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Corpectomy versus Posterior Susbtraction Osteotomy

steeler_fan67ssteeler_fan67 Posts: 2
edited 10/16/2015 - 12:35 PM in Back Surgery and Neck Surgery
In 1974 I crushed my L3 vertebrae after a 40 foot fall. I was immediately paralyzed from the waist time and had an emergency Laminectomy. Over time i recovered most of the use of my legs. My left leg had partial parisis with no feeling from the knee down and I had foot drop and poor muscle control. Also my hip muscles were very weak. Additionally I have been suffering from Arachnoiditis for the past 40 years.

Recently my legs and back have been getting much more painful and weak. Right now I cannot walk with server pain.

The Mri show the collapse of the L3 vertebrae with lumpr Kyphosis I have consulted two surgeons in the past few months.
Both want to do a S1-L5 discectomy from the front (ALIF). One recommended a L3 Corpectomy. The other (the one I am Chosing) recommends Pedicle Substraction Osteotomy. He is also planning on the L4-L5 TLIF with T10 to the Ilum instrumentation.

My question is what is real difference between the Corpectomy nd the Pedical Subsraction Osteotomy.

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You can use the search function here to try to understand the differences. But the most concrete way to do this is to ask your doctor.

--- Ron DiLauro, Spine-Health System Moderator : 10/15/15 17:25 est



  • steeler_fan67ssteeler_fan67 Posts: 2
    edited 10/16/2015 - 12:41 PM
    Corpectomy versus Posterior Susbtraction Osteotomy
    answers to the question from the administrator
    1 original injury with L3 burst/wedge failure was 1974 with immediate Laminectomy (no fusion)
    2. Pain has always been present since 1974 including the arachnoiditis nerve pain.
    3. Pain has really gone much worse in the past two years, this includes
    o burning pain especially at night in my calf's on both legs,
    o restless leg syndrome
    o urinary urgency and I also leak sometimes when running to restroom
    o much more severe back pain when walking. walking duration is getting worse monthly. To prepare for surgery I have been trying to force myself to walk at least 200 yards a few times a day. each walk is painful and no improvement in pain.
    o When standing sometimes I feel like my legs are just going to give away, especially in my calf muscles.
    o sitting in a reclining chair gives me the most relief
    4. Over the years I have seen many orthopedic, neurosurgeons, and pain specialists. Until the past year I have not been willing to undergo the surgery and pain. I still remember the 3 months in a Hospital in 1974 and the 2 years of wearing a back brace.
    5. I have had many trips to Physical therapy. I have had multiple Steriod Epidurals and I have spent a month (10 years ago) in a pain clinic.
    6. My left leg has been partially paralyzed since 1974. Due to the foot drop many times I had sprained my ankle. Eventually I tore the tendons from the talus bone in my ankle nd ended up with avascular necrosis of the Talus bone. I had to have my ankle fused (15 years ago and it two attempts for the fusion to work)
    7. I have had MRI's, Xrays, Mylograms, nerve tests. You name it I had it.
    8. I should note that I have worked as a semiconductor Engineer since 1979, I had to retire a year ago due to pain. I was no longer reliable at work and missed to many appointments.
    9. I currently take 3-4 Norcos daily, with an occasional Dilaudid. A combination for Norco/Diladid/Toradol/xanex is what i need as a emergency to prevent major arachnoitis flares. Without this combo at the start of a Flare I can end up the emergency room. Surgery will not help this, it will only help the the new leg pain and chronic back pain issues.
    Luckily the Arachnoiditis flares are not 24/7, but the have increased in frequency. They use to occur maybe once or twice a year. Now it can happen at any time.
    10. The surgery options are what i describe above
    o S1/L5 discetomy from the front and back ALIF
    o L3 Pedicle Subtraction Osteotomy ( The other Doctor wanted to do a L3 Corpectomy). THIS IS WHAT I AM TRYING TO UNDERSTAND MORE ABOUT
    o There will also be Instrumentation from S1 to T12 to help eliminate the Kyphosis angle of my back.
    11. My surgery is in 3 weeks and I am very nervous. I was told to expect 4 days in hospital with 3-5 weeks in rehab center.

    in 1974 things were much different. I had my laminectomy and then spent the next 3-4 months in the hospital. the first 2 1/2 months i was in bed and not allowed to bend. the nurses would turn me every two hours to prevent bedsores. there was no standing, no using a rest-room, no showers, etc...

    I am very afraid of today's methods that have you up and walking right away. In 1974 I remember the pain being so bad that i am really having difficulty imaging today's methods.

    Anyway, I know this a long drawn out reply. I guess what I really wanted was to vent my thoughts to a group of people that understand my pain and my anxiety over the surgery

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