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Hi all, My name is Jessi I was in a rollover car accident 3 years ago (not the driver) and my back has just gotten …
Degeneration of the intervertebral disc, which is often called "degenerative disc disease" (DDD) of the spine,DDD is in fact a condition that can be painful and can greatly affect ...


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ADR Disc Replacement
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I find that too many people tend to simply "do what the doc says". The problem being that doctors don't always have our best interest in mind. Many docs recommend fusion because they don't offer, and are not trained in the new technology such artificial disc replacement.
This results in a patient getting fused and losing mobility which in turn damages the discs above and below the fused segment years later. This is why fusion patients so often end up having more surgery years later. Fusion often causes more long term problem than good. The patient won't learn that until they're 10 years down the road from surgery. I slowed in posting in the back community last summer as, admittedly, I just kept seeing the same topics and questions written in different words. These communities need "stickies" so there is not 50 different threads on epidurals. To add, many people post simply looking for a for a quick answer they're too lazy to use google and research themselves. The purpose here is to help one another, so those who just tend to 'take' annoy me. If you read a recent post here Doug mentions herniated discs don't heal. This is precisely right. Once damaged, discs slowly degenerate until the nucleus pulposus (gel like center) of the disc breaks through the annulus (the spongy, white ring of cartilage that surrounds the nucleus). Once the nucleus breaks the annulus, your disc is "herniated". Here is a diagram to show you exactly where and what the nucleus and annulus are. http://en.wikipedia.org/wiki/Image:Cervical_vertebra_english.png There is no golden standard that will guarantee a good surgical outcome. I don't mean to be insensitive or rude but for the most part people are clueless about their backs and don't take the time to research all the possible avenues. They end up going with whatever procedure their surgeon recommends without respect for the fact that most surgeons only recommend procedures they themselves perform. eg, if you go to a fusion specialists he'll say fusion is the answer. If you go to a Pizza Hut, they'll say try eating pizza to fix your back. Most won't do the required research required to increase the chances of a better outcome. They just endure the pain best they can, go from doctor to doctor until they decide on one. They say yes to whatever procedure the doctor recommends. I just wanted to write, no need to reply to it, I just wanted to say to others to please do your research. There are people out there having problem discs replaced with artificial discs, there are people in Europe having JUST the disc nucleus of a degenerative disc replaced and here we are still talking about fusion which has been around since the 1930s. It just amazes me. We're 10 years behind here in the states because medicine, here in the US, is a highly competitive business. We prioritize profits ahead of health care in the US. Go to Gernany, Italy, France and they "get it". We don't. We just keep accepting what doctors tell us and hope for the best when we fuse 3 levels of our cervical spine. While patients in Germany have two and three levels of artificial disc and illimintate need to ever have to discectomy (trim offending disc matter) or fuse. Posted on 03/23/08, 06:03 pm |
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Here is the picture of the nucleus and annulus that I attempted to link above. Hopefull this one will work correctly:
http://upload.wikimedia.org/wikipe... I'm sorry for the length of my post, and i'm not here to promote one type of spinal surgery or the other. I just write to say, if you have DDD (degenerative disc disease) please research your condition to the fullest. Know that what your surgeon suggests isn't always the latest technology being offered or the best answer. Get 4 and 6 opinions, read on spineuniverse.com, read on adrsupport.org, read about bone alternatives instead of harvesting from your hip and spending the next 50 years with hip pain. Learn about your back instead of jumping up on the surgery table and saying "fix me" only to curse out the doctor years later when the discs above and below your fused level blow. No, this doesn't happen with every fusion, but it does in most. It's an irrefutable fact. Be well, take care, and learn all you can about you back condition and the procedures that correct them.
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Hi Snowrider, look, I just wanted to say you came off like a real jerk in that long winded, venting post above. Get over yourself, mr. high tech back treatments!
If I want have two microdiscectomies, a laminectomy and two fusions over the next 8 years instead of just replacing the problem disc from the beginning, I'm entitled to do that! If my surgeon says a discectomy is the way to go without consideration for all these weirdo "spinal motion preserving" technologies in Europe, then thats the way to go, you smart Alec. Heck, those Europeans can't even figure out that receiving good health care is supposed to be more stressful than your health problem itself. They will never get it. Their governments have this absurd system by which health care is provided for everyone regardless of income level or status. What kind of nutbars are these people? Don't they know you're supposed to be dragged through the mud and toyed with by insurance companies then ultimately left penniless from an emergency surgery that insurance wouldn't cover because you represent loss instead of profits to them. And for your information, buster. My surgeon would never place his income ahead of my health. Doctors just don't do that; their doctors! They have to be nice by law. All doctors are good. Plus, have you seen how well groomed and articulate they are? My doctor has well manicured nails and wears wire rim glasses so he is smart!
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thanks for letting me vent. I'll keep it exclusive to this thread.
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Dear SnowRider,
You make some great points. For people looking into alternatives, check out clinicaltrials.gov This site is full of research trials looking for subjects. You can search by location and condition.
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What planet are you from? No it's not fast food and ya can't drive through and order a spinal fusion. My "doc" and I exhausted 2 years of non operative therapy except for my cervical fusion when they ruptured it caused blinding pain and partial paralysis. Do you really REALLY think 99% of people faced with spinal problems don't research their options? Your condescending,overbearing,misinformed.Just because you can name the anatomy doesn't make you an expert. Oh yes and duh....people other than yourself can surf the web.You didn't brave a new world there. If you're really that tired of reading the same ole same ole.....please feel free to go to a chat room or something. Some of what you concider to be rederick could be of some use to me or others!
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Thanks rwats, thats a interesting site.
And to the guy with a picture of his stomach for an avatar, I sincerely don't mean to be condescending; nor did I say 99% of people don't research their options. Just as I mentioned, I was venting; nothing more. We all make our own decisions. I simply see where some, not all, but some, would rather watch American Idol reruns or read about Britney Spears latest drunken brawl with her boyfriend than research their back conditions. It is no coincidence that this group of patients often end up dissatisfied with a spinal procedure that didn't help as intended, only to realize it years down the road. At that point, they grab a box of chocolates and a cigarette and start posting online regarding what "morons" doctors are to vent the very dissatisfaction they may have prevented through research.
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And when I say "this group of patients" I mean those in general who don't research. I don't imply those here on DS specifically. I've met absolutely amazing people here and very fortunate to have shared in and enjoyed their company and still do.
My concern and point of venting is due the number of times I've seen someone in the back community asking: "hey, what is a lamodisockomy cuz my surgeon has me scheduled for onez next tuesday." Many of these patients will not be contented with the long term results of their procedures down the road and wonder why years later when the procedure cannot be reversed. As for my reference, my father is a doctor of twenty five plus years about to retire; I've heard stories of misinformed patients suffering bad surgical outcomes ad nasuem. What doctors/nurses could tell you in confidence if they were at liberty, and if it didn't conflict with their professional interest, would have even the most research-unwilling patient ready to grab a book or get online and research before letting an uniformed doctor, or a 80 year old procedure determine their fate. --Simply because the doctor they went with isn't up to date, or doesn't want to train in the latest procedures. Lots of people have great success with all types of surgical procedures, it's just wise to learn which may be best for you. I'll be quiet now. I have a huge bag of cherry Twizllers and about to go see a movie called "Horton Hears a Who" with my niece.
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Have a good night, and ldf, put a shirt on.
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Hi Snowrider
I find it quite distressing to read all the posts from people who can't get the most up-to-date treatment for DDD. but it doesn't help to berate them for not doing research. I'm sure many do, but (a) they don't have insurance cover(b) the education to take in all the highly technical info (c) suitable support network,. So give people a break love from that clever broad in the UK!
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I agree, Bentley, and I fully understand what you're saying.
As I mentioned above, no one needed to reply or read it -- it was a rant. The point was to rant / let go of a frustration. For those unfamiliar with "a rant", think of it as a roast for comedians only the subject is back surgery and I'm not as funny as Dean Martin. I just tire of this cycle about patients who don't do homework or research then, after a surgery gone wrong or ineffective, wonder why they're still having problems and how it's "their doctors fault". Do forgive me if my thread offends anyone, I have more compassion for others than I can let be known. Just once I needed to rant, I did, and it's done.
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Hi all, My name is Jessi I was in a rollover car accident 3 years ago (not the driver) and my back has just gotten …
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I was wondering if Degenerative disc disaese, is the same as having herniated discs? bcuz I was diagnosed with DDD, and …