For those who have read some of my previous posts, you will know that in the ongoing saga of trying to identify the problems with my back and subsequent nerve damage that I've been given a number of different options and opinons over the time, for those who haven't, the next part will help it all make sense.
I had my original surgery (microdiscectomy) in Jan 2011. Since then in December 2012 I developed a retun of all my nerve symptoms. After now 20 months of this I thought we'd finally come to an end point and had found the correct option to try and resolve my pain. My Pain Management Doc suggested a SCS, but 5 weeks ago my neuro decided that based on the most recent MRI that a fusion was necessary. Great - we have an answer... The Neuro wants to do a ALIF operation and the pain management doc agreed - also great
Today I went for a second opinion as I don't think one should have spinal surgery without a second opinion... So I saw a very well respected neuro here in Melbourne - he has previously operated on 2 people I know well and both were very pleased with his level of skill and the surgery results...
The neuro today agrees that I need the surgery, but has instead suggested a PLIF and not 1, but 2 levels L4/5/S1 as the joint at L4/L5 is degenerating because of the stress being caused because of the degeneration of the L5/S1 disc....
He was specifically against the ALIF procedure saying that if/when I need to get L4/5 done it would be more difficult if they did the L5/S1 from the front and that in his opinion they should just do the 2 at the same time.
Clearly no one on here has the medical opinions or enough information to diagnose my issues, but I'm just after some thoughts on what you would do if you had 2 clearly differing opinions on which option to take? Do I go for a 3rd opinion? Do I go with the neuro who my friend and family have been treated by or with the neuro who I saw originally but who I've never heard of anyone having had surgery with?
Any thoughts would be most appreciated.
July 2009 - L1, L3, L5 disc hernation
Jan 2011 - L5/S1 Microdiscectomy
Dec 2012 - return of neural symptoms
June 2014 - fusion recommended - awaiting insurance approval