk at L3-4 above my Fusion for 3 years and now this T10 rupture. I’ve managed the lumbar herniation ok but this T10 rupture has really put me down. What really makes things worse is doctors think you have all the time in the world to live with this. When your spine is half cut off by a herniation I don’t understand why it’s safe to let patients live with it for months!! I can’t see half of my spine in the MRI image because it’s covered up my the large herniation. Zero urgency to help me
Hello Johnny. We are s sorry to hear of your situation. You must be in terrible pain. Please let us know if you would like an evaluation by our surgeons so see what they recommend. Thank you for watching the video. We hope you found it helpful.
Thank you. However I live in Kentucky and theres no way I could travel there. Im trying to find a doctor in Nashville Tennessee who does these artificial disk replacements. Is there a doctor in the Nashville area you could recommend??? There are many top notch spine doctors in Nashville however looking at websites its hard to figure out who does artificial disk replacements
Feel for ya! I know what it's like to suffer cervical and lower lumbar problems: "severe degeneration" and "severe spinal and foraminal stenosis" and failed back surgery; pain pills, dealing with pharmacies, insurance companies and the medical profession. Currently recovering from cervical surgery on 12/14/2018. How are you currently?
I feel for you. I have a T10-11 herniation. I can control mine with steroids, ice and drugs. G-d bless you on your search for relief.
Hope you find a solution!🙏
What is the average cost
Is there a disc replacement for compression fracture of T3 T4 T5.
Are there any problems with running after lumbar ADR??
What is the name of the doctor in Germany who can do the surgery and where can i contact them
Anyone needed a revision so far?
DONT FUSE...ADR IS MUCH BETTER
What hospital did you get it done
What is the cost of surgery in general
Hello Assissi. For single level ADR with Enande/Dr. Ritter-Lang, it is 28K Euros plus 4K for additional levels. That includes all the hospital stay, hotel stay before and after (including a 5-star hotel during recuperation), and full brunches before and after hospital stay. And that is for you and a companion. We even provide hotel for your companion while you are in the hospital. The only cost to add to this is airfare and evening meals when not in the hospital. We do not rush people out of the hospital either like in many countries. 4-6 days in the hospital is common at Enande...if needed. Hope this helps. You can get more information and a complimentary consultation at www.enande.com/evaluation-form.html
Is this available in india
I need the link to FACEBOOK. Could someone give me the ink.
how mach ADR Lumbar ?
My disc burst backwards severed my nerves to my bladder and bowel I can’t hold both ends
you need to get to a spine doctor asap!
Emergency surgery
@New Journey not good 😌
@@tinacollins9213 It's a troll post
Does ANYONE have a suggestion for "Medical Loans" for a US patient trying to have surgery in "Germany"
I am sorry, but this is something we do not offer. While many people receive reimbursement from their insurance companies, we do not offer any finance options.
Yes, not in terms of loans but price. Have it done in Turkey, it's a common procedure there.
I have c4/5 moderate, but c5/6 c6/7 mild in nerve, one doctor advised me to have surgery for c4/5 and c6/7 but second opinion from another doctor, it was c5/6 and c6/7, I am so confuse which one is correct, or I should seek third opinion?
Why can’t a disk be replaced with one from an organ donor
body would reject, wouldn't fit.
I think that to I don’t think it would reject
Organ donor for discs
Also sizing plays a big part
I've just been told I need C5-7 fusion. I'm super active, surfing snowboarding and mountain biking and the thought of fusing my neck scares me that I won't be able to do the things I live for. Does anyone know if this surgery is available in Canada?
Yes It must be available
Go for LP ESP disc never go for M6 L
@@makeupbykhani8178 thanks for replying, I know there are a number of replacement discs on the market that I've been looking into. Why do you say never go for m6 l?
@@Klein101 I'm a member if a group named artificial disc replacement.
There I have seen many people with failed M6L ... it displaced in them.
And if you ste going to spent money then spent it on artificial disc replacement 😊
does anyone know of a hospital/surgeon in Canada who does disc replacement in cervical spine? All ive ever heard from Canadian doctors (in GTA) are fusion. ACDF.
WHICH IS BETTER ...M6C ADR OR MOBI-C~?
M6 are the best
Got it when I was 18, I’m 26 now it ruined me
What do you mean?
@@elizabethgilge848 What part of 'ruined' don't you understand?
Did you have a growth spurt?
Tell your story please🙏
I understand what he meant. I had it done in 2015. C 456. It’s ruined my life. Pain every day. The days that’s not too bad. I usually over due it cuz I’m so far behind. Right now I’m watching yall laying on a heating pad because of the pressure in my head. Sick of it. I want my life back. I want to garden again! Went to many drs. Have stenosis and degenerative disk. Lots of needles in my neck. I hear all your stories and I’m glad yall got relief but it’s not happening for me
podrían traducirlo Al español por favor!
Is it possible to do ADR if my cental spinal cord compression is caused by spondylosis bone spurs (and not by disc bulge)? I have severe spinal cord compression at C4-5, C5-6- and C6-7. I would really like to avoid adjacent segment degeneration that can be brought on by fusion. But can prominent bone spurs in the spinal cord region be removed too during disc removal?
Yes it can. I read this on Dr.Bertagloni's website. I think it would be a regular part of surgery.
Look up dr mandell on youtube. There are ways of naturally eliminating bone spurs.
why did you choose to get ADR instead of Fusion? Did you have any problems getting your insurance companies to pay for it?
ADR is better. Why would you want to take two bones and make them move like one when you could replace the disk and have the bones move independently? ADR is apparently cheaper too.
Actually not having surgery is better. Many studies show equivalent outcomes 5 years out with and without surgery. Why would you buy a metal and plastic object permanently in your body? Materials science studies show that the wear and debris from the implant increases exponentially as time passes. Inflammation and revision surgery get higher as time goes on. With each subsequent surgery, the probability of success falls dramatically. Surgery sets off a domino health effect.
@@skylyon 5 years out from what? A little arthritis? A bulging disk? A herniated disk? A severely compressed nerve?
5 Years of constant excruciating pain or 5 years of minor discomfort?
The best approach is case by case evaluated by a professional. Sometimes those complications of surgery are worth not going through 5 years of something.
@@Dantesjoe the complications from surgery down the road will definitely add up. The risks far outweighs the benefits in the long term. Chronic pain actually is more caused by stress and depression than compressed nerves.
@@skylyon link to study?
Does enande perform m6 replacement with up to 3mm spondylolisthesis as the mfr suggests is possible?
Hello Jean. Any surgical recommendation would depend on a great many variables. There may be circumstances where this is appropriate and others where it would not be. The best thing would be so submit your films so the surgical team can give you a personal recommendation based on your precise circumstances. Enande.com/evaluation-form.html
Wait, people with an M6-L disc replacement can no longer go into hyperflexion? Fuck that imagine doing all the surgery to end up not being able to pick a pen off of the ground or do a roly poly with your kida
Where did you get that from??
The M6 disc has so many issues. So many broke. You can learn more at: doctorpabloclavel.wordpress.com/
L5S1 disc
Do any of you guys have a Mobi-C vertical disc and what do you think of it?
Hey guys. Will a three level disc replacement reverse cervical kyphosis? Did anybody have that problem and it was resolved?
No!! If you have kyphosis you are actually not a candidate for artificial disc replacement.
❤ 33:55
ANYONE WITH PALSY? C5 PALSY MYSELF
Cherry picked people, all of which were in desperate shape & ended up with glaringly positive results, picked to promote the surgery & pander to a pioneer of the procedure, pure propaganda. You could chose all people with bad results & push the opposite conclusion. The fact that you didn't include anyone with a negative experience says everything about the purpose of this video.