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Post TLIF Bone Spur formation

BSGpriestBBSGpriest Posts: 8
edited 06/11/2012 - 8:40 AM in Back Surgery and Neck Surgery
I had a TLIF done Jan 2007 for DDD and slight herniation. I have been seen for the last year for L SI Joint Dysfunction and receiving ESI with AWSOME results for sciatic pain. I have recently moved and my new Dr did some imaging prior to another SI injection and discovered a bone spur on my S1 Nerve. I had been having a new pain but nothing that was bothering me too bad (not yet I guess would be more accurate). Instead of an SI injection I received a S1 Nerve block which almost TRIPLED both of the pains into one monster pain. I am now being sent back to my original back surgeon to address the bone spur.

Has anyone else had a spur form on a fusion site and press a nerve. I know they used autograft and my husband thinks they used some BMP too, which I know has been know to overproduce bone. The fusion looks great took well. I have come so far since my fusion, running again and I even played soccer again (until I sprained my ankle- whichc is healed now too). I am actually in the process of training for a triathalon, I just don't want another surgery right now. It took too long to get back to normal the first time.


  • You say your husband 'thinks' they used BMP. Isn't there a way to find out for sure? I would try to call the hospital you had the TLIF at and request your medical records if you are unsure of any details. Unfortunately I can't give you any advice on the bone spur formation, I'm sorry.
  • I had a TLIF and had BMP overgrowth compressing nerve roots. The first surgery was done on one side and hardware removed on that side too, one day hospital stay, not too bad of recovery, way easier than fusion! Unfortunately in my personal case, the compression had gone on too long and have permanent nerve damage. However, having it removed kept further damage from happening and I can still walk now.

    I'm very happy that you have Dr.s taking you seriously and that physically you are active. Hopefully this will be a minor procedure for you, too, and you can get back to healing!
  • SpineAZSpineAZ WiscPosts: 1,084
    I had a bone spur form after my cervical ACDF. They then went in from the back of my neck and removed it along with doing some work due to stenosis. From what I've seen bone spurs after any kind of spine surgery seems to be relatively common. I think it's whether the spur ends up affecting the surrounding nerves/tissue or doesn't (in the lucky ones).
    2 ACDFs, 2 PCDF, 3 LIFs; Rt TKR; Rt thumb fusion ; Lt thumb arthroplasty; Ehlers Danlos 
  • My l5s1 spinal fusion was on 8/31/09 On 12/4/09 I had surgery to remove a bone spur that was pressing on scar tissue that was compressing the l5 and s1 nerves. I am still in the "wait and see" phase to see if those nerves are permanently damaged. I asked my doc if it could have been form BMP overgrowth and he said it was unlikely because when BMP overgrows it is usually on the other side from where my spur was.
    Good Luck,
    May God bless and keep You,
  • Thanks for the responses. I am actually going back to see the same Surgeon that did the original surgery so he should know what was used. I am in the Military so whatever I get in my records is what I get and it was pretty vague about what was used and it was chicken scratch (I don't get copies of the electronic record only the hard record). I am hoping this is a quick outpatient surgery, I also have a 16 month old running around so taking it easy for me would be easier said then done.
  • Returned from my Doctors visit (ortho surgeon that performed the TLIF). He said he does not see a spur and what was thought to be one was the pedicle screw- even though the MRI and CT scan reports state a foraminal narrowing, he still didn't think that could be what is causing my pain- he is back to thinking it is my SI joint- So off I went to get another SI joint injection- worked fro about 12 hours. The feeling I got was that he felt his "work" was under attack and did want to admit something may be wrong in that area (even if it wasn't something to be avaoided). Looks like I am now being refered to a new set of Drs by my Primary Ortho Doc- who isn't a spine specialist (I am military so I don't have a whole lot of options- but I am glad I am getting something done). He feels a new set of eyes to review my case may turn something else up or get to the root of the problem. I am hoping so- I just want the pain to stop. I also started up again on a set of meds to possibly help, nothing so far (ultram, flexeril, celebrex). From the begining I was telling people that my SI was bad (hypermobile and get "stuck" out of place), but the pain in my leg is pointing to a different nerve root as the problem, I just don't know anymore whats going on.
  • Good that you've got another referral and I hope that the second doctor can find out where the pain is coming from. Hope you don't have to wait too long to see the second specialist and that you can be put on a better med for your pain.


    XLIF L2-4 20.8.15
    ALIF L4/5 2009
    Laminectomy/discectomy L4/5 2008
  • I'm so glad to have found this site. I am having what seems to be, the same symptoms as others.

    I had TLIF L5-S1 surgery about 3 months ago, September 29th. The first couple of weeks the pain seemed manageable (with meds) and after the first month it seemed to be deminishing. But the past month the pain seems to be increasing. My pain is more localized to the surgery area, lower back. I had severe pain that would go to my right leg and cause numbness and tingling. Atleast that is gone, i guess. Now my severe pain is in my lower back. It seems to be worse when I lay down or when I have to get out of bed. Its also very painful if I have to cough. My pain is so severe at times that it causes me to lose control of my legs and if I'm not holding myself up, I would fall. I use a cane now to walk.

    My surgeon ordered a blood test and MRI to see if there are any problems. I had it done and have an appointment with him next week. Hopefully there will be something he can tell me on why this is happening.

    I was just wondering if anyone out there had or is having the same type of pain. Or atleast the same problems, i.e. pain went away at first, then increased.

    Thank you.
  • After my TLIF I was actually feeling pretty good for about 6-7 months. I think I was one of the lucky ones, but I was also not doing anything strenuous at all. My basic rehab consisted of a lot (A LOT) of different plank work outs and walking only what I felt was confortable and of course swimming quite a bit.

    After the 7 month mark I was given the go ahead to start a good work out routine as the fusion was looking good and I was not in any severe pain (granted not all of my pain was gone). I started the eliptical, but still no running. almost 12 months Post surgery I got preganant and pretty much everything went out the window. (I was given the ok), but the female body SUCKS and everything went haywire and pain flared up everywhere and I really haven't been the same since using a cane the last 3 months and could barely walk most days. Not sure if the pregnancy changed something or if it was destined to anyway.

    Since then (2008) I have been back and forth to Drs with no luck figuring out what is wrong (base I am at is no use)but I have gotten into a regular workout routine (run about 10 miles a week up to 5 miles at a time) and I can perform the full PT Test, and I am also fully deployable. I have made it my goal to be better than what I am am and it seems the military medical has kid of forgotten about me.
  • Thanks for the response. It seems mine is acting up a bit sooner to the surgery for some reason. I've been trying to do physical therapy but can't really stand to much of moving on the table. I go for a little of the stretching and mostly for the deep tissue massage.

    Most of my pain seems to be after laying, sitting or standing in one place for to long. I guess my body gets tight. It really kills me when I have to cough or sneeze. So much that i kind of dread the feeling.

    I sure hope my Doc has some good news next week or atleast SOME news as to why this is hurting so bad now. I'd really like to get better before I retire in a year. I've looked it up and it looks like we should get a pretty decent VA disability for this atleast. (i guess I'm looking for the silver lining in all this)

    Good luck on your recovery and Happy holidays to you.

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