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User offline. Last seen 1 year 49 weeks ago. Offline
Joined: 12/12/2009
Posts: 13
Points: 26
PLIF success story - if you want to see one!

I had PLIF (posterior interbody lumbar fusion) surgery done at L5-S1 on Sept. 23, 2009. It has been about 2 and a half months and I am feeling the best I have in over 12 years! I am a 32 yr. old wife and mother and lived with this problem for many, many years of my young adult life.

It went from my initial health insurer (Kaiser Permanente) not doing so much as an x-ray, to finally getting to the heart of the issue (severe DDD) at the mentioned level. In between I went through countless narcotic rx's (lived on them), mri's, discograms (ouch!), esi's, rhizotomy's, had a spinal cord stimulator implanted (worked a little). This was all while doing my homework on artifical disc replacements and fusion sugery (both had been recommeded to me by various surgeons). I saw at least 5!

I finally found an awesome surgeon in Dallas, TX and went with the PLIF procdure (I did not want ALIF).

Results are this: Surgery went as planned. PLIF was done and spinal cord stim was removed at same time. I had no complications. I was in hospital for 7 days...the first 5 were very painful, not gonna lie. I came home from there and recovered at an amazingly fast rate. Wore a rigid back brace at all times when I was upright for 6 weeks. I am already back into my normal routine (normal for a young mother with small children, not my pre-op state). I am doing so well, I did not even require phyical therapy. My activity level is 100x what it was pre-op!

If any of you would like to dicuss my experience, I would love to. If you are considering this procedure, or have any questions, I would be happy to do my best to answer them, as someone that has been through it. I was on this site before my surgery and some of the stuff I saw really scared me, so I want you all to know there are success stories!

I also had to deal with multiple insurance denials. I was successful at getting them turned over...want to know how? I went to my husband's employer (usually you can do this on the 2nd appeal, even thought they won't tell you that you have this right) to plead my case, state my evidence and ask for the care I pay for. Becasue they self funded the policy, they were able to overrule the administrator (Aetna). I won! Don't give up!

I look forward to hearing from any of you that I might be able to "help".

_____________

32 yr. old wife and mother of 2 kids

Low back pain for 12+ years

Severe Degenerative Disc Disease, annular tear and disc herniation at L5-S1

Treatments have included: countless MRI's, Discograms, ESI's, Rhizotomy's, many years of narcotic meds. (including (not all at same time): oxy ir, percocet, norco, fentanyl patch, kadian, opana er/ir)

SCS implant (trial and permanent) '07-'09

PLIF surgery Sept. 23, 2009 (SCS Stim. removed at same time)

SURGERY WAS A COMPLETE SUCCESS AND I AM PAIN AND NARCOTIC FREE TODAY! FINALLY!

User offline. Last seen 1 year 38 weeks ago. Offline
Banned after receiveing more than 4 formal warnings
Joined: 12/30/2008
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Points: 6230
Excellent ~

That's great news. I'm glad you were finally able to find a surgeon who helped you and that everything is going well.

If I may, I'd just like to point out to anyone on the board who might be contemplating surgery that you are still very early in your recovery. You have a long way to go before your bones will have knitted together completely and are as strong as other bones.

I hope you are still being careful and avoiding activities and movements that will aggravate the site of the fusion. I know it is difficult with small children, but you want the bone to grow as strong as possible so in a couple years you truly will be able to do anything.

Just don't be in a hurry. The body has its own pace for recovery and you really can't do much to hurry it along. It sounds like you're making great progress. Just be mindful that there still is a ways to go....

_____________

I have no medical training. Comments are based on personal experience and lots of research and reading.
PLIF @ L4-5 with Peek cage, rods and screws Jan 2008
Lami-foraminotomy L5-S1 Jan 2009
Fusion L3-S1 coming up -- 1 June

User offline. Last seen 1 year 49 weeks ago. Offline
Joined: 12/12/2009
Posts: 13
Points: 26
Actually, I am following my

Actually, I am following my doctors orders...and I am doing great. While I am early post op (5 months) my story is a great success and people on here need to be allowed to see some good news. Surgery is a great option for some poeple...I wish I had done it sooner!

Stay positive!!!!!!

_____________

32 yr. old wife and mother of 2 kids

Low back pain for 12+ years

Severe Degenerative Disc Disease, annular tear and disc herniation at L5-S1

Treatments have included: countless MRI's, Discograms, ESI's, Rhizotomy's, many years of narcotic meds. (including (not all at same time): oxy ir, percocet, norco, fentanyl patch, kadian, opana er/ir)

SCS implant (trial and permanent) '07-'09

PLIF surgery Sept. 23, 2009 (SCS Stim. removed at same time)

SURGERY WAS A COMPLETE SUCCESS AND I AM PAIN AND NARCOTIC FREE TODAY! FINALLY!

haglandc's picture
User offline. Last seen 5 hours 37 min ago. Offline
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Joined: 06/19/2008
Posts: 5798
Points: 12810
Duplicate Posts

http://www.spine-health.com/forum/back-surgery-and-neck-surgery/plif-suc...

_____________

“If it is not right do not do it; if it is not true do not say it.”

Marcus Aurelius

User offline. Last seen 1 year 38 weeks ago. Offline
Banned after receiveing more than 4 formal warnings
Joined: 12/30/2008
Posts: 3099
Points: 6230
recovery --

Oh I see. On Jan 30, you wrote that your surgery was 2 1/2 months ago. 2 days later, you are five months. I didn't look closely at the date of your surgery.

There is quite a bit of difference between the two in terms of recovery.

_____________

I have no medical training. Comments are based on personal experience and lots of research and reading.
PLIF @ L4-5 with Peek cage, rods and screws Jan 2008
Lami-foraminotomy L5-S1 Jan 2009
Fusion L3-S1 coming up -- 1 June

Eric.S's picture
User offline. Last seen 1 year 18 weeks ago. Offline
Joined: 12/09/2009
Posts: 224
Points: 452
Mod

gwennie17 wrote:
Oh I see. On Jan 30, you wrote that your surgery was 2 1/2 months ago. 2 days later, you are five months. I didn't look closely at the date of your surgery.

There is quite a bit of difference between the two in terms of recovery.

She copied and pasted her story, its close to 5 months.

http://www.spine-health.com/forum/degenerative-disc-disease/plif-surgery...

_____________

Herniated disk at L5-S1 8 years ago. 2 years ago Laminectomy on L5-S1
Epidurals, phys therapy, Discogram,(< that was not fun Sad ) etc.... Now L5-S1 with DDD
ALIF Fusion w/disectomy and cage done on Feb 5th 2010 on L5-S1

User offline. Last seen 1 year 49 weeks ago. Offline
Joined: 12/12/2009
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actually, gwennie, some are

actually, gwennie, some are on here to hear success stories. I did post it a few times, in different forums, as not everyone goes into all of them. and by they way, there was not much difference in my recovery from 2 1/2 months to 5. You are so negative and confrontational. get a life.

_____________

32 yr. old wife and mother of 2 kids

Low back pain for 12+ years

Severe Degenerative Disc Disease, annular tear and disc herniation at L5-S1

Treatments have included: countless MRI's, Discograms, ESI's, Rhizotomy's, many years of narcotic meds. (including (not all at same time): oxy ir, percocet, norco, fentanyl patch, kadian, opana er/ir)

SCS implant (trial and permanent) '07-'09

PLIF surgery Sept. 23, 2009 (SCS Stim. removed at same time)

SURGERY WAS A COMPLETE SUCCESS AND I AM PAIN AND NARCOTIC FREE TODAY! FINALLY!

User offline. Last seen 1 year 40 weeks ago. Offline
Joined: 02/21/2010
Posts: 94
Points: 188
PLIF Gwennie17

Was answering your comments Re: PLIF on another thread and hit the wrong key and lost it.
My doc did a laminotomy in Florida in 2003 and I really trust him. He told me then that I would be facing this kind of surgery somewhere down the line. The line has ended and now will do PLIF without instrumentation L2 to L5. NO choice in the matter. I checked with other docs in California and did not like their recommendations. They wanted to use rods and screws but I have osteoporosis so I'm afraid the screws won't hold and I'll have more problems than I bargained for. My doc will not use general anesthesia, just epidural and IV sleep meds. I hate general anesthesia as it takes months to get over it. This will probably help in recovery.
I have backup docs in Reno that will oversee my rehab and they will communicate with my doc in Florida if needed so I feel that I'm pretty well covered. I'll stay 1 week in Florida after surgery and more if I have to. Thanks for answering my note as It really helps to hear from others in the same boat. Marsha

PS: I still have problems connecting on the threads that I want to persue....any answers?

_____________

tahoe granny

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User offline. Last seen 1 year 32 weeks ago. Offline
Joined: 01/20/2010
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Points: 114
me also

im new on the forums,haveing the exact same surgery as you had in a few weeks same everything you had wrong i also have, anything you can tell me about the surgery would be welcomed. im scared to death as i know your were also. my neurosurgeon does not use the back brace he says. makes the back muscles weak but mine are already super weak from so so many years of severe pain and mostly laying in my recliner for the past 4 or 5 months because its got that bad. this worries me i think the brace would cause a good heal and no accidental moves.

Eric.S's picture
User offline. Last seen 1 year 18 weeks ago. Offline
Joined: 12/09/2009
Posts: 224
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brace

DEEBRA wrote:
im new on the forums,haveing the exact same surgery as you had in a few weeks same everything you had wrong i also have, anything you can tell me about the surgery would be welcomed. im scared to death as i know your were also. my neurosurgeon does not use the back brace he says. makes the back muscles weak but mine are already super weak from so so many years of severe pain and mostly laying in my recliner for the past 4 or 5 months because its got that bad. this worries me i think the brace would cause a good heal and no accidental moves.

Deebra:

I just went to my Pre-op today, I'm getting the L5-S1 surgery but with alif, I asked my OS about the brace and he doesn't believe in them either, he said people lose their muscle tone, I asked a friend that my doctor did a 360 on that was a success and he didn't have a brace either. Some doctors do and some don't.

_____________

Herniated disk at L5-S1 8 years ago. 2 years ago Laminectomy on L5-S1
Epidurals, phys therapy, Discogram,(< that was not fun Sad ) etc.... Now L5-S1 with DDD
ALIF Fusion w/disectomy and cage done on Feb 5th 2010 on L5-S1

User offline. Last seen 1 year 49 weeks ago. Offline
Joined: 12/12/2009
Posts: 13
Points: 26
would love to answer any

would love to answer any questions you have. PM me.

_____________

32 yr. old wife and mother of 2 kids

Low back pain for 12+ years

Severe Degenerative Disc Disease, annular tear and disc herniation at L5-S1

Treatments have included: countless MRI's, Discograms, ESI's, Rhizotomy's, many years of narcotic meds. (including (not all at same time): oxy ir, percocet, norco, fentanyl patch, kadian, opana er/ir)

SCS implant (trial and permanent) '07-'09

PLIF surgery Sept. 23, 2009 (SCS Stim. removed at same time)

SURGERY WAS A COMPLETE SUCCESS AND I AM PAIN AND NARCOTIC FREE TODAY! FINALLY!

User offline. Last seen 1 year 47 weeks ago. Offline
Joined: 01/20/2010
Posts: 11
Points: 22
ms also

Hi. All member. I'm from Asia country. I'm also facing my spine problem. At my L5-S1 disk herniated. My surgeon informed that i need go for TLIF surgery. He had explained to me many of the risk that i need to think & prepare it. Including of blood transfer, bone & nerve problem. I'm very scare on it. This is my second operation for my spine. I had my first surgery on last December on Percudyn method. But, still not recover. I always fine a lot of information on the net because i feel unconfidence.

Please kindly give me more information on you all surgery. May i know how you get the preparation & how you take care after operation. The process of the surgery. How long i should off for my work. How long for the recovery etc.

Thank you.

Emma

______________

Degenerative Disc Disease & Herniated Disc
Percudyn Surgery on Dec'09
TLIF Surgery coming up

User offline. Last seen 1 year 25 weeks ago. Offline
Joined: 12/03/2009
Posts: 13
Points: 26
I love to hear success

I love to hear success stories on here! THanks so much to "allbetter" for posting again and letting everyone know that there is hope! I think the more people do that the better we all will be and won't be so scared to contemplate things that could help us.
THanks again to allbetter!

_____________

4 YEARS SINCE L5-S1 MICRO-DISCECTOMY.
ESI, FACET JOINT INJECTIONS, NERVE ROOT BLOCKS AND LOTS MORE TO NO HELP
MRI SHOWED SEVERE DDD AT L5-S1

User offline. Last seen 1 year 2 weeks ago. Offline
Joined: 08/28/2009
Posts: 99
Points: 198
Sure is nice to here someone

Sure is nice to here someone with great success.

User offline. Last seen 1 year 5 weeks ago. Offline
Joined: 12/30/2010
Posts: 1
Points: 2
PLIF is next week, and I'm nervous as all get out

As above, my PLIF is next week. We have 2 children (4,and 1) and they need constant attention...which usually means lots of BLT. Although my wife is going to be around, the rehab and post op restrictions seems like a lot.

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Points: 3118
Hi dad

And welcome to S.H. forums. I wish you all the success there is. And this is a good place for all of the info. The sooner you do it and the younger you are. The better your chances are for success.
Good luck, Jim

_____________

You get what you get, It has nothing to do with what you deserve!........I stole that from Susan
Click my user name to see my medical history
Today is yours to embrace, as tomorrow, Who knows what will be starring you in the face

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Hi Arjunsdad

Well, yes, the restrictions seem like a lot but once you're home, I think you'll understand them. A PLIF is not a walk in the park, it's a very serious spine surgery and thus the serious restrictions post-op.

Some of the biggest problems we face after spine surgery is when we start to feel better - then you'll have a day where you think you can do something you shouldn't because you feel well enough and then you'll pay for it for the next day or two or three. It still happens to me one year out from my TLIF.

So please take the restrictions seriously and follow them to a "T". They really are there for a reason and you don't want to risk having your surgery fail because you didn't follow doctor's orders. It's also important to take your medications on schedule the first few weeks to stay ahead of the pain. Once the pain gets too bad, it's very hard to get it back under control.

But like I said, I think you'll understand more after your surgery when you're home. It's a long recovery and you just need to be patient and judge your improvement in weeks, not days.

Take care,
Cathie

_____________

~ October 21, 2008 - ACDF, 3-level (C4/5, 5/6 6/7), with hardware and eight screws. All fused and hardware is stable.
~ January 6, 2010 - TLIF at L4/5, two rods and four pedicle screws.
~ July 2010 - New CT and MRI on cervical shows further problems above fusion at C2/3 and worst at C3/4.
I am in no way affiliated with the medical profession. Any recommendations I make are based on my personal experiences only, so do not take my comments as medical rules.

jle
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another success story!

I wanted to supplement AllBetter's experience with that of my own which was also a tremendous success.

I herniated my L5-S1 disc pulling a stump when I was 26... felt it go. Subsequently had what I called "episodes" about 2x each year in which I unexpectedly felt something like a zipper in lower back followed by a hand grenade. I would be layed up for 2-4 days each time. I never went to the doctor about this because back problems ran in my family and I was always just taught to put ice on it and suck up the pain till it went away.

By the time I reached the age of 46 it was happening too frequently. The last straw was terrifying my young kids by collapsing on the kitchen floor grimacing and shuddering in pain... they thought I was having a heart attack. I did a lot of research about options then, after seeking many references, I found a great surgeon. After looking at my MRI she asked why I had waited so long to address this! I asked about all the less drastic options but was told that I was waaaay past any of those. She told me that the herniation, degeneration, and arthritis was not life threatening in any way but was rather just a "quality of life" issue, ie if I wanted to continue living in the manner I had been for the past several years--- it had gotten to the point where everything I did included a backup plan for if/when I had another "episode", it was simply impacting my life too much.

So, I had the PLIF. I won't lie to you here, the immediate post-op pain was incredible... even with the morphine drip, any kind of movement was terrible. The surgeon had me stand up less than 24 hours after the procedure and, I'm sorry to tell you, it was the worst pain I've ever experienced... but I got thru it.

Went home after 4 nights at the hospital, recuperating over the next 6-8 weeks on short term disability. Lots of walking, at first with a walker then a cane then nothing. Lots of Vicoden (which never made me high or sick or anything). I had (and still have) great insurance such that I returned to work doing half days for another 4 weeks before resuming full time.

I'd say it took me a full year before I finally got as good as I think I'm ever going to get. I got about 80% of everything I had hoped for from the surgery (ie, complete relief and return to pre-injury condition--- yeah, I knew this to be unrealistic but, hey, hope for the best (and plan for the worst)). I'm a bit stiffer than I was pre-op but this hasn't affected me in any way. The fantastic part, however, is that I have not experienced even a single "episode" since having the surgery.

So, looking back after these 6 years since my "modification", I'd say my procedure was a tremendous success and has very greatly improved the quality of my life. At 52 now, I'm very, very thankful for my surgeon and sent her a bunch of roses on my 5 year anniversary--- she said that success stories like my own were what kept her going.

Its alright to be scared of back surgery... after all, it is somewhat of a roll of the dice. But the benefits can be tremendous, myself having been there. Find yourself a good surgeon, do everything that he/she tells you to do, and the odds are very much in your favor that things will improve for you as well. Btw, I'm happy to answer any questions that folks might have.

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