Hi all, (sorry for my english)
I am new here :-)
My name is Paolo, I am 40 and I suffer of L5 spondy from 12 years. First 11 years was bad.
Luckyly all the last year I am asyntomatic/no pain ( thanks God!), no drugs/medicine (!).
I know this is temporaney only, so I want learn about what to do when pain will restart.
My L5 spondy ( front) is about 11 mm ( less than 30%).
No ernhia, no radicular compression, no sciatica ( legs are ok), discs are pretty good ( only a bit compressed of course).
My body form is good. I walk 3 hours for day every day.
Now my doubt: fusion or not-fusion ?
I have read about Dynesys ; is it a possible alternative to fusion?
This because in Italy, Doctors are not so in favour to this dynamic stabilization teqhnique ! :-(
They prefer old fusion. ( why I don't understand)
What is best technique for my case?
In case of fusion, do you think I need fusion of S1 with L5 only or S1+L5+L4 ? I am confused on this .....
Or maybe S1+L5 fusion plus L5+L4 Dynesys ( or other flexible "device" )? Sort of interesting hibrid, no? :-)
As you can see, I am pretty in doubts for now ....