Re: Manning's ODDS with the Donkeys
posted at 3/21/2012 10:40 AM EDT
In Response to Re: Manning's ODDS with the Donkeys
[QUOTE]Dave, You very well may be right. The truth at this time is - "no one knows". Its still all about the nerve regeneration. that is happening, but is the pace such that he will be his "old self" by the time the season starts. The neck will hold up. I really think that if there were issues with the neck, a doctor would have a SEVERE malpractice lawsuit on his hands for allowing him to play. Further, other players have had the same surgery and returned to play. That said, they may not have had the nerve damage that Manning has. So the issue isn't the neck itself (cue pezz and his rebuttal), its the nerve.
Posted by UD6[/QUOTE]
Well good morning dog!
I see that once again, you are in need of my assistance.
Even though my own dogs and horses probably have a better capacity for learning, I am a trainer by nature and have an innate obligation to try and help.
First off, before any surgery even happens, the subject is informed of any potential complications and required to sign a waiver acknowledging that.
In other words, Payme has been informed of the dangers and accepts responsibility.
Secondly, you couldn't be more wrong about the surgery being JUST a matter of nerve generation. As I have told you before, there is an increased probability of damage to the corresponding discs due to added pressure on them.
Here's an except from a study confirming that:
The dilemma with fusing increasing numbers of levels is that it places more pressure and strain on the unfused segments. On the other hand, trying to ‘cherry pick’ the one or two bad levels risks inadequately treating the patient’s problem.
Other surgeons feel that fusing only the clearly pathological level(s) (e.g. the one with the herniation that is causing the arm pain) is desirable as it maintains more of the normal motion and biomechanics of the neck.
There is no definitive answer as to which philosophy is better, and each individual patient is a little different. As a patient, the best way to consider this factor is to realize that the number of levels fused is a balancing act. Saving motion segments is desirable but comes at the cost of either under-treating the original problem or possibly needing another level fused in the near future.
The chance that another level will need to be fused in the future is difficult to quantify. Some studies have suggested that the rate of adjacent disc breakdown requiring further surgery is between 10% to 25%.
- Anderson DG, et al. Donor Site Morbidity After Anterior Iliac Crest Bone Harvest for Single-Level Anterior Cervical Discectomy and Fusion.
- Sasso RC, et al. Iliac crest bone graft donor site pain after lumbar interbody fusion: a prospective patient satisfaction outcome assessment
(That 10-25% is with normal activity. Continuing the activity that caused the problem in the first place would greatly increase those odds.)
Putting "blinders" on horses is often beneficial as it eliminates distractions and aids in concentration.
Putting "blinders" on people, only inhibits their ability to reason.
Take those darn blinders off.