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Lumbar sponddylosis with lumbar facet arthropathy pain

I had the following procedure on Jan 10th 2014 Posterior spinal fixation and posterior lateral decortication and fusion at the L4-L5 and S-1 with a structural allograft placement, all under assistance with spinal fluoroscope. My question is this it was ALL done by my pain management physician who is also a anesthesiologist . It has not turned out well as I am having more pain then before surgery and it was done with 2 small incisions on my back. one on left about an inch long and one on right is inch and a half long. He told me during surgery he ran into an anomaly (his words) which was my facet joint on the right side had grown so long it was actually into my hip joint. My concern is he able (legally) to do this surgery with just those credentials and why did he not see that anomaly before hand? ( had several MRI's before surgery) I am hoping someone out there can answer my questions about this surgery( had personal experience with it) and the questions about what kind of credentials are needed for this type of surgery. I have had 2 follow up appointments since surgery and both times I have not seen the surgeon himself but his physician's assistant. I find that odd that he would not be the one following up. I HAVE NEVER HAD THAT EXPERIENCE WITH PAST SURGEONS. They always followed up since they r the ones who did the surgery.... What does anyone else think of this???? Thanks for ANY feedback!!!!


  • LizLiz Posts: 7,832
    edited 02/13/2014 - 8:46 PM
    Welcome Message

    Here on the forum we can only judge by our own experiences, I know when I had surgery for spinal stenosis I was told afterwards that the procedure took longer than anticipated due to it being worse than it showed on the MRI's so I can only assume it doesn't show everything as clear as they would like.
    When signing the consent forms, I can only talk from NHS experiences, we sign to give rights for the surgeon to take the necessary action they feel necessary. They also warn you of the risks and that there are no guarantees you will be better off after the surgery.
    I am sorry to hear you are having your surgery hasn't helped.

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Can a pain management with pain management interventional credentials who is also a anesthesiologist do this type of surgery or is it beyond the scope of practice? Thanks for any feedback....
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