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What structures make up the spine? We review basic spine anatomy here...before identifying potential causes of back pain....
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Q: Adr Vs Alif
asked by: WRS on January 13th, 2006
New User
Hello everyone,

let me first introduce myself. My name is bill. I'm 31 and reside in sacramento, california. I was a firefighter for just shy of 8 years when I suffered a fall through a 2nd story roof while operating at a structure fire. I suffered 2 ruptured lumbar discs (l4/l5 & l5/s1) and have since developed degenerative disc disease as well as minor instability at my l5/s1 end plate. My orthopedic surgeon is absolutely awesome and she is very much into minimally invasive procedures. She has suggested to me two separate types of surgery. Those surgeries being either anterior lumbar interbody fusion using titanium cages and allograft synthetic bone fragments so that I would not have to go through the very painfull bone graft harvest from my hip area, and the other surgery being total artificial lumbar disc replacement once the fda approves the "pro-disc" brand of artificial discs. On one side i'm very leary about fusion regardless of how minimally invasive it is because it in most cases will always cause adjacent segment disorders where as the adr allows for full range of motion. However the only down side to me with adr is the fact that nobody really seems to know about how long they will really last. Keep in mind that i'm only 31 and still plan a more low key career but none the less I need to work the rest of my life period! I'm in overall great shape still (6'2" & 220lbs *21% body fat). I am in decent cardio vascular health and generally in excellent overall health. I'd just like to hear from both parties and see what you all have had sucess with. Thanks in advance.



Bill
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Tamadrummer
replied on January 13th, 2006
Active User, very eHealthy
In my opinion and that is all it is, get the pro-disc. This disc is approved for multiple levels and the thing with the adr is it can be removed and you can have the fusion if there are problems with the adr. If you go fusion first, it cannot be removed and repaired.

There is alot of scaring with the antieior approach so it is difficult to reapproach with either procedure but the risk/reward is weighed in the corner of the adr.

(i am not a medical professonial and I am only giving my opinion. I have the charite 3 adr at l5/s1)
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hatingbackpain
replied on May 2nd, 2009
New User
Well I can relate to your problem. However, if your surgeon is telling you that an ALIF (anterior interbody lumbar fusion) is minimally invasive, in my opinion, they are not telling you the truth. I pretty much have the same problem as you. If you type in ALIF in the search box, you'll see my post. As far as an ALIF procedure, according to what my surgeon has told me, it looks to be pretty invasive! LOL LOL My procedure (if I choose to go through with it LOL ) will not have any cages per se. I can't remember exactly what he called the thing they will be using, but it wasn't titanium cages. As far as range of motion, according to my surgeon, since it is so low on the spine, no noticeable loss will be noticed. I too have a pretty demanding job, and one of my main hobbies is racing and I can't be limited in motion when I need to be bent over the race car!! LOL LOL But I wish you the best of luck with what ever you decide to do and re-post and let us know how it went. Oh, I would recommend that you talk to as many people as possible and attend any seminars on back pain/surgery available in you area to gain as much information and insight before you proceed. There are more back surgeries preformed in this country than any other in the world and the reason is (in my opinion) because there is NO Guarantee as to the outcome and there is BIG money in it!!
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