amoresiParticipantOctober 2, 2018 at 2:39 pmPost count: 17
Hi Dr. Corenman. If you remember me I did an online long distance consult with you earlier this year after sending you my images. I had a single level TLIF at L5-S1 in 2015, and had a decompression and hardware removal in March of 2017 due to severe right foraminal stenosis at L5 due to heterotopic bone compressing the nerve root. Since July I’ve develop severe lower back pain. I’ve had both recent CT and MRI and both show nothing new or give any indication as to the source of the pain. My original surgeon says I’m fused have a nice life. I got a second opinion and he discussed the possibility of essentially doing another TLIF at the same level, but from the left this time to add more bone graft and re-instrumenting that level. So essentially I guess you would call it a bilateral TLIF. I’m going through the motions and trying all conservative therapies, but if I get no relief does that seem to you like a reasonable thing to consider? I can email your office if you don’t remember the specifics of my case and our phone discussion.Donald Corenman, MD, DCModeratorOctober 3, 2018 at 7:53 pmPost count: 6457
If you have a solid fusion at L5-S1 from the interbody (in between the vertebral bodies) and it is exuberant (good cortical bony struts connecting the bodies), then this level should not cause pain. However, if there is minimal joining bone, there could be motion as bone will flex (move) if there is not adequate joining bone.
Sine you have already had a long-distance consult with me, send me a DVD of the new CT scan and MRI and I will discuss it with you.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.If this forum has helped you, please let Dr. Corenman know!amoresiParticipantOctober 4, 2018 at 6:36 amPost count: 17
Thank you Dr. Corenman. I’ve reached out to Lori via email for instructions on sending the discs to your office.amoresiParticipantOctober 4, 2018 at 3:27 pmPost count: 17
I just haven’t been right since the removal of my hardware in March of 2017. Prior to hardware removal I had little to no back pain after my fusion in August of 2015. After removal of hardware I had an slight increase in back pain, but it was manageable. However, since July of this year the pain has increased immensely. Worse then any lower back pain I experienced prior to my fusion. Like you said if the segment has robust solid fusion then it shouldn’t generate pain. At least nothing close to what I’ve been dealing with for months now. I look forward to hearing your opinion after you review my latest round of imaging and providing more details and what conservative treatments I’ve had.amoresiParticipantOctober 6, 2018 at 10:54 amPost count: 17
I sent the CD’s this morning to Lori. They should arrive on Tuesday. I hope I used the correct address. I sent them addressed as follows:
Practice Director for
Dr. Donald Corenman
The Steadman Clinic
181 W. Meadow Drive, Suite 400
Vail, CO 81657Donald Corenman, MD, DCModeratorOctober 6, 2018 at 1:57 pmPost count: 6457
Great. I am currently out of the country but as soon as I get back, I will review your studies.
Dr. CorenmanPLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.If this forum has helped you, please let Dr. Corenman know!
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