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AxiaLIF surgery:Am I a candidate?

AnonymousUserAAnonymousUser Posts: 49,671
edited 06/11/2012 - 8:38 AM in Back Surgery and Neck Surgery
Had a Laminectomy in 1985 L5 S1, then in 2004, had a traditional fusion on L4/L5.
I now have a herniated disc L3/L4 above the fusion. My Ortho surgeon has said that he will give me PT and pain meds when I request,but the next time he goes in to do surgery to correct my situation...HE will fuse the entire Lumbar section since my back is degenerating.

I am NOT wanting this and wonder if MY current herniated disk could be fixed with AxiaLIF?
I have some curvature in my spine in the Thorasic area,and spinal stenosis in my Lumbar area.

Anyone here have a similar situation,and can shed light on how I should proceed?

I have right leg nerve pain that varies from 3 to 8 out of 10. Standing for more than 15 minutes is about my limit. My right knee is numb, and lower back aches most of the time.
Drugs such as tramadol and vicodin help me get through the day.


  • gwennie17gwennie17 Posts: 2,957
    edited 06/17/2016 - 2:04 PM
    AxiaLIF is only done at the L5-S1 segment. Here is the company's website if you want to read about the procedure. 

    The company is working on some other technologies, but they are still in development.

    I would suggest you get several other opinions from fellowship-trained spinal specialists to see what the options are for you. Many surgeons do not like to have to keep performing surgeries at the same site because of the issue of epidural fibrosis. It becomes more difficult to operate at the same site everytime the doc goes in. I recently had an ESI and the doctor had a hard time getting the needle where he wanted it as he kept running into new blood vessels that formed after my fusion. So your surgeon is saying he would fuse the whole lumbar area probably because he feels that all the lumbar discs are in the process of degenerating and you will require further surgery down the road. He is probably recommending the fusion "preventively." (to avoid more surgeries at the same level in the future)

    I would get some more opinions if I were you!

    Good luck.
  • I'm a candidate for AxiaLIF. I'm getting it done at L5-S1. In order to verify you are a candidate you need to discuss with a surgeon. Mine had me get a Sacral MRI so he could verify the path. The angle and size of the tail bone is a big deal. Once we got the results he was happy with the angle he could use.

    There is the ability to do an AxiaLIF to L5-S1 and L4-L5. Both levels must be done at the same time. That angle is even more of a big deal as the tools go in deeper and may not make it into L4 properly. Doing levels above that are not possible yet as the tools are too rigid and the tail bone is in the way.

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