I have had 6 major back surgeries on my lumbar area. I am fused from L3-S1.
The last was a revision surgery ( MAY of 2011 ) to fix a fracture in my fusion at L5. I have continuous afternoon lower back ache. Hard to tell exactly the precise spot as it radiates.
I have went to a neurosurgeon recently with a GREAT reputation and he looked via an mri and a ct scan to verify that the fusion site is secure.
He then ordered a sagittal plane x-ray and it appears that the plumb line from C7-S1 is just barely over 4 cm forward ( C7 is 4 cm forward of S1 ).
Also at my fusion site I have developed Flat Back as he mentioned the "normal' curve at the L2-S1 site is normally about 70-78 degrees. Mine is just at 40 degrees.
Soooooo... He has recommended an ALIF to remove the disc at L2 and place a wedge in the space to correct the 4cm lean?
He believes that it could alleviate a good portion of my afternoon ache as it is believed it is primarily being caused by my internal back muscles attempting to straighten my back.
DOES THIS SOUND REASONABLE????