Hope... I'm sorry that you need to move forward. I don't know too much about Spine Nevada. Dr. Sekhon has done some interesting surgeries that have gotten a lot of attention (revision of fusion to ADR). Please let us know how it goes with them if you decide to pursue them as an option.
For me, the Bryan disc is a non-starter. As an early cervical ADR design, it was great. However, many of the issues with the Bryan have been engineered out of the newer designs. The need to do such extensive milling of bone not only increases HO rates, but it also makes the surgery very complex and unforgiving.
Having said all that, I do know Bryan patients with excellent results. As with other ADR's... there may be advantages and disadvantages to all... but, properly implanted in a properly selected patient, they are all likely to be successful.
All the best,
Mark
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