Master Class: Lumbar SPINE Total Joint Replacement - The Clinical Data

[@espaldasaludable2626]

Thank you, great class

[@wa4aos]

Presently, I am in consideration for the 3Spine Motus surgery now. Next week, 11, 29, 2023, I will travel to see a Doc in NC for evaluation. The evaluation will also include an MRI, Cat scan and bone density test. My pain is primarily at L4,5 as explained by other Docs who have suggested I have a fusion. My concern with a fusion is the high percentage of people who have adjacent vertebra failure/disease later and have to go back for more surgery or just hurt for the duration. I am not a medical person but as an engineer, I have spent countless hours learning about the spine, surgical procedures and outcomes over the last decade and half. So far from my lay medical perspective but as an engineer I believe the Motus device makes a lot of sense technically in a number of ways. The fact that one retains some flexibility alone is very encouraging. I also like the fact that the Motus device is anchored to prevent device slippage is also most logical. I have read too much about artificial disc slipping and the person with this device is in horrible pain, again, and has to be reopened for more surgery. From my reading it seems the device has been designed with excellent materials for longevity. This discussion panel from Docs who have actually done the procedure and have supporting data on the outcomes has also encouraged me considerably. I have not been able to find any Motus reviews from people who have had this device installed so far; perhaps they are all out very busy living life again ! Personally, I believe the Motus device will, HOPEFULLY, be a very common solution for many of us who have been beyond miserable for years, and in my case, 20 years. I am not expecting to ever be pain free but if the pain level can be turned down enough where I can enjoy taking a walk or going on a vacation with my sweet wife without being miserable, I'd be VERY thankful !!!

[@Scott-cu4ol]

what are thoughts about the TOP’s system vs typical fusion for double pars defect?

[@espaldasaludable2626]

I'm worried about system subsidence. Also the fixating screw is placed on cancellous bone. Can you please expand on this and share if you have had any complications related to screw loosening of system subsidence. Thank you

[@Ssbuc517]

Could this be used for multiple levels in the future if needed. I want to get back to working out. For 10 years i have felt like a former of my self.

[@jimmysegovia146]

I am a 37 y/o male who has undergone two surgical interventions for pars defect in L5 with spondylolisthesis grade I (L5-S1). The first one was a pars repair with the wire but, 6 years later one of the screws failed and had to go in for surgery again. It was a similar intervention but instead the surgeon used hooks and screws. Even though my back felt more stable since day one, I still had some discomfort (instability sensation) and back pain after playing soccer or running for more than 30 mins. It actually never felt 100% perfect, and honestly it has been extremely frustrating since I have always been a high performance athlete. My question is: from this new device why not to place the upper prosthesis a little further in so that the anterolisthesis can be retracted a little to a lower grade? Also, would I be a candidate for this type of surgery? Best regards, Jimmy.

[@acjitsu]

Does this disc preserve rotational forces?

[@houseofsuren510]

Can this device be used with deformed vertebral bodies due to compression fractures? I'm 50 yo male with Osteopenia which has resulted in various degrees of compression in my T12, L1, L3 and L5 vertebrae. I'm looking for a solution that would give my back some stability. Thank you!