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Doctor insights on: How Is An Anterior Lumbar Interbody Fusion Different From A Posterior Lumbar

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How is an anterior lumbar interbody fusion different from a posterior lumbar ?

How is an anterior lumbar interbody fusion different from a posterior lumbar ?

The approach: Anterior lumbar fusions utilize an approach through the abdomen called a retro peritoneal approach. This approach actually never enters the cavity containing the intestines, rather goes around it. This approach will allow access to the lumbar spine for fusion. The approach carries risks because the large veins and arteries need to be moved. ...Read more

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Fusion (Definition)

A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more


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Can a spigelian hernia be a direct result of previous anterior lumbar interbody fusion surgery?

Can a spigelian  hernia be a direct result of  previous anterior lumbar interbody fusion surgery?

Not Exactly...: ...However, it is possible to develop an incisional hernia associated with prior abdominal surgery, especially with midline incisions.Typically this is repaired w/mesh via a laparoscopic or open approach.A spigelian hernia is a rare type of hernia that develops along a natural weak point along the lower edge of the rectus muscle, between the belly button&groin. These usually require ct for dx. ...Read more

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Doctor suggests an anterior cervical discectomy plus spinal fusion. What is invovled in this?

Doctor suggests an anterior cervical discectomy plus spinal fusion. What is invovled in this?

Disc removed & fuse: The cervical disc is removed from the front thru the neck anteriorly along with any bony ridges compressing nerve tissue & the disc space is filled with a piece of bone from a cadaver or from another area in your body(iliac crest) or with a metal or plastic-like spacer(peek) filled with bone with screws thru these devices holding them in or with or without a plate and screws fitted to the spine ...Read more

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What is posterior spinal fusion with instrumentation surgery?

What is posterior spinal fusion with instrumentation surgery?

A type of spine : Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read more

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How common is it for someone to need an anterior lumbar interbody fusion?

How common is it for someone to need  an anterior lumbar interbody fusion?

Fairly routine: Anterior lumbar interbody fusion (alif) is a procedure that is routinely performed to treated degenerative disc disease/spinal instability. It is most commonly performed on the l5-s1 level. ...Read more

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What are the possible risks of NOT having surgery when anterior lumbar interbody fusion with posterior fixation is indicated (ALIF L4,L5,S1,fix L5-S1?

What are the possible risks of NOT having surgery when anterior lumbar interbody fusion with posterior fixation is indicated (ALIF L4,L5,S1,fix L5-S1?

Depends: Have you tried nonsurgical options? Surgery is typically indicated if you're having neurologic dysfunction and/or chronic intractable pain from a serious disc herniation and have failed to improve with conservative options. At your age make sure that you've had a couple of opinions and have tried nonsurgical options including physical therapy, medication, and possibly injections ...Read more

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Is lumbar traction good for a displaced vertebrae from disc degeneration?

Is lumbar traction good for a displaced vertebrae from disc degeneration?

Might help symptoms: Traction might be helpful for the pain associated with degenerative disc disease. It does nothing for the actual position of the disc and will not make the disc "go back in place". ...Read more

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What is the recovery like for lumbar spinal stenosis surgery?

What is the recovery like for lumbar spinal stenosis surgery?

This is dependent on: Several factors including one's health status & physical conditioning, any associated instability of the spine, whether obese &/or a smoker, any underlying diabetes or neuropathy, evidence of any peripheral vascular disease-but in general, when indicated appropriately , 85% success rate --generally 6-8 week recovery depending on number of levels involved in spine that has not had any prior surgery. ...Read more

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Is there any pain involved in an anterior posterior spinal fusion?

Is there any pain involved in  an anterior posterior spinal fusion?

Yes: In any major spinal operation, pain is expected during the initial week or two after the surgery. There is no difference in having pain with an anterior/posterior (360 degree) fusion. The major difference is that there are two major incisions on the body, so there could be abdominal discomfort in addition to requiring medications for pain. ...Read more

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Does it hurt to get an anterior lumbar interbody fusion done?

Does it hurt to get an anterior lumbar interbody fusion done?

Yes: The procedure is like most abdominal procedures and are pretty tender for several days. There will be some back aching due to the removal of disk and placement of the graft. These will both get better after time. Your surgeon will manage your pain- it is not unbearable. ...Read more

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What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more

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MRI result: smooth reversal of cervical lordosis. Minor disc osteophyte bulge is effacing the CSF anterior to the cord C5-C6. Would I require surgery?

MRI result: smooth reversal of cervical lordosis. Minor disc osteophyte bulge is effacing the CSF anterior to the cord C5-C6. Would I require surgery?

No surgery: Straightening of cervical spine can be due to muscle spasm from whiplash, but can also be a normal finding. Osteophytes are the result of spine degeneration and usually do not need surgical correction. Effacement of the CSF anterior to the cervical cord is usually benign and asymptomatic. ...Read more

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What does it mean to have a posterolateral fusion of the lumbar spine?

What does it mean to have a posterolateral fusion of the lumbar spine?

See below : A posterolateral lumbar fusion involves fusing the spine over the transverse processes and the lateral aspect if the facets. Check out spine-health.Com for videos and more information. ...Read more

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With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

Unsure of question: Most surgeons exhaust non-operative care before recommending surgery. Non-operative care can include medications (anti-infammatory arthritis type medicine or pain medications), physical therapy, activity modification, exercise, bracing, chiropractic care, interventional pain management (injections), or alternative medical approaches. ...Read more

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Had an MRI and dont understand results. "large posterior disk extrusion contacting the anterior spinal cord and causing severe spinal canal stenosis.

Had an MRI and dont understand results.  "large posterior disk extrusion contacting the anterior spinal cord and causing severe spinal canal stenosis.

Spinal Stenosis: Did a doctor explain to you the results or did you just obtain a copy? In general you have a protruding disc (not sure if neck or back) that is impinging on the spinal canal and resulting in narrowing of the canal. I would imagine you are having pain, weakness, numbness? ...Read more

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What is a right lateral disc extrusion at l3-l4 level that abutted the right L3 nerve root sleeve within neural foramen mean? I had spine MRI done.

What is a right lateral disc extrusion at l3-l4 level that abutted the right L3 nerve root sleeve within neural foramen mean? I had spine MRI done.

Not much wo thigh pa: If you have anterior thigh pain it may mean a L3 nerve root radiculopathy with such a far lateral disc herniation. A nerve root block at l3-4 would treat that usually. ...Read more

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What are the long term outcomes of posterior cervical foramenectomy and ACDF For cervical RADICULOPATHY from foraminal/spinal stenosis C4 thru C7?

ACDF outcomes: Even a surgeon can not answer that question. Long term can be pain relief all the way to more pain. I would say if you haven't found a good interventional pain specialist to consult with prior do so now and see what other options there are besides surgery. This is if it is just for pain, if you are having any neurological deficits surgery might be your option. ...Read more

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Is lumbar traction effective for a displaced vertebrae from disc degeneration?

Yes/no: I was trained using hospital based lumbar traction, it did very little to help disc disease in that by the time we applied enough traction to help the patient they were at the foot of the bed and no force applied.Modern traction (drx 9000) can apply your body weight to a specific disc segment and really make a difference.At your age please look into this treatment. ...Read more

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What is the difference between a caudal epidural and a lumbar sympathetic block for CRPS (foot)?

What is the difference between a caudal epidural and a lumbar sympathetic block for CRPS (foot)?

Different procedures: Lumbar sympathetic blocks are a more common procedure to perform for CRPS. They help to temporarily silence the sympathetic nerves involved with the redness and swelling of CRPS. Caudal epidurals inject steroids around the nerves where they leave the spinal cord and are more often performed for spinal pain (arthritis and ruptured discs) than for CRPS. ...Read more

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What is the difference between a lumbar stress fracture and a lumbar strain?

Strain: Fracture implies that bone tissue is compromised whereas strain the bone is not compromised but rather ligaments and muscles are involved. ...Read more

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How is an anterior lumbar interbody fusion different from a posterior lumbar ?

The approach: Anterior lumbar fusions utilize an approach through the abdomen called a retro peritoneal approach. This approach actually never enters the cavity containing the intestines, rather goes around it. This approach will allow access to the lumbar spine for fusion. The approach carries risks because the large veins and arteries need to be moved. ...Read more

See 1 more doctor answer
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What are the possible risks of NOT having surgery when anterior lumbar interbody fusion with posterior fixation is indicated (ALIF L4,L5,S1,fix L5-S1?

Depends: Have you tried nonsurgical options? Surgery is typically indicated if you're having neurologic dysfunction and/or chronic intractable pain from a serious disc herniation and have failed to improve with conservative options. At your age make sure that you've had a couple of opinions and have tried nonsurgical options including physical therapy, medication, and possibly injections ...Read more

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What does it mean to have posterior lumbar interbody fusion?

PLIF procedure: A posterior lumbar interbody fusion (plif) is a procedure in which an unstable lumbar segment is fused in conjunction with a decompressive laminectomy. As part of the fusion, bone grafting (often with a cage device) is placed into the disc space to allow for fusion, but also helps re-align the segment. It can be performed with open and minimal invasive techniques. ...Read more

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Has anyone done a posterior lumbar interbody fusion surgery?

Has anyone done a posterior lumbar interbody fusion surgery?

Sure: This is a very good operation for the right patient. It provides both decompression and stabilization and has good results for the great majority of patients. ...Read more

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I am 52. Psa level is 34.5. 7 years ago, had medtronic infuse rhbmp for a posterior lumbar fusion that raises the risk of pc. What is the outlook?

Please clarify: What is rhbmp? I am unaware of this product or any associated risk of prostate cancer. In any event, a psa of 34 at your age merits a prostate biopsy to make sure cancer is not resent. Please consult a local urologist promptly. ...Read more

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I had a t2-l1 posterior spinal fusion 5 years ago. I having been experiencing pain in my cervical and lumbar spine. Is this due to degeneration?

Possibly: At your age, the reason why you had the spinal fusion is important as degenerative disease is uncommon without underlying trauma or other arthropathy. Pain in the lumbar region that is due to muscle spasm can transmit/radiate to neck and neck pain can transmit/radiate to the lower back. Need to discuss the discomfort with your physician. ...Read more

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Posterior hip pain when seated on hard floor is this more indicative of si jt pain or lumbar referred pain?

Posterior hip pain when seated on hard floor is this more indicative of si jt pain or lumbar referred pain?

It is one variable: Posterior (gluteal) hip pain is most commonly caused by pathology involving the lumbar spine or the sacroiliac joint & less likely caused by an unusual presentation of hip joint pain. This should be differentiated with deep pelvic pathologies which may refer pain to this area. The specific seated posture which aggravates the pain can serve as a clue. The diagnosis has more than one variable. ...Read more

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2 Lumbar ESIs, 2 months PT. 2 Broad based bulge, posterior annular tear. Increase paraspinal signals L2/L3&L3/L4 concerning myositis. Need Help!

Surgery : Unfortunately, it seems like you have failed non-operative care. The epidural steroid injections are the most powerful intervention other than surgery; so if they dontvworkbanf if the pain is bad enough, you may have to sit down with a surgeon and discuss surgical options. ...Read more

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MRI results for spinal lumbar.Is it common to have mild/moderate facet osteoarthritis?small posterior disc protrusion mild loss of disc height?im 30!!

MRI results for spinal lumbar.Is it common to have mild/moderate facet osteoarthritis?small posterior disc protrusion mild loss of disc height?im 30!!

Review with doctor: You are 30 and female. You have findings on your MRI. You want to know if they are common. The best advice is to review with your doctor. First discuss why the MRI was ordered. It is uncommon to order an MRI for a healthy 30 year old female. Then review what was found and if this follows the clinical findings. A test supports the history that you provide. Hope this helps. ...Read more

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X-ray rprt "loss of lumbar curvature", MRI rprt"l5-s1 disc show posterior central annulus protrusion causing subtle impingement on thecal sac" ?

X-ray rprt "loss of lumbar curvature",  MRI rprt"l5-s1 disc show posterior central annulus protrusion causing subtle impingement on thecal sac" ?

Call your doctor: Your doctor who has the complete report and who has examined you can give you more information. You have a herniated disc which may be putting some pressure on the nerve. Your doctor can give you more information and recommendation for treatment. ...Read more

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MRI report says - 1. Straightened lumbar spine curvature 2. posterior central disc protrusion at L4 -L5 level causing indentation of thecal sac ?

MRI report says -  1. Straightened lumbar spine curvature 2. posterior central disc protrusion at L4 -L5 level  causing indentation of thecal sac

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Herniation and spasm: One way to describe those findings is you have a herniated disc likely associated with spasm. When paraspinal muscles go into spasm, the lumbar spine straightens out somewhat losing its normal contour. I would not hesitate to be seen to discuss treaent options. ...Read more

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MRI results of lumbar spine: Small synovial cysts along the posterior aspect of the left articular facet? What does this mean in 30yr old female

MRI results of lumbar spine: Small synovial cysts along the posterior aspect of the left articular facet? What does this mean in 30yr old female

No real issue: Synovial cysts are congenital variations of no significance unless they substantially enlarge, and in your case, seem a co-incidental finding of little relevance. Discuss in more detail with your doctor and have him/her demonstrate the findings on the films to provide further reassurance. ...Read more

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With degenerative disc disease, facet arthrosis, nerve compression, buldging discs lumbar and cervical regions, synovial cyst posterior lumbar region in spine, continueum spasms, the need of surgery is the option as of now. I have been through all treatme

Unsure of question: Most surgeons exhaust non-operative care before recommending surgery. Non-operative care can include medications (anti-infammatory arthritis type medicine or pain medications), physical therapy, activity modification, exercise, bracing, chiropractic care, interventional pain management (injections), or alternative medical approaches. ...Read more

Dr. Alvin Lin Dr. Lin
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24 yrs smoking.Ct found 11x10 lobular density containing punctate calcification.Posterior lumbar subcutaneous edema.Basilar atelectatic cyst.worry?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
24 yrs smoking.Ct found 11x10 lobular density containing punctate calcification.Posterior lumbar subcutaneous edema.Basilar atelectatic cyst.worry?

Yes . . .: Wow, smoking since 11yo? Bottom line, if screening CT scan finds something abnormal, you need to chat w/ordering physician to discuss your options regarding next step eg how to figure out what's going on. Sometimes the radiologist will suggest repeating a scan in a specific period of time if it's small & indeterminate. But this again is something best discussed w/ordering physician. Best wishes! ...Read more

Dr. Michael Gabor
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Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more