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Microdiscectomy with screws?

WhiskeyPopeyeWWhiskeyPopeye Posts: 1
edited 10/29/2015 - 9:46 PM in Back Surgery and Neck Surgery

I am a 25 year old guy a week out from herniating my L5S1 disc and I just had my appointment to review the MRI and treatment options. Needless to say it wasn't good. According to my doc, I have a "very large" herniation, that has protruded into the foramen of the vertebrae. I have mild foot drop, sensitivity on top of my right foot and some numbness in my big toe, but that's it, and according to my doc he is surprised at how minimal my symptoms are considering the size and placement of the herniated material.

What this means according to him is that there is no where for the nerve to escape should the herniation ever get worse and as such he recommended surgery. This is where I get scared, because according to him, because so much of the herniated material is in the foramen, he believes that he would have to cut away the facet joint to remove it, and consequently would have to add some kind of artifical support in place of the facet joint

I was in too much of a shock to ask, but can anyone speculate as to what kind of supportive structures he would put in place? He insists that this would not be a fusion or an artificial disc, but that is the only procedure I know of that requires support materials.

Thank you to anyone who has any input!

There are no medical professionals on the forum side of this site. Therefore everything you read is based on the personal experiences and/or research done by the individual member. Comments should never be taken as pure medical facts. You need to discuss this with your doctor. They are the only ones that can provide you with detailed information about you, the patient.



  • LizLiz Posts: 7,832
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    Liz, Spine-health Moderator

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • I would go to a second physician. Discs can of course be cut apart for removal, as they are kind of rubbery material. I had a pretty big herniation, but they were able to disentangle it from the bone, the nerve root it was wrapped around and all within an hour. I am surprised at how few persons have sought a second opinion. It does cost one more copay, but I think especially in your situation, you would want someone else to review those films.
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