Long story short, I had a fusion at the l/5 s/1 level 4 years ago and have been doing good until few months ago when pain returned to my left foot. found out I have arthritis at the l/4/l5 level now and it's causing stenosis etc. No disk herniation though. Doc says my only surgical option is another fusion at that level? I don't understand, I read about all these other surgeries like:
Laminotomy: The lamina is a small, thin bony spinal structure located at the back of the spine (posterior) that covers access to the spinal canal and spinal cord. A small portion of the lamina may be removed to relieve pressure on the nerve roots.
Decompressive Laminectomy: This is the most common surgical procedure performed in the lumbar spine. The lamina is removed to decompress or relieve pressure on the nerves.
Foraminotomy: During this procedure, the neuroforamen are enlarged. Sometimes this procedure is combined with a laminotomy.
Medial Facetectomy: One of the causes of spinal stenosis is one or more enlarged joints. The spinal joints are named facet joints. During this procedure part of the facet joint is removed to increase space.
So why can't I have one of these surgeries, especially since the disc is not ruprured. If it was I could understand. I am only 36, I don't want more of this. I am messed up enough as it is. Thoughts?