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 more
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 more
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?
Precautions: If you have heavy physical responsibilities, a work hardening program is suggested, but if you do office work, likely you could return with periodic breaks. ...Read more
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 more
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 more
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 more
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 more
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 more
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
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 more
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 more
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 more
Fusion 2 cerv bones: The 2nd and 3rd cervical vertebra are fused together in the back part ofthe bone. ...Read more
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
4 months: It usually takes about four months for complete recovery. ...Read more
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
4hours: Varies quite a bit on surgeon and team experience how many levels use vascular surgeon for anterior exposurewill speed things up alot. ...Read more
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
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
I will be having 5 level posterior and anterior cervical fusion. Any thoughts negative or positive?
These two operations, performed as one or two separate procedures, are very involved. There is high chance of having prolonged difficulty swallowing just from the muscle retraction during the anterior fusion. Both are painful. Fusion rate is lower with multiple levels being fused.
There is always a risk to benefit ratio with surgery. Make sure the benefits outweigh the risks in your case. ...Read more