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Doctor insights on: Posterior Lumbar Interbody Fusion

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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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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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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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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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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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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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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?

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? I'm 30!!

MRI results for spinal lumbar. Is it common to have mild/moderate facet osteoarthritis? Small posterior disc protrusion mild loss of disc height? I'm 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?

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

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

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 Kleerekoper
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Lumbar (Definition)

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