Doctor insights on:
Posterior Decompression And Fusion
On going pain after 1 year status post posterior cervical fusion at C5 and C6 levels. Headaches, right arm tingling. No decompression was done prior to procedure. Inflammation found at back of skull?
Pain after PSIF neck: Not normal. Could be related to screw against nerve, pseudoarthrosis, incomplete decompression, nerve damage that didn't heal, missed or new problem. I would start with ct to see if bone healed and decompressed, and find out exactly where screws are. If negative, MRI to identify new or different problem. Get a diagnosis and it will help treatment. Read moreSee 2 more doctor answers
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
What should I expect going into a posterior fossa decompression surgery for chiari 1 malformation? Recovery time? Restrictions?
Chiari: Most surgery for chiari malformation is a decompressive operation. Surgery takes 3-4 hours. Hospital stay is usually 1 day in ICU and 1-2 days general care. I would recommend lifting less than 10 pounds for the first 2 weeks and less than 25 pounds after that. You will be asked to not bend your head lower than your waist. Recovery occurs in 6-8 weeks. Read moreSee 1 more doctor answer
I had back surgery in december, lumbar decompression with laminectiomy at the l4-l5 level. With microdisectomy. Last MRI still shows at posterior disc bulge at the same level. I am still experiencing severe episodes of burning pain down in my lower extre
I am highy nervous about having spinal decompression and fusion surgery. Mostly about not waking up and fusion failure. Why shouldn't I be?
You are not alone: These are major surgeries which will take many hours and complications can occur, thus your emotion/fear is not uncommon. I am sorry to hear that this is something you are about to endure. I assume you have been suffering pain/disability for quite some time now? Talk to your family/friends. Discuss your concerns/fear with doc. There is no shame in doing that. I wish you the best of luck. Read more
I had a spinal fusion and decompression on December 7 2016 and I am going back to work April 4, is This too soon I feel pretty good sometime and somet?
Followup: You would need to have followup and discuss directly with your surgeon. At issue is whether your fusion has healed solidly, how the strength in your back muscles has returned, and finally the nature of your job itself. I usually let my patients return to restricted jobs 4-6 weeks post op and full duty 8-12 weeks if otherwise doing well. Discuss with your surgeon. Read moreSee 2 more doctor answers
Need evaluation: It depends on the cause of pain. There are appropriate indications for either procedure. While age is a factor, it is more important to have the right procedure performed for your condition. Performing a decompression whe. You need a fusion would not help, and may in fact make your symptoms worse. A thorough evaluation by a spine specialist would help you make the right choice for treatment. Read moreSee 1 more doctor answer
Common procedure: An anterior cervical discectomy and fusion with instrumentation is a common procedure to address cervical disc herniations, degenerative spondylosis and occasional to treat instability from trauma. A fusion will eliminate the motion at the involved joint segments. Most patients do well. For very good information and videos, check out spine-health. Com. Read moreSee 1 more doctor answer
Get appropriate: Diagnosis first and then get treatment options that should first involve non operative measures as long as there is no significant neurologic issues or tumor or infection. Treatment after failing non op care is dictated by the diagnosis. Certain times a decompression is recommended and others a fusion and sometimes both. See a spine surgeon and get a second opinion. Read more
Different surgeries: Spinal decompression surgery is performed nerve root impingement-usually from bone or ligaments in the spinal canal or where the nerve roots exit-the neuroforamena. Generally called a laminectomy, it involves removing bone and ligament from the spine. A spinal fusion locks together two or more segments of the spine, usually with screws and rods. Bone is added as well to allow the bones to knit. Read moreSee 2 more doctor answers
It varies: It varies from person to person, perhaps depending on the severity of the pressure, the time the nerve has been compressed, the amount of inflammation, and other variables. Some are blessed with immediate relief. For others, it take take a month or so for the pain to subside. Sometimes anti-inflammatory medicine may help speed the healing, but ask your doctor before taking or if no relief. Read moreSee 1 more doctor answer
I have a fusion at l5/s1 on 5-11-12. Is there any type of decompression therapy I can safely do for my low back?
Postop care: Hate to say it, but that is a personal decision your operating surgeon needs to make by interpreting your x-rays and exam. If all clear, save some cash and buy an inversion table. Consider asking for a referral to a mckenzie certified pt. Please don't do anything without your doctor's blessing. Read moreSee 1 more doctor answer
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
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
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. Read more
I have a stable L5 s1 grade 2 spondylolisthesis and it is causing me leg and back pain. Should I get a fusion surgery? Or just decompression surgery
Fusion: Decompression alone is unlikely to resolve the issue and is likely to worsen the situation in the long run. Furthermore there are now more options then just posterior fusion, an anterior approach may also be an option but a good surgical opinion or opinions are needed. Read moreSee 4 more doctor answers
I had L5 s1 disc fusion and spinal decompression 10 weeks ago. At 6 weeks, I started getting shooting pains down my left leg and butt cheek. Help.
Nerve: Check with surgeon. May represent impingement (crowding) of sciatic nerve due post-op swelling. Simple test- can you walk on your toes.? This means most important function of sciatic nerve- motor power- is intact. Nerve has sensory- feelings- and motor- makes muscles work. This is reason surgery is done as disk creates leg pain but loss function- ability walk etc is reason surgery to salvage func. Read moreSee 1 more doctor answer
Having scoliosis surgery and fusion to thoracolumbar spine to pelvis and l5/s1 decompression with multilevel osteotomies. What happens in surgery?
Lumbar scoliosis: Simple. Incision made in back to visualize spine to be fused. Length of incision appropriate for fusion. The facet joints are removed and the bone prepared for fusion. At l5-s1, facet and disk removed, and spacer placed into disk along with bone graft. Multiple laminectomy and facet excisions (osteotomy) to make spine more flexible. Rods/screws placed to maintain correction. Bone graft placed. Read moreSee 1 more doctor answer
Be compliant: If you have already had surgery, you would certainly want to be compliant with your surgeons postoperative regimen, which usually encourages light activities such as walking, but the avoidance of bending, twisting, and heavy lifting for a set period if time. Read moreSee 1 more doctor answer
Fusion: An anterior spine fusion means removing the disc from the front followed by placing a cage or bone graft in place of the disc to fuse the bones together in the front. This is often combined with a posterior spinal fusion which involves placing screws and bone graft in the back in order to get the best possible chance of successful fusion. Read moreSee 1 more doctor answer
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