Doctor insights on:
Spinal Fusion Surgery L5 S1
After having a failed laminectomy w/ spinal fusion @ l5-s1, what can't they surgically fix the area ?
Lumbar fusion: Failed can mean alot of things. Is it that you are not happy with the results? Or is there still a problem that is operative, i.e. Adjacent level syndrome at the level above the fusion or did the fusion not take at l5/s1 and there is a nonunion. I'm sure that your spine surgeon has discussed this with you. ...Read moreSee 1 more doctor answer
Surgery to cause two or more spine segments to be joined together through a growth of bone initiated by the placement of bone tissue or graft taken from the patient or from a donor source or even a manufactured source which could include: bone growth proteins and particulate structures that act as scaffolds for bone to grow on and may include implants or instrumentation ...Read more
I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?
Decompression: When someone has symptoms from nerve compression due to stenosis and the spine is stable, decompressive procedures such as discectomy (laminotomy) or laminectomy are usually best. If the spine is unstable or if decompressing the spine would make it unstable, the decompressive procedures are best combined with fusion. ...Read moreSee 1 more doctor answer
48 yr old post laminotomy for severe spinal stenosis, 5 orthopedic surgeon indicate double fusion, but will never do it, l3, l4, L5 degenerated?
Depends: All spines degenerate but not all spines then need a fusion. There would have to be another reason like an instability that can develop after prior spine surgery. Sometimes ongoing degeneration after a prior laminectomy leads to restenosis due to further facet & disc degeneration & a repeat decompression where there is a chance of destabilizing the spine by further bone removal requires a fusion. ...Read moreSee 1 more doctor answer
Fusion at L3 L4 lateral herni at L5 moderate bulge l5s1 mild bilat neural foraminal exit stenos should L4 L5 s1 all be fused at this point ? Help pl
Surgical risks: It sounds like you have chronic back pain, and that surgery(ies) have not been helpful. The problem with MRI scans of the spine is that they are good at identifying structural changes but do not let us know what is causing the pain. The changes you note on the MRI are common age associated changes. I suggest you see a physical medicine & rehab doctor (non-surgeon) who specializes in the spine. ...Read more
Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?
Options: Congenital variety genetic origin occuring in 6% us population in particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively including associated with herniated disc with bracing, physical therapy & medication and activity modification. Epidural steroid injections can also be considered with 90% treated nonop. ...Read moreSee 1 more doctor answer
C-spine mild uncovertebral joint hypertrophy c5c6 eccentric to right; upper t-spine scoliosis, bilat pars defect L4 w/ foraminal sten at l4l5 surgery?
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
Mild uncovertebral joint hypertrophy c5c6 eccentric to right; mild t-spine scoliosis, bilat pars defect l4, foram stenosis at l4l5 - is surgery needed?
I suffer from a congenital fusion of L3 L4 anteriorly & partial fusion with bony sclerosis in L4 L5 & mild retrograde listhesis of L5 s1 also...
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62 y/o female w/ spinal stenosis, scoleosis, herniated discs & arthritis, MRI done told spine was narrowing? Suggested surg w/ cage around spine?
Potentially: Spinal stenosis is a condition in which the canal that transmits the spinal nerves is narrowed, often by bone spurs and disc protrusions. Surgical options include removing the structures pushing on the nerves, known as a decpressiin; or doing a decompression and then fusing the bones together. When you mentioned a cage, that suggests your surgeon recommended a fusion. ...Read more
Pain! how to treat, chiro? X-ray shows spina bifida [email protected], grade1 anterolisthesis of L5 w/spondylosis, mild disc space height [email protected]&l5-s1
Too little info: As dr. Hines says, a neurosurgeon can help differentiate all of the above and provide you with the best treatment options for your condtion. There are many factors to consider- your age, how much spondylosis, pain location, duration, relief, exacerbation, general health, etc. See a neurosurgeon for some good answers. Best of luck to you. ...Read moreSee 1 more doctor answer
What would generally contraindicate surgery to repair lumbar HNP with bilat radiculopathy? Total of 4 thoracic and 3 lumbar discs DDD, L4L5 the worst
Poor result: The biggest contraindication to spine surgery would be if it was felt you would have a poor result. For example if your symptoms don't correlate with your MRI or you had too many levels involved, surgery may not help. Another contraindication would be if you had medical problems that would make it unsafe to have surgery. ...Read moreSee 1 more doctor answer
I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?
Surgery: Sometimes it solves with pain control, pain procedures (epidurals w/local anesthetic and steroids). After reducing the inflammation the disk if it is intact could slip backwards in place. The spondilosis is a chronic condition similar to the osteoarthritis that can not be cured like the disk herniation.I think you meant spondylolisthesis. Surgery can be efficient but also can have complications. ...Read moreSee 1 more doctor answer
4 years after lumbar spine fused, a recent MRI shows 6 mm anterolisthesis. Can a fusion fracture?
What does Bilateral L5 pars fractures with grade 1 anterolisthesis of L5 S1 and L5 S1 mild to moderate diffuse disk bulge mean?
See below : There is a term called isthmic spondylolisthesis that summarizes what you have. Basically at some point you developed a fracture in a part of the spine known as the pars interarticularis and this allowed one of your vertebrae to shift forward on the other. It is a fairly common cause of back and leg pain. Many good treatment options. Discuss directly with your doctor. ...Read more
Mri shows foraminal stenosis l5-s1, l4-5, l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. L leg is numb & painful. Surgery?
Would Need More Info: In general, i would need more symptoms, but what you are describing with your symptoms and the results of the mri, i would first recommend physical therapy and epidural before considering surgery. Really depends on your examination and whether there is any weakness. I would check with your doctor. ...Read moreSee 2 more doctor answers
Pain from spine surgery years after 3 failed back surgeries. I also have spinal stenosis, spinal fusions, fibromyalgia, severe scar tissue, bad hip?
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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