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A 45-year-old female asked:

I had a fusion and decompression of l4-s1 in 2004. i had hardware placed at l4 and s1 as there was hypertrophy and degenerative changes at l5 they elected not to use a screw . i was 36 then, i am now 45 and have symptoms again. had an mri which shows bil

1 doctor answer1 doctor weighed in
Dr. John Baker
Neurology 14 years experience
Bp: For me, decision on surgery or even what surgery really depends on the symptoms (true radiation of pain, maneuvers that make pain worse like lateralbending of back) and emg/ncs. I recommend intervention (injection/surgery) for stenosis if there is nerve damage there or if pain is helped but longterm to either esi or facet injections. Most back issues are multifactorial; no quick fixes.

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Last updated Jan 5, 2019

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