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  • ACD Without Fusion???

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    Old 07-11-2006, 06:12 PM   #1
    bw67
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    ACD Without Fusion???

    I have been researching ACD WITHOUT FUSION. The doctors remove the discs and allow scar tissue to take it's place to essentially make a disc. Has anyone out there tried this and had success with it? I have two herniated discs with bone spurs at C5-6 and C6-7. I've been looking into a Dr. Schiffer in San Fran, Dr Jho in Pittsburgh and Dr Reuter in Fla. I'm wondering if anyone has used these Dr's?? I'm hoping someone can put me more at ease regarding the procedure. Thanks.

     
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    Old 07-11-2006, 08:52 PM   #2
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    Re: ACD Without Fusion???

    I don't know if any good physician would consider doing 2 levels without fusion. There is no scar tissue when the discs are removed - you'd just have two vertebrae rubbing against each other (so it would be unstable) and in time they'd fuse themselves with nothing between them. The ACDF is known for it's stability. I have seen some single level discectomy surgeries done with no fusion, but not with 2 levels or more.

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    Rt thumb fusion '13. R&L thumb arthroplasty '12 ; RT TKR & Bilat CTS' 11. Fusions: L5-S1('87), L4-S1('93), C5-C7('06), L3-S1('10), C4-C5('13). C5-C7 foraminotomy '08

     
    Old 07-12-2006, 03:34 PM   #3
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    Re: ACD Without Fusion???

    thanks for your comments karin...

    I'll run your thoughts re: two levels without fusion by the doctors and see what they say...

    I know the one doctor- Schiffer- claims to have been performing such surgeries for 15 years and had a two level acd w/out fusion done on himself years ago...

    It seems to be a pretty common practice in Europe. if you surf the web regarding the subject there are several positive studies regarding ACD w/out fusion...

    with technology constantly advancing and artificial discs on the horizon I was hoping to avoid fusion for as long as possible- I'm 38. once you've done it there's no going back.

     
    Old 07-12-2006, 07:30 PM   #4
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    Re: ACD Without Fusion???

    I agree. Being 39 I had hoped to put it off for as long as possible. Ideally my doctor said C4-5 needed to be done also but he'd rather wait and possibly due an artifical disc at that level in the future and I agreed.
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    Old 07-13-2006, 06:57 PM   #5
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    Re: ACD Without Fusion???

    I was looking at C4-C7 and the thought of fusing that many levels at 47 just didn't make sense. When my third opion NS suggested laminectomy it just made sense; probably a more difficult initial recovery, but I think its better for me in the long run.

     
    Old 07-13-2006, 07:01 PM   #6
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    Re: ACD Without Fusion???

    I've heard of Dr Jho, but not the others you referenced: (;Dr. Schiffer in San Fran, Dr Jho in Pittsburgh and Dr Reuter) -- where in Fl is Dr Reuter. My Mom wants me to go to the Mayo Clinic in Jacksonville for an "opinion" - frankly I don't think I need it at the moment, but I like what I've read on Dr Jho if I do ever need another surgery. (Also another advantage of having had the laminectomy is that if I do need a disk replaced in a few years, artificial disks might be more feasible).

     
    Old 07-14-2006, 10:17 AM   #7
    bw67
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    Re: ACD Without Fusion???

    what exactly is a LAMINECTOMY??

    Dr. Reuter is in LAKE WORTH FLORIDA, near WEST PALM BEACH. he is at ADVANCED ORTHOPAEDICS OF SOUTH FLORIDA...[Removed]
    he charges $200 to review your records if you're from out of town. I'm waiting to hear his findings on me...

    hoping/praying he has an answer- I have family in WPB and he's in network w/my insurance so those are both big plusses for me.

    B

    Last edited by HBMod07; 07-15-2006 at 07:36 AM. Reason: Please do not direct members to do research outside of the board.

     
    Old 07-15-2006, 06:53 AM   #8
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    Re: ACD Without Fusion???

    Thanks - I'm originally from S FL, but have friends and relatives through S FL and Orlando/Daytona area.

     
    Old 07-25-2006, 11:54 AM   #9
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    Re: ACD Without Fusion???

    to update this post...

    I'm flying down to FLA in a couple weeks to meet with a Dr. Reuter at Advanced Ortho of South Florida. He's reviewed my case and feels their minimally invasive techniques may help relieve my arm/neck pain WITHOUT FUSION.

    He wants to perform a discogram to determine exactly if it's the herniations or the spurs that are causing my pain and we'll go from there. As I understand it if the spurs are too large then his M.I. technique won't work and I'll be looking again at fusion...

    Thanks

    bw

     
    Old 07-27-2006, 06:28 AM   #10
    sunshine221
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    Re: ACD Without Fusion???

    Sorry - I hadn't check the board in a few days. For a laminectomy they leave the disks alone, but go in from the back and "carve holes" in the bone of the spine to give more room for the spinal cord to move - they can "clean up" bone spurs, etc. But the advantage is no fusion and its long term potential problems. Have a good trip to FL. My surgery was successful but I do have some residual problems probably from the cord being compressed for so long (they are gait/walking related) but at this point I don't think that there's more the neurosurgen can do for me (C-spine MRI was fine a few weeks ago) - I'm working with a rehab specialist (physiatrist) but may seek some out of town opinions if can't make progress.

     
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