After approx. 6 mo's pain, went to Neurosurgeon for 2nd opinion - scheduled lumbar L5-S1 fusion for 10-15-15 - Insurance denied. Now meeting all insurance requirements to try to reschedule. However, saw pyshiatrist in meantime that diagnoses Sacroiliac joint dysfunction and doesn't believe Lumbar fusion will help. Also saw 2nd neurologist she supported surgery due to nerve compression showing in EMG, MRI & physical evaluation.
LUMBAR MRI - L4-L5 broad based disc bulge with osteophyte , minimal narrowing of spinal canal, mild right foraminal narrowing Disc degeneration. L5-S1 mild right & minimal left foraminal stenosis due to broad based disk bulge with osteophyte, foraminal disk protrusion and hypertrophy of the facet joints. Disk degenerative disease.
THORACIC MRI - Mild multilevel cervical spodylosis & disk degnerative disease
CT scan w/fluid shows: L4-L5 Grade 4 - contrast leakage along the outer third of the annulus - 45 degrees right posterior & lateral aspect, L5-S1 Grade 4 - contrast leakage along the third of the annulus - 75 degrees along the posterior right lateral aspect. Mild posterior bulging in conjunction with degenerative changes. Foraminal stenosis. Mild degenerative endplate changes along the right aspect of L5-S1 and mild L5-S1 height loss.
XRAY - min. disk space during L5-S1, mild facet anthrosis L5-S1, S1 joints are patent
Neurosurgeon still wants to do fusion of L5-S1 claiming I have bone on bone. He doesn't believe discectomy will solve butt & back pain. My Physiatrist & General Practitioner don't believe surgery will help at all and that source is joint pain. However, if source is join pain why would my feet by numb and have nerve compression in testing. Would appreciate any thoughts and./or suggestions.