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Full Version: Spinal Fusion Agent Raises Costs, Complication Rates
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That was very interesting, Thank You! It's Odd how they change Meds. and such with Spinal Surgeries. (They Probably do with Other Surgeries also, but I only have had Spinal and Ear Surgery) One Month before My Surgery, (Listed Below) they had a Product Called Adocon L, that did an Excellent Job at Stopping Scar Tissue, but it was Pulled because the FDA did not Like the Way the Original Testing was Done for Approval. Had they been able to Use that on Me, I would Probably be at Work Right now, and not Totally Disabled! Makes You Wonder how the FDA System Works, I guess it is Meant to be for Our Safety, and Probably does, but they seem to let Dangerous Meds. and Such in the System too Long, Maybe Their Testing should be a Bit More Intensive, and a lot of this Wouldn't be Happening! The Adocon L had Very little Side Effects, and Helped Many, but they Pulled it on a Technicality, while other Meds. that are Life Threatening are kept on the Market until a Certain Number of Complications Occur!Wink
It's my opinion that BMP's could work well, if the correct BMP is used, as there are many types of BMP's....

BMP Known functions Gene Locus
BMP1 *BMP1 does not belong to the TGF-β family of proteins. It is a metalloprotease that acts on procollagen I, II, and III. It is involved in cartilage development. Chromosome: 8;

BMP2 Acts as a disulfide-linked homodimer and induces bone and cartilage formation. It is a candidate as a retinoid mediator. Plays a key role in osteoblast differentiation. Chromosome: 20;

BMP3 Induces bone formation Chromosome: 14;

BMP4 Regulates the formation of teeth, limbs and bone from mesoderm. It also plays a role in fracture repair. Chromosome: 14;

BMP5 Performs functions in cartilage development. Chromosome: 6;

BMP6 Plays a role in joint integrity in adults. Chromosome: 6;

BMP7 Plays a key role in osteoblast differentiation. It also induces the production of SMAD1. Also key in renal development and repair. Chromosome: 20;

BMP8a Involved in bone and cartilage development Chromosome: 1;

BMP8b Expressed in the hippocampus. Chromosome: 1;

BMP10 May play a role in the trabeculation of the embryonic heart. Chromosome: 2;

BMP15 May play a role in oocyte and follicular development. Chromosome: X;

BMPs are now produced using recombinant DNA technology. These formulations have found applications[citation needed] in many disciplines of medicine and dentistry. Orthopaedic medicine and oral surgery have benefited[citation needed] greatly from commercially available BMP formualtions in the last few years.

BMPs are also available in an oral form under the commercial name Ostinol™. It is being marketed as a supplement for bone and joint health[citation needed] by Holistic and alternative health care practitioners.

BMPs interact with specific receptors on the cell surface, referred to as bone morphogenetic protein receptors (BMPRs).

Signal transduction through BMPRs results in mobilization of members of the SMAD family of proteins. The signaling pathways involving BMPs, BMPRs and Smads are important in the development of the heart, central nervous system, and cartilage, as well as post-natal bone development.

They have an important role during embryonic development on the embryonic patterning and early skeletal formation. As such, disruption of BMP signaling can affect the body plan of the developing embryo. For example, BMP4 and its inhibitors noggin and chordin help regulate polarity of the embryo (i.e. back to front patterning).

Mutations in BMPs and their inhibitors (such as sclerostin) are associated with a number of human disorders which affect the skeleton.

Several BMPs are also named 'cartilage-derived morphogenetic proteins' (CDMPs), while others are referred to as 'growth differentiation factors' (GDFs).
Spinal Fusion surgery itself raises costs and increases mortality and complication rates in back pain patients let alone increases disability with very little , as in very limited indications, to perform the surgery in the first place.
I Surely Agree with that Cycler!! There are too Many Scalpel Happy Surgeons Out there, doing Many Unnecessary Surgeries!! I had 4 Discs totally Dried and Bulged for Years before My Serious Injury, and Worked every Day doing Heavy Lifting! The Surgeons that Reviewed My MRI's even Mentioned the Fact that those Discs should have been enough to Stop Me from Work, but I only had Minimal Pain, and those Discs were not a Part of My w/c Claim, I Worked Hard and Played Harder, and were just Normal Wear. Had the L5 Disc not actually Exploded from the Jolt and Weight of what I caught, and Left Me Ultimately Crawling on the Floor, I Actually Worked a bit even after that, Only Driving, not Lifting, I would still be Working, and making One He** of a lot More than I am now!!Wink
Limbo,
Do you know what their reasons were for FDA pulling the Adocon L other than they did like like the way the studies were done? I am interested in knowing more about this issue if you have any info. I am also confused and don't always understand some of what I read. Do this have any relation to the use of Donor Bones instead of using your own bone? Sometimes I don't grab the medical terminology or the aspect of the message. When they did my cervical fusions I used Donor Bones from a bone bank instead of my own. My doctor stated the recovery from the surgery was alot easier than taking the bone from the hip because people have to much pain and trouble being able to walk sooner from the removable of your own bone. For your sake since the Adocone L worked so well for you I am saddened to hear they have pulled this. I know how much trouble and suffering you have from scar tissue. God Bless and Love ya!

Cajun Hugsssssssssss,
MJC
MJC, all I was Told was that Adocon L was Pulled due to a Technicality in Testing, I don't know anymore about it! Had they been able to Use it My Fate may have been Much Better, but that's Something We'll Never know! I'm not too Sure about the Other Items they are Talking about, other than I feel too Many Injured Spinal Patients are being Talked into Unnecessary Spinal Surgeries, when Sometimes Patience and PT May Work just as Well! Bad Boy seems to Understand the Other Section of this Much Better than Me, Maybe You should PM Him, I'm Sure He can Straighten You Out on that!! And Since I'm from the North East, ((((((( Big Bear Hugs)))))) to You!!Smile
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