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I assume you have already consulted with a spine surgeon. Is this true?
I have had an L4L5 fusion myself
and the general rule is do as few levels as possible
as you state
there is a rigidity that comes with every level fused
and the more levels that are fused the more likely you are to herniate another disc above or below the fusion
how are you?
I have already consulted with a spine surgeon.
Oh excellent, great to hear from somone with first hand experience.
does the surgeon want to do two levels? I would be surprised if he did.
I have a Dr. Odor from the Spine hospital wants to do both, and says the L-5 to L-4 is needed in order to preserve the L-4 to L-3. Dr. Parkison echoes the same opinion. Dr. Hume from a Southwest Orthopedics, favors only doing the S-1 to L-5, then lose more weight about 40 lbs and strenghten core. He says by not fusing the L-5 to L-4 I will preserve at least some minimal cushing to lengthen the preservation of the vertebrae above it.
what do you want to do
experts often disagree
and i can see the point from all of your surgeons
If it were me, I think I would opt for less at this point
SO simply put if I do both the bottom fusion the the next on above it will I preserve the third one, or would it be best to only fuse the bottom one, leave the second one alone (its gray) AND THAT will preserve the third one .... It'll all about preserving the third one from the bottom.
stand by one second
Take your time.
The thing to remember is that once you get a fusion, if you remain active, you will likely need another at some point in the future
so it is often the case that the more conservative approach is the best one
in that technology and technique for spine surgery improves every year
so in a sense, less is more
especially at age 35
I had mine at the same age for the same reasons, but one level higher
and I have continued to ski and bike, but I am not allowed to run
no matter what procedure you choose
you SHOULD follow your restrictions
I am not in line for any surgery anytime soon and have done quite well
How old are you now?
And how has your back held up?
I had one herniated disc at age 40 and got a microdiscetomy... was in at 8am and walked out at 11 and have had no more problems.
How much did your pain decrease ... I do understand that I may be different.
before my fusion I couldn't walk or stand more than five minutes without having to crouch to relieve pain.
I was better than that 3 days after surgery
the recovery is tedious
but I have not had appreciable back pain since, with the exception of the one herniated disc
How are your discs below and above your fusion?
I herniated the one below
but other than that they are fine... a little loss of disc height which was there previously
Was the due in part to the spinal fusion?
yes, a fusion at one level stresses the level above and below
a multi level fusion
stresses the levels above and below to a greater degree
How long after your spinal fusion did you herniate your disc, and did it just come out of the blue, or were you engaging in physical activities of some sort? In essence did you push it too much?
four years after... it was during a long bike ride, knew it immediately
I see .. this has been very educaitonal, I'll be sharing our chat with the Mrs., thank you very much. I have surgery tomorrow, and have to decide before I walk in.
wow, does your decision also decide which surgeon is going to do it?
I've decided on Dr. Hume, he had the most conservative ... he just answered all of my questions and took the time to answer them. The other doctors didn't make me feel that way, and seem or at least gave an impression to me that this was just a job for them. So I went with the doctor that would answer all of my crazy questions, and digging.
that's a good choice
personally, i like the one level and weight loss, core strengthening....
I wish you the best result possible
yes me too, I just wanted a reassurance
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