First time writer, long time reader. In short, I am curious if anybody here has had an L5-S1 fusion performed with a hemorrhaged L4-5 disc? Also looking for personal experience of a hybrid L5-S1 fusion/disc replacement L4-5, or double level disc replacement at those levels (overseas).
Back story- I am a 28 year old male, no injuries, car accidents, etc. with persisting lumbar pain for ~10 years (8 acute, 2 chronic). I have daily debilitating pain both flexing and extending at the waist, but side bending is mostly pain free. Herniated discs at L5-S1 and L4-L5 along with a minor retrolisthesis at L5-S1 (sorry, no data on category). 4 surgeons have weighed in, and I still do not have a clear picture of what is causing my pain (I am told by more than one that it is perplexing). Over the last two years I have performed the usual gauntlet of tests including:
-6 weeks PT
-lumbar traction therapy
-medial branch blocks/facet injections indicating I'm not a candidate for RFA
None of the above brought any pain relief or slowed/stopped progression. Some severely increased pain.
In my case, L5-S1 is the worse of the two discs. I am not agreeable to a two level fusion at my age. I am curious if anybody with a spinal instability has had luck with a single level fusion, and, if so, was there any pre-op deterioration at the adjacent levels? Has anybody had luck with a hybrid fusion/replacement for a spinal instability?