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nyc surgeon recommends ALIF/posterior lumbar fusion/discectomy for L5-S1

lynettellynette Posts: 217
edited 06/11/2012 - 8:39 AM in Back Surgery and Neck Surgery
looking to see if anyone with experience with this combined surgery. I saw the head of spine surgery at HSS in NYC yesterday for a second opinion. Said my L5-S1 disc is very degenerated, herniated, and states it will most likley get worse. I also have some retro-spondylolisthsis, all which is contributing to my low back pain. States both procedures are done minimally invasive. About 6-7 hrs of surgery, sounds pretty intense. I only have one level disc herniation so would only need one level. Any one have this done??


  • both the back and the front approach, but we originally planned on just from the back. I was in surgery over eight hours and they couldn't remove my damaged discs because of my scar tissue. Four days later, they went in from the front -- much easier to get bone graft, etc., in to the disc spaces from that angle.

    I wish you all the best.

    3 level spinal fusion, L3/4, L4/5, L5/S1, November 2008. Stiff, but I can walk.
  • I'm just curious if your first surgeon suggested doing a similar surgery?

    I believe I know which surgeon you saw at HSS. If so, I know several people that were pleased with him. Sometimes it is the spondylolisthesis that suggests to the surgeon to do the "360" fusion. It is kind of like extra reinforcement to make sure you have the best chance at fusion.

    Is most of your pain in your back rather than in your leg?
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  • My local neuro who did my microdiscectomy said he would do fusion posterior approach with a cage with my own bone ground up with bone growth with hardware. I really want it done right the first time.I have always just had leg pain with disc flares but my main discomfort now since my last herniation is low back pain. For all of aug and sept I had terrible sciatica and could not even lie on my r side but now the nerve root has settled. I have a lot of calf tightness but no nerve pain down the leg.
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