Fusion surgery

Fusion surgery
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  • AvatarNaresh
    Participant
    Post count: 9

    I have a herniated disc at L5-S1, and it causes burning, tingling in my back and sometimes in my hamstring. And while sitting, it gives stabbing knife pain. I have tried medications and Transforaminal injections and it has given me improvement but still the symptoms did not go away completely and are quite bothering. I also get pain in my knees and lower half of the legs after walking for 15-20 mins. Although, it does not show any stenosis in the MRI scans. I am suggested a fusion surgery from my doctor for getting rid of everything. But i am very young(25) and i believe 15 years down the line i might get spine problems again which i would be 40 by then. Is there any other treatment that can help me with my condition or atleast bring things in tolerable levels.

    Also, i have researched about the latest lumbar implant M6 by Spinal kinetics. It has all the properties of normal disc, ranging from shock absorption, progressive resistance,MRI conditional, right materials, normal facet loading and showing very good results in patients. Could you have a look at it and suggest me if thats an option for me? Attaching the YouTube link for that device.

    https://youtu.be/DP6OUfD4NP0

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6831

    Why is a fusion being considered for a disc herniation? Is your lower back pain greater than 60% of your global complaint or is the buttocks and leg pain greater than your lower back pain? Is your back pain central or does it “lean” to the side of the leg pain?

    If your complaint is central lower back pain or you have a slip of that level (isthmic spondylolisthesis-see website), then I can possibly see the need for a fusion. However, if you have leg pain (including buttocks pain) greater than central lower back pain, I would much more consider a simple microdiscectomy than a fusion.

    I am not a fan of an artificial disc replacement for the lumbar spine due to the significant complications rate, both initial and long term. I however have no problems with disc replacements as I implant them in the neck all the time.

    Dr. Corenman

    PLEASE 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.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    AvatarNaresh
    Participant
    Post count: 9

    The most important complaint is getting pins and needles, burning, when i get load on spine like sitting, or travelling, or just doing physiotherapy whenever it streches my lower back it gives same problems. Second is stabbing knife pain in my back when sitting, and it worsens when i sit on a hard surface which doesn’t have any foam like plastic chairs, 60% pain is on the left side and around 40% would be central. Third problem is after walking or standing for 20 mins, my knees starts stiffening and gives pain. My doctor suggests that reducing volume of the disc might improve the stenotic leg pain while walking but it would not resolve the burning and tinglings and stabbing knife pain when it receives load.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6831

    I think based upon your symptoms that you should consider a microdiscectomy and not a fusion. The relief might not be 100% but might be adequate and you would avoid a fusion. You don’t burn any bridges by getting a simple decompression as if you need a fusion, this can be easily converted into one.

    Dr. Corenman

    PLEASE 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.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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