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Now I'm really confused

darbymai59ddarbymai59 Posts: 55
edited 06/11/2012 - 7:25 AM in Back Surgery and Neck Surgery
I've been to one ortho doc that says I need laminectomy for the stenosis and fusion for the spondylolisthesis. My PM doc said he does not see the spondy but I do need surgery for the stenosis at L4/5. I have an appt. with a neuro surgeon on Dec. 5th to see what he has to say. What do you do when you get conflicting opinions? I've only had one MRI in April 08 will either of these doctors want more test or x-rays before a surgery. If so what kind of test checks for spondy. I know I have the stenosis as both docs showed it to me on the MRI.

Thanks for your help.



  • I had to undergo a CT/Myelogram prior to my first surgery (microdiscectomy). I developed retrolisthesis (opposite of spondy) and other problems afterwards. Months later I had a 2 level fusion at L4-S1. That condition was clearly seen on my MRI. I hope your appt goes well.
  • ..would clearly show any spondy progression, esp the plai x-rays, both flexion & extension. I would think you'd want a more recent one since April, as spondy can increase at a quick rate --- I had x-ray's 6 months apart and from one to the other there was a 18% slip....no question that I needed the fusion after my NS saw that one...

    My fusion totally straightened out my spondy & also relieved a lot of the stenosis. So it can be very helpful under specific conditions like you describe. Not that I;m pain-free now, at only 10 months out, but I can surely tell the difference in how my spine "feels"--much stronger, more alligned & just better.

    Now my MUSCLES are all complaining, but that's a different subject! LOL :)

    So when you see your doc, you might want just plain flexion/extension lumbar x-rays...that will show plenty damage, if you have enough spondy to warrant a fusion.

    Good luck!

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  • i hope your ns has the answers for u in dec. how can 2 docs see things differently? u might ask them with a simple question leting them know u r confused and would like them to explain it to you. maybe both docs are correct, because even when surgery is needed two different docs might perform the surgery only similar but not the same? good luck to u and i will pray for u also.
  • answer that surgeons read a lot more MRIs and scans then PM drs do so know what to look for.
    When you see the NS, dont tell him or ask him about the spondy and see if he picks it up. If he doesn't then as if you happen to have any.

    Blessings Sara O:)
  • Thanks to all of you that have answered my plea for help. I think I will be asking the neuro doc a lot of questions. I'll let you all know how the Dec. 5th appt. goes. Lakeside I think you are right, I do need the flexion and extension x-rays.

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