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Surgary decision??

Hi Everyone, My name is Bruce I am a 49 year old male from New Zealand. I have been suffering with lower back pain, but no nerve or leg pain for the last 4 years. I have had xrays and a MRI which indicate the following:
Diagnosis: Lumbosacral spondylolysis with late unilateral lysthesis causing lumbar scoliosis.
Xrays: A spondylolysis at L5-S1 that is probably bilateral associated with low grade spondylolysis. There is eccentric lysthesis more pronounced on the right side which is causing the Lumbosacral scoliosis and corrective curvature of the lumbar spine to compensate for it.
MRI: Dysplastic L5 vertebral body with bilateral L5 pars defects and dysplastic pars more marked on the right side. Minimal L5/S1 anterior spondylolisthesis with annular disc bulge and right foaminal disc protrusion resulting in moderate narrowing of the the right L5/S1 neural foramen. Minimal L4/5 retrolisthesis. L4/5 disc bulg and left paracentral annulus tear without neural compromise.

I have low to average pain most of the time and cannot stand for long as this makes it worse, when sitting and lying I manage quite well, I have not found medication such as codeine or morphine help that much, although they do take the edge off when Im having a real bad day which is about once every 3 weeks.

I have seen a surgeon who suggests a spinal fusion of L5/S1 may help, he did not guarantee it would stop my pain and given I don't have nerve pain he is reluctant to do it.
I am not sure what to do? if anyone else has a similar condition to mine and has had a fusion I would be interested in hearing from you as I'm finding it impossible to make a decision.
many thanks for your consideration


  • Hi Bruce:

    I'm new to this forum and had my back surgery on Dec 12 2013. Honestly speaking I can tell you that I had the same back pain you have now for over 10 years. Put off my surgery etc etc and I have paid the price. I am about 6 or so years older than you and I had a 4 disc fusion done. The recuperation is a bear and not for the faint hearted . I am now 6 weeks post op and I can now stand and walk like a normal person. My pain was like yours, it went away when I sat down or laid in my bed however that changed over time. I made the decision because I didn't want to live me life sitting or lying down for whatever is left of it. So......... I would talk to some good doctors, do some research and if nothing else helps then surgery may be the answer...Its true surgery is not always a miracle cure but it sure beats sitting out the rest of your life..... You will find much support here either way..... My Best to you: Kat
    Kathleen tStand
  • LizLiz Posts: 9,712
    edited 01/21/2014 - 7:21 PM
    please take the time to read this post and refer to it when you have questions

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    Veritas-Health Forum Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
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