I had a positive discogram at L4/L5 and L5/S1. Here are the CT results from after the discogram, just got my records today:
L4/L5: Mild degenerative disc and facet disease, posterior generalized annular tear and small disc protrusion.
L5/S1: Mild degenerative disc and facet disease, posterior generalized annular degeneration and small disc protrusion.
I've been seeing an orthopedic spine surgeon for a few months now. He has helped me get this diagnosis. I also had an MRI which showed the L4/L5 tear, but no mention of L5/S1, which the surgeon said is actually in worse condition. I've had 2 epidurals with no relief.
The surgeon said his only option for me was a double fusion. However, he is hesitant to do that considering my young age. Does anyone else have experience with getting a fusion so young?
I've also seen the doc who did the discogram, who also does minimally invasive spine surgery, and he wanted to do a chemonucleolysis, which I am on the fence about since it really isn't done in the US anymore. This doc is Russian and believes a lot in European medicine.
I am seeing another orthopedic spine surgeon on Thursday who specializes in minimally invasive disectomies and fusions for another opinion. Curious to see if I am a candidate for a disectomy instead of a fusion. Thoughts?
10/28/13 - ALIF, PSF, decompression at L4/L5 and L5/S1