A 43-year-old male asked:
what would generally contraindicate surgery to repair lumbar hnp with bilat radiculopathy? total of 4 thoracic and 3 lumbar discs ddd, l4l5 the worst
1 doctor answer
Dr. James Rochester answered
25 years experience Family Medicine
Multi Level Bad Idea: Surgery for multi level disease almost always does not have a good outcome. Surgery to correct unstable spine segments leading to cord/nerve compression ok. Trying to relieve nerve impingement/pain related to multi level DDD, DJD has poor track record for success. If targeting only 1 or perhaps 2 levels with surgery to relieve nerve root compression, OK, More than that, data do not support.
Answered on Apr 20, 2016
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