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What pre-op tests for ADR and fusion are needed?
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| iSpine Discuss What pre-op tests for ADR and fusion are needed? in the Main forums forums; Hello I am on my way towards ADR or fusion. I have an HMO but will most likely be going ... |
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05-06-2009, 10:11 AM
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What pre-op tests for ADR and fusion are needed?
Hello I am on my way towards ADR or fusion. I have an HMO but will most likely be going outside of my HMO for surgery.
I am now having as many tests that I know of that I will need for surgery. So far I have had my discogram, facet block, and will have a bone density test on Thursday. Does anyone have any suggestions as to what other tests I should have my HMO do as they are paying for all the tests? I will then take all the tests to the surgeon. Thanks
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Chemically sensitive disc/Annular tears, DDD, mild bulging, facet arthritus Dancing accident in 96. tried PT, acupuncture, pilates, pain mgmt. nothing worked. Epidurals, facet blocks, caudal blocks, discogram. Opiates for ten years, oral prednisone, toradol inj. & more. Two level spinal fusion with BMS, cages, hardware. due to bone density problems from chemotherapy, they had to go in front and back. Surgery Nov. 6, 2010. So far no regrets. 
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05-07-2009, 01:11 AM
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Hello
that is a question for Mark All the best 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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05-07-2009, 02:39 AM
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The only other procedure I had to rule anything out was SI Joint injections. I had these because I was EXTREMELY sensitive when the OS & Pain Mgmt. docs pressed on my SI Joints. I even swung around & almost knocked 1 doc out AFTER the injection because it hurt so much.
You should speak to your doctor about this though to see if these injections are even needed in your case. I can tell you first hand that they hurt like a bugger! Karin
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Disc Bulge C4/C5, Disc Degeneration T11/T12, Bi-Lateral tears L5/S1, Diagnosed w/ Lumbar Disc Derangement w/ Radiculopaphy. Treatment: IDET, Percutaneous Discectomy, SI Joint Injection, Facet Block. All failed. Empire BC/BS Denied Coverage for ADR-lost all of my appeals. MVP also denied coverage. Anterior/Posterior Fusion L5/S1 -1/20/09
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05-07-2009, 03:07 AM
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Maybe check with Dr. B and ask him what he needs, if that is the route you are taking. That way there is no question about it, and I am so glad that you can get this done ahead of time. They won't do them here for me.
I'll try to chat more tomorrow 
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DDD Herniated discs C4/5 & 5/6, L3/4, L4/5, L5/S1 Severe compression of spinal cord in two levels All conventional therapy exhausted, including spinal injections, PT, massage, etc. In appeal with Gov't Insurance for Out-of-country coverage for ADR hybrid surgery of above discs. Recently discovered that I am severely allergic to all common metals used in surgical hardware except for Titanium.
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05-07-2009, 05:19 PM
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Yes, I think you need to check with whatever doctor you are going to, and find out what tests they want to see.
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Cathy 46 years old. 12-15 years of intermittent pain, 2 years with constant pain. DDD, L4-5 and L5-S1, pain confirmed by discogram. PT, ESI's, Facet injection and block, Acupuncture - all no help. 2-level (Prodisc-L) ADR surgery with Dr. Bertagnoli, May 26, 2009. Currently taking Opana-ER (tapering off) and oxycodone
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