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Lumbar fusion: one level fused, the other no fusion?

AnonymousUserAAnonymousUser Posts: 49,578
edited 06/11/2012 - 7:29 AM in Back Surgery and Neck Surgery
Has anyone ever had a multi-level fusion where one level fused but the other did not?

At 5 months post-op, my L5/S1 is showing great signs of fusion, but L4/L5 shows no signs of fusion.


  • Loose screw? Are they going to fix?

  • We're just now trying to determine what to do. Given that L4/L5, which had posterolateral fusion, shows no sign of fusion yet, we may just re-do the fusion there using TLIF. (TLIF wasn't done originally for a couple of reasons--mostly because my surgery was already so long & complicated, they didn't want to risk keeping me under too much longer.) But, if L4/L5 does start to show fusion, we may remove the loose screw(s) to reduce pain.

    It's not clear to me how likely it is that L4/L5 might start to fuse "soon." I just got this news a couple of days ago and am still a little stunned. Luckily, my big problem area, L5/S1, seems to be fusing nicely.
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