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Stenosis
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| iSpine Discuss Stenosis in the Main forums forums; Hi I have mild central stenosis and need ADR at two or three lumbar levels. Is this going to be ... |
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01-28-2009, 03:03 AM
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Stenosis
Hi
I have mild central stenosis and need ADR at two or three lumbar levels. Is this going to be a problem in the future if I have ADR? Has anyone dealt with this situation Thank You Gil 
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L5-S1 lam 1994 L2 to L5 DDD L3 -L4 hern Dec 2007. L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy. L5-S1DDDDD L2-L3 Right-sided neural foraminal narrowing at and L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy. C3-C4 limited DDD  9 injections Depo. P.T. 13 months 5 dose packs, Nerve Block Injections.4 ESI S1 L5-S1 foraminotomy 09 L4-L5 Microdiscectomy 09 Reherniate 4-2010 Coflex-L Implants L4 to S1 Last edited by Gil Denis; 01-28-2009 at 02:24 PM. Reason: add information 
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01-28-2009, 02:26 PM
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Reply
Hi.
just need any reply. Thank You Gil
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L5-S1 lam 1994 L2 to L5 DDD L3 -L4 hern Dec 2007. L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy. L5-S1DDDDD L2-L3 Right-sided neural foraminal narrowing at and L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy. C3-C4 limited DDD 9 injections Depo. P.T. 13 months 5 dose packs, Nerve Block Injections.4 ESI S1 L5-S1 foraminotomy 09 L4-L5 Microdiscectomy 09 Reherniate 4-2010 Coflex-L Implants L4 to S1
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01-28-2009, 03:13 PM
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Good question, Gil. Someone will chime in soon. Hang in there.
 Cindylou
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bicycle accident 6/01: 2 compression fractures @ T12-L1; vertibroplasty; 4/06: right hip labral tear & arthroscopic repair; 4/07: lumbar prodiscs @ 3 levels, L3-6 by Dr. Bertagnoli; 7/02/08: ALIF L6-S1; 7/30/08: reopened to remove bone cement, leaked onto S1 nerve root; 8/08: pulmonary embolism, double pneumonia, collapsed left lung, pleurisy, pleural effusion; ALIF fusion complete; 3/10/09: SI Joint Fusion by Dr. Stark; Jury still out.
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01-28-2009, 03:21 PM
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Stenosis
Actually the ADR is contraindicated for stenosis (leg pain). However, sometimes the ADR will take care of the stenosis and sometimes not. I had to have the ADR and then posterior decompression surgery to remove the stenosis. Stenosis can be located at the foramen that are very difficult to open from the front (stomach or anterior appraach that must be used for the ADR).
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01-28-2009, 05:32 PM
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Gil,
My MRI says "Overall spinal canal diameter is somewhat small, suggesting an element of congenital stenosis." I was told that the need for ADR (cervical) was disc impingement on spinal cord and the stenosis of the spinal canal was not causing problems. But I was concerned about what could be done after ADR if the stenosis caused pinched nerves or spinal cord problems later on. That nice  doctor from Cleveland just blew my question off. So yes I've wondering the same thing. Maybe we shouldn't worry about something until it happens  ? What are our choices? Sandy
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**Accidents, active life-style, always some back/neck pain controlled w/ibuphrofen 2004 excessive pain, x-ray, PT, MRI diagnosis cervical DDD **PM recommended, meds, PT, massage therapy, chiropractor, injections **Dec. 2007 numbness and weakness in left arm/thumb, x-rays, MRI, discs at C4-7 pushing on spinal cord, fusion or ADR out of country **April 7, 2008, discogram at C3-4, surgery 4 levels, Prodisc-C, Dr. Bertagnoli, Germany
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01-28-2009, 06:21 PM
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Gil,
I would think the ADR's efficacy would depend on what's causing the stenosis. This is an important question and I would definitely bring this up with the Dr.. Glomp on like a Pitt Bull if necessary, until he addresses it to your satisfaction. Be sure to write down all your questions so you don't get sidetracked at your appointment. I find it's also good to bring another set of ears with you. Good luck! Adrienne
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