Viewing 6 posts - 61 through 66 (of 108 total)
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  • sperryguy
    Participant
    Post count: 68

    Hi Dr Corenman

    Just a quick update, I tentatively scheduled my surgery for May 2017. What can I expect with this revision surgery? The surgeon would like to redo the rods and screws, use bone from my hip vs cadaver bone. He is reluctant to remove the Globus Expander cage for fear of injuring the dura. He mentioned that he doesn’t use such a spacer due to this issue. Then he plans on decompressing L5/S1, and removing the L5 Disc since it has degenerated since the last surgery. Typically will my recovery be more intense? Can you suggest ideas to heal better? I simply cannot believe that my first surgery was a failure and i need even more correction.

    Thank You again

    Steven

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    I would assume that the screws are loose and a replacement is in order. He is on the right track in that he will not use cadaver bone but bone from your own hip (ICBG). I would highly recommend BMP as in the face of a revision surgery, you want the best chance for this one to work and BMP can be the difference in some cases.

    You mention that he will “decompress L5/S1, and removing the L5 Disc since it has degenerated since the last surgery”. Does the mean he will fuse this also or just decompress this level? Why does he want to decompress? Is there nerve compression?

    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.
    sperryguy
    Participant
    Post count: 68

    Hi Dr Corenman

    Thank you again for your help. He does want to do a fusion. He explained that without the additional fusion, I would be very unstable. He feels that the nerves are compressed and should have been addressed at the first surgery. I have one question, Over the last few months, I am really suffering with bilateral groin pain, worse on the left side. The pain level during an attack is 8-9. The pain throws me down, cannot function. Would you know if this can be a result of my issues?

    Thank you Again… Steve

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    I am confused. The L4-5 level has a pseudoarthrosis (failed fusion). This surgeon also wants to fuse L5-S1. Why? Is there severe degenerative disc disease? Is there instability present? Are the L5 nerves compressed at the L5-S1 level?

    Groin pain can be generated by the hip, the L1-3 nerves and rarely, the L4 nerves (Furcal nerves). You need a workup to determine why you have groin pain apart from the spinal problems at L4-5.

    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.
    sperryguy
    Participant
    Post count: 68

    Hi Dr. Corenman

    The surgeon indicated that the L5 disc has severely herniated and unstable. I just went for yet another detailed MRI. Once I receive the results, I will share with you and the forum.

    Thanks

    Steve

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Looking forward to helping review the radiological report.

    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.
Viewing 6 posts - 61 through 66 (of 108 total)
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