In relation to the points raised by mm global in their informative reply, all I can say is that an experienced spine surgeon told me that DIAM was a much less invasive and thus risky procedure to address pain associated with DDD. He also said that if it didn't work it could be removed and all other surgical options (essential fusion v ADR) remained open.
Having had ADR 4 weeks ago and suffering ongoing radiculopthic pain in my hitherto healty foot, I am battling with personal doubts around the decision I made. I am lamenting not pursuing this more graduated approach having decided non-surgical treatments could not help.
The point you make about the inner spinous ligament would seem critical in understanding whether her all options in fact are preserved following implantation of the DIAM device and thus the whether this 'graduated strategy' was open to me.
I look toward to learning more from ALS9082.
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