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Laminectomy or Posterior Lumbar Interbody Fusion

berk92bberk92 Posts: 2
edited 11/02/2014 - 5:09 PM in Back Surgery and Neck Surgery
3 years ago I underwent a Microdiscectomy for herniated discs in L4/L5 & L5/S1. I was suffering from a severe drop foot (without pain). For all intensive purposes it was a success.

Today I have a reoccurrence of herniated matter in the same area which now has caused my big toe to become flaccid and is causing pain when I stand too long along with numbness in my foot. Relief only comes from sitting. I am being told this is a classic case of spinal stenosis.

I have now seen two different neurosurgeons; the one who did my Microdiscectomy is recommending a Laminectomy (he says I am not a candidate for fusion) and the other NS is recommending a Posterior Lumbar Interbody Fusion .

The NS who is recommending PLIF feels that the Laminectomy wont do much for me since the Microdiscectomy was performed once before, that I need the PLIF. He also said a laminectomy could cause my spine to become unstable.

He also said recovery is about 4-6 weeks, He said I would be in a lot of pain the first week out of surgery. He said most of his patients complain of being stiff after the pain subsides.

Is there an opinion out there about which direction to go? Has anyone had this issue with an instable spine after getting a Laminectomy? The pain and stiffness after the PLIF?


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