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Doctor insights on: Spinal Fusion Surgery L5 S1

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Should I shave my pubic area if I am getting an anterior spinal fusion for l5-s1? I am having surgery on the 12th of this january

Should I shave my pubic area if I am getting an anterior spinal fusion for l5-s1? I am having surgery on the 12th of this january

Just ask: Seeing as your surgery is months away, there's plenty of time to ask your surgeon what his or her preference is when you follow up with them. Depending on how much hair you have, and where the planned incision is, you may not have to shave at all. If you have hair in or very near the surgical field, it will have to be removed. ...Read more

Dr. Thomas Dowling
1,119 Doctors shared insights

Spinal Fusion (Definition)

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


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I have had a two-level spinal fusion (l5-s1). What is the best way to avoid (or prolong) adjacent disc disease?

I have had a two-level spinal fusion (l5-s1). What is the best way to avoid (or prolong) adjacent disc disease?

Not much: Accelerated adjacent segment degeneration is relatively common and concerns
adverse effects following spinal fusion. It
is believed that this accelerated degeneration
is due in large part to increased
mechanical stress on the adjacent motion
segments. Stay in shape, do not gain weight. ...Read more

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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 more

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I am having a spinal fusion. This will be my second one. L5 s1. I don't wqnt to use my own bone. What are my options?

I am having a spinal fusion. This will be my second one. L5 s1. I don't wqnt to use my own bone. What are my options?

Spinal fusion: You also have the option of using cadaveric bone though some surgeons do not like to use this source, having said that it is coming used. ...Read more

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Hip pain after L5/S1 spinal fusion?

Hip pain after L5/S1 spinal fusion?

That's common: Often, your low back can cause hip pain, just like hip problems can cause knee pain. I would talk to your orhtopedic and see if he could recommend some strengthening and stretching exercises and also to ensure nothing else is going on. ...Read more

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I had a spinal fusion of l5 S1 5 yrs ago. My left leg is unpredictably weak and gives out. Occasioy. What will improve my coordination?

I had a spinal fusion of l5 S1 5 yrs ago. My left leg is unpredictably weak and gives out. Occasioy. What will improve my coordination?

Physical Therapy: May help strengthen the muscles and other soft tissue on the left leg. Peace and good health. ...Read more

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I had a spinal fusion l5-s1. I now have dull aching pain in my back that I think is from the screw heads. What are my options?

I had a spinal fusion l5-s1. I now have dull aching pain in my back that I think is from the screw heads. What are my options?

Follow up: You should follow up with your spinal surgeon. He/she may be able to determine upon examination if your symptoms are due to the hardware or something else. ...Read more

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I just found out that I have Disc degeneration and posterior bulging disc at the L4/L5. I have had a spinal fusion at the L5/S1. what does this mean?

I just found out that I have Disc degeneration and posterior bulging disc at the L4/L5. I have had a spinal fusion at the L5/S1. what does this mean?

Depends: It depends on why the MRI was ordered and what symptoms and signs exist on the examination. It could be incidental or it could explain alot - without having more history it's impossible to tell. However, given that you have had an MRI, and your physician ordered it, you should ask your health care provider to go over it with you for an assessment. ...Read more

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Peripheral neuropathy symptoms in l4&l5 post l5&s1 spinal fusion. Is there any chance of these symptoms going away?

Peripheral neuropathy symptoms in l4&l5 post l5&s1 spinal fusion. Is there any chance of these symptoms going away?

Post lami syndrome: Depending on when you had your fusion, this may be post laminectomy syndrome. Scar tissue can form, causing pain in associated areas. Peripheral neuropathy does not follow a specific nerve root. That is radiculopathy. You can try medicines for neuropathic pain such as gabapentin. If you had a recent fusion (. ...Read more

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Conjoined l5/s1 nerve root on rt side after spinal fusion. Scarring in the spinal canal at l4-5 especially on the rt side intervertebral foramen?

Conjoined l5/s1 nerve root on rt side after spinal fusion. Scarring in the spinal canal at l4-5 especially on the rt side intervertebral foramen?

Conjoined nerve root: A conjoined nerve root is a congenital condition. It cannot be acquired from surgery. It does make surgery more difficult and the patient may be more prone to radiculopathy or nerve root problems. The larger nerve root sleeve that contains to spinal nerve roots is more easily injured. ...Read more

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Husband 34years old. Has sequestrated disc L5 S1. Neurosurgeon recommended lumbar laminectomy and orthopedic surgeon suggests spinal fusion. Advice please?

Husband 34years old. Has sequestrated disc L5 S1. Neurosurgeon recommended lumbar laminectomy and orthopedic surgeon suggests spinal fusion. Advice please?

Back: From a surgical standpoint I would probably go with the neurosurgeon. However, from a recent article from British Medical Journal only 5% of people get lasting relief with surgery. Perhaps physical therapy and weight reduction is the answer. ...Read more

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Does spinal dysraphism surgery in newborn causes problems in later life. My son now 15 having pain in legs due to spondylolisthesis at l5-s1, ?

Does spinal dysraphism surgery in newborn causes problems in later life. My son now 15 having pain in legs due to spondylolisthesis at l5-s1, ?

Talk to MD: This problem could have many causes. I would suggest an evaluation by a neurosurgeon. With mris and physical examination they would be able to offer a course of treatment. ...Read more

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After spinal surgery for a herniated disc at l4-l5 and l5-s1 how long will it take for foot numbness to go away?

After spinal surgery for a herniated disc at l4-l5 and l5-s1 how long will it take for foot numbness to go away?

Months: For many patients, the numbness resolves. However, it can take several months. In a smaller percentage it persists but tends to be less bothersome over time. ...Read more

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I had l5-s1 spine fusion and a L4 foraminotomy in several months ago, is there a way to relieve back pain radiating down my left leg?

I had l5-s1 spine fusion and a L4 foraminotomy in several months ago, is there a way to relieve back pain radiating down my left leg?

Several ways: Some of this depends on what part of the leg is affected and the underlying cause. Treatments include medicine, injection therapy, pt, spinal cord stimulation and further surgery. ...Read more

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L5-s1 disk degenerated now bone on bone. Neurosurgeon wants to do spine fusion. Spine surgeon wants to do a disk replacement. What should I do & why?

L5-s1 disk degenerated now bone on bone. Neurosurgeon wants to do spine fusion. Spine surgeon wants to do a disk replacement. What should I do & why?

Great: Question, with many answers. The disc replacement will allow for some slight increase movement on an area that doesn't move much anyways. Fusion is the most common method. It comes down to talking to your surgeons and decide whom you trust the most. Good luck! ...Read more

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Does an extruded disc fragment, very painful, require surgery, and fusion surgery l5-s1 help with the pain?

Does an extruded disc fragment, very painful, require surgery, and fusion surgery l5-s1 help with the pain?

See a back surgeon: This is a complex issue and is highly dependent upon the actual lesion, the patient and the extent of symptoms. Surgical fusion may or may not be helpful, and sometimes makes things worse. Find a highly recommended surgeon and let them evaluate and recommend management. Good luck. ...Read more

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I heard fusion is the best way to fix severe disc desiccation on l5-s1. All other nonsurgical procedure didn't work the past 4 yrs. Time for surgery?

Replacement possible: Fusion is gold standard but disc replacement is done as well at this level. Goggle active xl and prodisc for lumbar disc replacement to learn more. This is done in limited centers in us. Dr jochen feil md in hiddleburg germany is an e pert in this procedure. ...Read more

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What to do if I had surgery (tlif L4 5 L5 s1) and recently found out that What to do if I had a failed fusion.?

That depends on what: You mean by that-did the fusion not heal or did the fusion heal & you have persistent symptoms. 1st case may require another surgery to achieve fission. This may best be achieved by minimizing factors that affect healing like smoking in addition to a 360 surgery or front & back approach surgery with the addition of bone morphogenic protein to help with the fusion. If 2nd case, speak to your doc ...Read more

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Done 4 years of pt, pain meds, 2 mri's 3 years apart. Have very bad disc desiccation l5-s1. Should I consider fusion surgery? 30year old male.

Done 4 years of pt, pain meds, 2 mri's 3 years apart. Have very bad disc desiccation l5-s1. Should I consider fusion surgery? 30year old male.

Maybe: You're quite young for lumbar fusion but sounds like you have had a long trial of conservative treatment. Only you with the advice of your treating surgeon can make this decision. ...Read more

Dr. Brian Le Dr. Le
2 doctors agreed:
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23m s/p l5-s1 discectomy w/ daily moderate-severe back pain & radiculopathy both leg. What is my next treatment option? More epidural? Fusion surgery?

Dr. Brian Le Dr. Le
2 doctors agreed:
23m s/p l5-s1 discectomy w/ daily moderate-severe back pain & radiculopathy both leg. What is my next treatment option? More epidural? Fusion surgery?

Failed back: It appears that you have failed back syndrome. Please see a pain specialist for evaluation and treatment. You might benefit from additional therapy, medications, injections like epidural steroid injection or spinal cord stimulation. ...Read more

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23m-rupture discs w/ 5mm retrolisthesis (l4/5&l5/s1) s/p discectomy surgeon doesn't want surgery, 2nd opinion recommended hybrid lumbar fusion. What should I do? Daily pain 6+/10 back & both legs 2yrs

23m-rupture discs w/ 5mm retrolisthesis (l4/5&l5/s1) s/p discectomy surgeon doesn't want surgery, 2nd opinion recommended hybrid lumbar fusion. What should I do? Daily pain 6+/10 back & both legs 2yrs

Be careful: Make sure seeking advice from well-trained spine surgeon. The pathology you mention will not necessarily cause the symptoms you list. Let's say you have herniated discs/lumbar stenosis, nerve impingement, then that will explain your leg pain. And after failing appropriate conservative management decompression surgery will help. But be very careful with surgery for back only pain -- esp.@ 23Y.O. ...Read more

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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 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 more

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