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Doctor insights on: Spine Implants

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How effective are disc replacement options in lumbar spine? Cervical spine?

How effective are disc replacement options in lumbar spine? Cervical spine?

See below: They are safe and effective and have similar results as the clasSic ACDF their advantages over the fusion are theoretical in my opinion the Acdf has a 95% chance at relieving arm pain neither are neck pain procedures , both do a good job relieving arm pain from pinched neck nerves early adopters of new technology can be surprised by outcomes since they are not as well studied without long term ...Read more

Dr. Sandra Lora Cremers
5 doctors shared insights

Implant (Definition)

An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is ...Read more


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Arterior cervical spine surgery at china?

Arterior cervical spine surgery at china?

Done in China: Medical vacations are when persons seek care outside there country usually to save on costs. China has several centers that offer excellent care. ...Read more

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Can neurosurgeons perform spinal fusion surgery (arthrodesis) on lower back areas?

Can neurosurgeons perform spinal fusion surgery (arthrodesis) on lower back areas?

Sure: Depends on training look for a team or a fellowship trained spinal surgeon neuro or ortho1 year of additional spine training. ...Read more

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Spinal MRI- multilevel disk & facet degen. scar tissue encasing S1,roots, Bulges &herniations, flat vent. dural sac, narrow foramin/spinal. Bad pain?

Spinal MRI- multilevel disk & facet degen. scar tissue encasing S1,roots, Bulges &herniations, flat vent. dural sac, narrow foramin/spinal.  Bad pain?

Degenerative disease: These findings may be the cause of your back pain. But how to take care of the pain is a whole other concern. You may do well with a combination of pain pills, muscle relaxants, physical therapy, and pain patches or liniments. Rheumatologists and orthopedists can give injections after doing tests to pinpoint the location and mechanism of the pain, such as pinched nerves. Lastly operation if need ...Read more

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Herniated disc in spine. Now wnat?

Herniated disc in spine. Now wnat?

See a doctor: I assume you have had an MRI to know this. A herniated disc may cause leg pain and numbness, but with medications, physical therapy, injections, the symtpoms may resolve. However, if the pain persists, or you develop weakness you should see a spine surgeon for further evaluation. ...Read more

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Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

Can chiropractic manipulation correct vertebral malalignment in lumbar spinal stenosis?

Unfortunately....no: As an osteopathic physician, whose practice includes "manipulative therapy, " it is my opinion that spinal stenosis is not correctable with any form of manipulation or physical medicine. This is unfortunately a surgical condition, and i would professionally recommend a consultation with a neurosurgeon, vs. An orthopedist. Your condition requires more expertise, and your end result will be better. ...Read more

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Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?

Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?

So? Forget the MRIs: Your only 27, we don't treat mris, we treat people. It doesn't matter what the studies show because we have to treat you. Certain spinal conditions have a genetic predisposition, but what are your symptoms? What are you doing about it? Find a doctor who wants to make you feel better. ...Read more

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C4-c5, c5-c6 disc replacement surgery. Interbody cage fusion cause adjacent discs to degenerate but using mobi-c will not. True?

C4-c5, c5-c6 disc replacement surgery. Interbody cage fusion cause adjacent discs to degenerate but using mobi-c will not. True?

Maybe: A theoretical advantage of artificial disk replacement is reduction in risk of other disks degenerating. Fusion is associated with this problem, but it is only one factor. Disk replacements in the neck do well, but may not always prevent disk problems at other levels. Ongoing research looking at long term outcomes are needed to answer this question. Early results are promising. ...Read more

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1,2&3 tarsal fusion with hardware?

1,2&3  tarsal fusion with hardware?

Middle of your foot: This is most likely a fusion of the 1st, 2nd and 3rd metatarsal or long bone in your foot to the cuineoform bones which are in the tarsal area of your foot. The bones are held together with hardware, plates, screws, staples any of these can be used to allow the bones to heal together. Usually the hardware does not need to be removed. ...Read more

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Back surgery - spine ortho vs neurosurgeon?

Back surgery - spine ortho vs neurosurgeon?

Ortho biased: As an orthopaedic surgeon, i feel our 5yrs of residency plus fellowship training in spine surgery, give us an advantage in treating spinal problems. We are well versed in biomechanics, bone healing and metabolism, as well as biomaterials. Our knowledge base is grounded in musculoskeletal care, which includes bone, joint, muscle, nerve, ligament, tendon and skin. ...Read more

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Is spine fusing a better option than disc replacement?

Is spine fusing a better option than disc replacement?

Depends: It depends on the age of the patient, how many levels are involved, if instability is present, and how much degeneration is present in the spine. It would be best to have a spine surgeon fully evaluate you with imaging studies and a physical exam. There are people that would not qualify for disc replacements and a fusion would be a better option. ...Read more

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Can loosening screws in spine fusion be dangerous?

Can loosening screws in spine fusion be dangerous?

Possibly: ask your orthopedic surgeon who is in the best position to answer this question. ...Read more

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Epidural possible a fused spine?

Epidural possible a fused spine?

Depends: This depends on what levels were fused and where your epidural needs to be placed to cover the pain post-operatively. For example if you were fused at l3-4, it would still be possible to perform an epidural above that level, however it may effect the spread of local anesthetic to the desired area, causing incomplete anesthesia. ...Read more

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All my spine Xrays show severe disc dessication/deg., loss of height, spurs, endplate irreg, osteopenia, scoliosis/kyphosis & spine MRI doesn't, why?

All my spine Xrays show severe disc dessication/deg., loss of height, spurs, endplate irreg, osteopenia, scoliosis/kyphosis & spine MRI doesn't, why?

If you statement is-: -true, it should be obvious on an MR. In this case I would check 2 be sure that there was not a mixup in identification of whose images are whose. Be sure that they are your images. ...Read more

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MRI: L3/L4-disc bulging abuts thecal sac, superimposed facet degenerative changes, loss disc height. Could my L4-S1 fusion have made worse?

MRI: L3/L4-disc bulging abuts thecal sac, superimposed facet degenerative changes, loss disc height. Could my L4-S1 fusion have made worse?

There is a condition: known as adjacent segment disease in which a fusion may lead to altered spine mechanics and place increased load on the next adjacent spine segment but there may also be a genetic basis for this -it may also be due to smoking as well as to being obese . May need to also focus on core strength ending exercises but talk to your surgeon too ...Read more

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Likelihood of bulging lumbar discs receding without surgery?

Likelihood of bulging lumbar discs receding without surgery?

Yes: 35 yo female queries permanency of "bulging lumbar disks". In past years were thought to be pathological, but more recent considerations are normal variants. I have seen remit from one MRI to the next. ...Read more

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Need cervical surgery C5/6, ACDF with bone graft. Is plage implant best for this procedure?

Need cervical surgery C5/6, ACDF with bone graft. Is plage implant best for this procedure?

Yes: Increases fusion rates which are already excellent, equivalent alternative is auto graft hip bone and six weeks in collar allograft donor bone with plate and limited post op immobilization has yielded excellent results for decades . benefits: no second surgical site and no immobilization can be achieved with cervical disc replacement as well sucess rate for relief if arm pain well documented ...Read more

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Protruding jaw bone, plastic surgery?

Protruding jaw bone, plastic surgery?

Yes: A prominent jaw or chin can be treated with plastic surgery. Depending on the condition, there are a few different surgical techniques all of which involve cutting the jaw bone and resetting it back a variable distance. ...Read more

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