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Kevin6's options

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:30 AM in Back Surgery and Neck Surgery
Just saw the Dr again. I have an L5-S1 bulging straight backwards with some pressure to my left side as well. I've done 9 weeks of PT and Traction with minimal relief, epidurals and all that. I was pushing for Disc replacement just from research google'ing. Dr says that isn't all that successful in the Lumbar. He is recommending for me to do an Anterior Fusion of the L5-S1. Going in from the front to cage and fuse has less recovery time?

I have been an EMT for 15 years and know my anatomy pretty well, I realize that everyone is different. I'm 32 y/o, 6'0" tall, 150lbs soaking wet and in shape. I am usually active and keep fit. I'm a commercial/ Industrial Electrician, volunteer Firefighter and volunteer EMT. This all keeps me in shape. So with being fit and thin...in all of your experience is this Anterior Fusion the best bet for me?


  • There is a newer procedure that you might want to look into:


    It is only available for L5-S1 injuries, and the procedure is new, so not all surgeons are trained to do it. It sounds very promising.

    Otherwise the ALIF is a good option. Healing from the surgical procedure is usually faster than a PLIF (where they go in from the back and have to cut more muscles, etc.) I don't think the bone fuses any faster though. Recovery from this surgery still can take up to 12 months to get a good, solid fusion.

    Are you going to a fellowship-trained spinal specialist, either an orthopedic spinal surgeon or a neurosurgeon? Has he recommended surgery? Sometimes disks will repair without surgery.
  • He's trying to avoid surgery but has done a lot of ALIF's. I think that he went down every other possible avenue though so far. From what I can tell about the Cause is just my lifestyle of work and my volunteer work. This has most likely been building for the past 10 or so years. This is going to rupture for sure if he doesn't do something from what I've seen and read so far
  • I am 30 and also have a L-5 S-1 herniation.The only info I can give you is what i have been told , I was told i need a fusion dr doesn't know if he will do a alif or a plif or a tlif yet but he wants me to wait until I can not stand the pain anymore because it puts more pressure on the level above and at my age it may cause me to need more surgery's later in life .
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