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Not good news from my surgeon

jlrfryejjlrfrye ohioPosts: 1,110
edited 06/11/2012 - 8:48 AM in Back Surgery and Neck Surgery
Today was my appointment to go over my MRI for my back with my surgeon. The l4 and l5 are collapsed and bone on bone. There is a large osteophyte that is compressing the sciatic nerve, I have tried injections and physical therapy with no improvements. The doctor wants to do a fusion with cage,plate and rods. In the last year I have had 2 surgeries 8 months apart on my cervical spine both anterior and posterior with rods, plates and cage. Is there anyone here that has had both cervical fusion and lumbar fusion? If so how did it turn out? Im concerned about how I daily struggle with my neck after the surgeries and cant imagine how I would be with both areas of my spine fused. I have told my surgeon that I needed to think about this before I commit to the surgery,Is there anyone here who has had good results?


  • I had the PLIF first. L4-S1 the summer of 2008. Then this March I had C5-7 ACDF.

    The PLIF was much harder to heal from but I was back to work at 11 weeks. I came back 8 weeks after the ACDF only to be in a car accident.

    Either way I believe my low back is 90% better than before this started. I would do it again.

    My issues in the T-spine are cauing me so many issues that mimic the arm problems I had previous to the neck fusion, also my legs are joining the picture but my NS still says my fusions are very good.

    It's probably not going to get any easier, but at least you wont have the sciatic pain 24/7. You will be weak, but you will have to rest more, maybe that will be good for your neck too? Maybe not, but maybe you neck needs 4-6 weeks of bed rest while your lumbar fusion is setting?

    Can you get a second opinion or do you feel 100% safe with your surgeon?

    Feel better,


  • SpineAZSpineAZ WiscPosts: 1,084
    It sounds like a lumbar fusion may help you given the shape it's all in now. Lumbar surgery is harder to recover from than neck surgery especially when you may have an a cervical ACDF which involves far less post surgical pain (as no muscles are dissected to get to the anterior cervical spine.)

    Will he be doing the fusion solely from the back or will it also involve an abdominal or side incision? Mine involved a side incision so they could put spacers between the vertebrae to recreate normal anatomy and normal lordosis.
    2 ACDFs, 2 PCDF, 3 LIFs; Rt TKR; Rt thumb fusion ; Lt thumb arthroplasty; Ehlers Danlos 
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