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360 fusion question

lynettellynette Posts: 217
edited 06/11/2012 - 8:40 AM in Back Surgery and Neck Surgery
I am sched for a 360 fusion single level l5-s1 on march 9th. I have had a previous microdiscectomy. I was wondering if any of you that have had or going to have a 360 was told about a small risk of foot drop in previous back surgery. One of the surgeons mentioned about a 5% risk and the other one didnt mention it at all. I guess when they start jacking up the disc space from the front there is a potential for overstretching the l5-s1 nerve if scar tissue has formed from previous surgery.I thought the spinal monitering was for this. Has anyone heard of this?


  • is fusion ur only option ? and if it is why a 360 why not a axilif ?
  • I have not had a 360, but I did have a S1-L4 fusion. I don't remember anything about possible foot drop, but I do know there are a lot of complications that can happen in surgery. I always feel rather panicked and almost blindsided whenever I actually read the 'sign-off' sheet/consent form just before surgery.
  • foot drop was mentioned on my sign off sheet for l5s1 PLIF. I think that with any spinal surgery there is the risk of some nerve damage - small though it is. They are supposed to keep you informed of all risks no matter how small. Well they are in the UK where I am- guess it is the same in the US.
  • Neither surgeons I saw even mentioned a ADR. I have read too many not so great things about lumbar ADR's that I was'nt really even interested in it. I did a lot of research on ADR in 2003 for my neck disc but ended up with the disc coming off my cord so it has been stable for now. The surgeon I saw in nyc said that the neck disc will probably need to be addressed at some point but the lumbar is the problem at this point. The surgeon I saw In NYC is the chief of spine surgery at the Hospital for Special Surgery and I believe if that had been a good option for me he would have talked about it. I planned on asking him about adr's even though I wasn't really interested but there is so much info exchanged I forgot.
  • a risk of nerve damage. i do not have foot drop, but I do have a half-numb right foot since surgery. Just the outside of my right foot. It has taken some getting used to, but I live with it. My surgery was not originally planned as a 360. It was supposed to be from the back only. However, they could not get my discs out through the back because of the build-up of scar tissue, so they went in from the front four days later. My hardware had already been placed, so I don't know to what degree they were able to open the disc space. I imagine that, no matter which type of surgery you have, nerve damage of some sort is always a possibility. For me, I just prayed that what I ended up with was better than what I went in with. I do still have pain and other difficulties, but I'm a lot better off than I was!

    3 level spinal fusion, L3/4, L4/5, L5/S1, November 2008. Stiff, but I can walk.
  • It seems from reading online that there is a risk of developing foot drop after undergoing spinal fusion. Here are some good links for more info.




    Hope this helps. Good luck.
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