A member asked:

Husband 34years old. has sequestrated disc l5 s1. neurosurgeon recommended lumbar laminectomy and orthopedic surgeon suggests spinal fusion. advice please?

2 doctors weighed in across 2 answers
Dr. Stuart Hickerson answered

Specializes in Family Medicine

Back: From a surgical standpoint I would probably go with the neurosurgeon. However, from a recent article from British Medical Journal only 5% of people get lasting relief with surgery. Perhaps physical therapy and weight reduction is the answer.

Answered 1/17/2021

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Dr. Peter Ihle answered

Specializes in Orthopedic Surgery

If the disk is-: -symtomatic but there is no evidence of instability,there is no need for fusion. Unless there is complete loss of the disk space. If the pain is mostly in the leg, & less so in the back,diskectomy only,as there is more back pain than leg pain,fusion is to be considered.

Answered 6/30/2019

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