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User offline. Last seen 50 weeks 5 days ago. Offline
Joined: 06/27/2008
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HAS ANYONE HAD A GOOD RESULT AFTER A MULTI LEVEL FUSION ??

i ask this question because i know very little about fusions .one of my SH friends has had a fusion and she is still in agony .and from what i read most people seam worse off after a fusion .then there's the hardware issue ..whats that about ?? i had mine removed etc and i am no better !! i take it the hard wear is the cage and other stuff they put in your back? and why would you have it removed ?? as you may know i need a fusion soon and i would like to know if anyone has had a good result or is it all bad ?
STRAKER

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2010 just had a discography and now waiting for an ALIF open fusion {360 degree}

lilac100's picture
User offline. Last seen 1 day 12 hours ago. Offline
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Not a multi level only 1 but

Not a multi level only 1 but it has helped greatly with the pain. I won't say I'm anywhere near pain free but I'm a lot closer than I was. Hope you have a great result soon.

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L4/L5 fusion sep 2009 for grade 2/3 spondy
multiple esi's/blocks rounds of PT
Hardware removal may 2011 due to continued pain

lisa burek's picture
User offline. Last seen 11 weeks 6 days ago. Offline
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Hi Tony

I've had success with both of my fusions. No hardware problems (yet).

First fusion was done (L2-L4) due to severe DDD. You could actually hear the bones scraping each other. Fusion stabilized the area.

Then a few pain-free years, even had another child.
Went back to my old ways (bad idea), plus all of the lifting of baby #2 for a few years and pain came back.

This time discs below fusion were shot, and I was totally out of alignment (spondylosthesis) and having awful back spasms.

Fusion #2 (L4-S1) took care of that. Now I am older and (hopefully) smarter and will forever treat my body more kindly.

I've yet to have any hardware problems and between the 2 fusions I have rods, screws, a plate and PEEK cages.

Hope I was helpful. Take care, Lisa

User offline. Last seen 1 year 38 weeks ago. Offline
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Hey straker ~

It has been said many times, but is worth repeating, those that are pleased with their surgical results are not continuing on the boards. I've been on the board one year and ten weeks. When I think back on the number of people who had surgery and no longer post at all, it is a large number. I assume these people are out enjoying their lives, busy with their day to day routines, getting caught up on those things they could not do prior to their surgeries.

We also know that the rate of success goes down as the number of levels that are fused go up. In the US, insurance companies are not covering surgery for more than two levels unless there is instability or several other very specific reasons. They will not cover it for degenerative disc disease or pain control.

We also know that many people that have scoliosis requiring surgery end up often with multi-level surgeries and most seem to do much better than if they had not had surgery.

Spine AZ recently had a 3 level fusion but she is probably too early to give you any results.

Regarding the removal of instrumentation (hardware), it is done rarely...something like 2 to 8% I think are the statistics. It is done due to hardware failure (a screw breaks or comes loose), or when a patient has a reaction to the materials used in the actually screws, rods, cages, etc. Sometimes surgeons remove it for "exploratory" reasons...the patient continues to have pain post-surgically.

I think there are a lot of people out there who have had multi-level fusions that are currently leading productive lives. Are they good as new? No, but their pain is reduced to the point that they can lead a functional life.

We'll see if your topic brings out those that have had multi-level fusion....

Gwennie

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I have no medical training. Comments are based on personal experience and lots of research and reading.
PLIF @ L4-5 with Peek cage, rods and screws Jan 2008
Lami-foraminotomy L5-S1 Jan 2009
Fusion L3-S1 coming up -- 1 June

User offline. Last seen 35 weeks 2 days ago. Offline
Joined: 08/24/2009
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7 weeks after 3 level acdf

I had c4 thru c7 fused and part of c6 removed due to pressure on spinal cord. Before surgery I could not walk a straight line. Afterwords my balance was much better. I was in a collar for 6 weeks, pain was bearable with painkillers. Now I am not wearing the collar and trying not to take pain meds and pain is a lot worse. That seems to be a common thread though, you feel good at first then you get worse for a while and hopefully come back to good. Hope that helps.

southforkgirl's picture
User offline. Last seen 5 days 11 hours ago. Offline
Joined: 06/25/2008
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I had a 3 level fusion

I had a 3 level fusion 2 years ago. I still have some bad days with pain but It helped with the pain and numbness in my arms. It is not a cure for sure but I think it depends on the person whether they need the surgery. Mine had to be done to keep from spinal cord damage. My problem now is that level c7 did not fuse. they cant tell me why or if it is going to be a problem later. My primary Dr. wants me to see a nero surgeon now, to see what he can do to help me. The Dr. that did my surgery was a spine surgeon. I dont know what they will do.
You should get more opinions and study everything you can about fusion. Then it is ultimately going to be up to you. I hope what every you do will help you in the future. Good Luck!

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Life is what you make of it. Think possitive and be well.

User offline. Last seen 50 weeks 5 days ago. Offline
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thanks for all the info

i feel that i don't have a real choice .as my life is 20 hours a day in a recliner and maybe 4 hours sleep if i am lucky ..as i am 44 and could live another 30/40 years i feel that i must trust and take this offer to correct the two previous failed surgeries .i don't want to go on like i am .its no life ..just an existence ..and if i do do something {loaded with pain killers} like wash the car or go for a swim.e i suffer for the next 3 weeks ..if i could just get back to walking the dog /swimming and doing the weekly shop with kath ..and a good night sleep that would do for me ...i am not one that want to climb Everest !! just live a normal life ,,i have been in pain for a long time now and enough is enough ,so bring it on
tony

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2010 just had a discography and now waiting for an ALIF open fusion {360 degree}

awalker819's picture
User offline. Last seen 40 weeks 22 hours ago. Offline
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Hiya Tony

I had a multi-level fusion In Oct of 09, though it was just 2 levels, and am actually doing great! I have my 6 mo check up on Tuesday the 16th Am excited to see my next set of x-rays as everything thus far has gone fabulously. I have been off all meds since 4 weeks post-op and have no pain. I get a tad bit of stiffness now and then but it's usually my own fault....i.e. too much time sitting etc. But a little stretching or a hot bath makes it all better! I'm also now able to do a total of 125 crunches/leg lifts along with my regular PT type routine.

I've made various posts talking about my success since as gwennie mentioned, most of those who have had successful surgeries may not be very active on SH any more.

Best of luck, and if you have any questions feel free!

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Herniations at L4/5 & L5/S1 – severe stenosis, thecal sac impression, sciatica/radiculopathy. Surgery- October 5, 2009 – Open TLIF w/hardware L4-S1 (6 screws, 2 rods, cages, allograft and bone marrow). Better and stronger every day and pain (AND MED) free!

User offline. Last seen 1 year 38 weeks ago. Offline
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Hi Straker ~

I think you just need to find the best surgeon you can, and if he feels you are a candidate, go for it. I really think the roll of the dice will be worth it, and you will end up better off than you are now.

Of course, none of us have a crystal ball, including the spinal specialists. But I think statistics are in your favor that you will be better off than now.

Do they know what happened with the fusions that were not successful? You will be going to a different surgeon, right?

Take good care,
Gwennie

_____________

I have no medical training. Comments are based on personal experience and lots of research and reading.
PLIF @ L4-5 with Peek cage, rods and screws Jan 2008
Lami-foraminotomy L5-S1 Jan 2009
Fusion L3-S1 coming up -- 1 June

User offline. Last seen 1 year 40 weeks ago. Offline
Joined: 02/21/2010
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gwennie & stalker

Glad I saw your comments. As you have probably read in my past posts. I'm having fusion PLIF L2 to L5. I've alrady had laminotomies on L5-S1 and L3 -L4. It's so bad now and especially now that I've planned the surgery, the pain and inability to do anything seems to be getting worse every day. I'm also now spending at least half the day laying down getting pressure off my lower back. I'm going crazy with doing nothing so I know how you feel Straker.

My big question is how can my Dr. do this with no instrumentation (screws, rod, etc). Is he that good! He actually said that I won't need these things but from what I've been reading on this site, I don't see how that's possible. I hope he is not giving me a "bill of goods" about this surgery and I'll be worse off than now (I'm scared)....I have always led a very active life in sports with my husband, children and grandchildren and I'm so afraid this part of my life will be over if I do this surgery, not that I'm so great at it now.

I know there is no one out there that can give me the reassurances that I want and need. It seems that this whole process is a "crap shoot" as to what will happen.

Like Gwennie says....I hope more success stories will be written about to give us more hope in outcomes.

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tahoe granny

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Tony

I had a 2 level fusion L4-S1 2 1/2 years ago. As far as my back goes, I am stable. I have minimal back pain, mostly in my SI Joints. I had my hardware removed 1 year after my surgery because it was catching on the muscles in my back not because of hardware failure or a reaction to the materials.

Am I all better now? No, I developed Adhesive Arachnoiditis as a result of procrastinating about getting my lower back problems corrected. It's not a common complication but it does happen. If I had to do it all over again, I would have sought treatment much earlier. Hindsight is 20/20.

Dave

User offline. Last seen 1 year 32 weeks ago. Offline
Joined: 07/14/2008
Posts: 305
Points: 610
Hey Tony

You know mine was a success! Hang in there.

Faith M

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L4/5 discectomy 11/98,disc decompression surgery 10/01 (failed),C5/6 fusion 2/02,L4/5&L5/S1 discectomy 4/02,C6/7 fusion 4/04, L4/5 discectomy 4/05(failed)diagnosed with permanent nerve damage,2 level lumbar fusion 1/08,C4/5 fusion 1/09 and too many epidurhal/ nerve blocks to count. Surgeon said I have 2 more fusions in my future.

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