A member asked:

I had a hemilaminectomy, discectomy, partial facetctomy, foraminotomy, l5--s1 1 having numbness in foot and pain in buttocks. dr recommends spinal fusion another dr recommends spinal lamina.i'm confused.

11 doctors weighed in across 3 answers

See Neurologist: A medical neurologist can help with accuracy in diagnosis, and is not a surgeon, so he can render a non-biased opinion on the best treatment. He may also refer you for an academic or university neurosurgical referral. He may advise non-surgical options, such as prolotherapy or interventional pain management, if felt appropriate.

Answered 6/17/2018

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Dr. Mark Weston answered

Specializes in Orthopedic Spine Surgery

Spinal lamina: Not familiar with that procedure did you men lamioplasty or laminectomy? Youve already had half a laminectomy did the decompression help at all? Or worse? Any diagnostic injections done when considering additional surgery after one atempt it always helpful to pause and review diagnostic conclusions and upon what data were those conclusions drawn , response to initial procedure is an important.

Answered 1/23/2016

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No fusion: If back pain minimal and MRI demonstrates nerve residual root compression, i would recommend minimally invasive laminoforaminotomy. Fusion is for back or axial pain.

Answered 5/3/2016

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