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Quick back story on my situation. I'm 33 years old. I was 30 when I had my first surgery. In June of 2016 I had a L4-L5 fusion and a laminectomy. In october of 2016 it was discovered that my L5 pars were fractured and I was put into a body brace for two months. When that wasn't healing and the cage showed signs of movement it was suggested that they go back in and extend the fusion down to my S1 level. So I had the revison surgery in February of 2017 with a gill laminectomy. The whole time after the second surgery I was in horrible pain and my condition wasn't getting any better. My doctor had ct scans done in July of 2017 and it showed that the cages had moved and the hardware was lossening. Also no evdoesidence of bone growth. I was diagnosed psuedoarthrosis. It was suggested to have another revision fusion surgery from L4-L5-S1 with larger screws and the addition of bmp to help with the bone growth or have a spinal cord stimulator put in. I opted for having the third surgery cause I couldn't deal with the pain anymore and I didn't want to just mask the pain with the spinal cord stimulator.
So I had the third revision fusion surgery in October of 2017. It took over six hours to perform and then another six hours to get my pain under control in recovery. The whole time after having the third surgery I have not improved. Still having horrible constant pain all day everyday. Yeah the pain medication helps alot but that is not a perminent solution. My doctor kept thinking that I could be healing very slowly and that I would need a long time for recovery. Well we just had CT scans done in the beginning of December 2018 and it shows that the screws at S1 level are loosening on both sides and that there is no evidence of bone growth happening at all. Even with the addition of bmp my bones are still not fusing at all. I'm tired of being in pain everyday and not having much of a life due to mobility issues from the pain in my back that goes down my legs into my feet.
So with the recent ct scans showing the loose screws and no bone growth my doctor has suggested that I have a fourth surgery but do a 360 fusion this time with even larger screws and even more bmp this time. He also said or I can stay the way I am and get a pain management doctor. I just don't know what to do anymore. I feel like having a fourth surgery is such a gamble since the first three did not work at all and my body just does not wanna heal itself and fuse.
Has anybody gone through this and if so what did you end up doing. Would love to hear from anybody and everybody.
I just can't believe i've been diagnosed psuedoarthrosis twice and nothing is working.
Thank you for taking the time to read my post.