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  • Donald Corenman, MD, DC
    Moderator
    Post count: 8339

    Your comment “I did get some relief with the L5-S1” along with your symptoms “where initially pain was felt in the gluteal region and R hip. I had difficulty with sit to stand. This gradually went away. Now, my foot issues appear to be amplified with prolong sitting” does fit with a radiculopathy. Added to the symptoms, relief with an L5-S1 block points to the HNP right L5-S1 as your pain generator.

    I’m not clear what surgeon B thinks but surgeon A’s advice; “do a laminectomy to see if we can unroof this and give him as nerves more space with a foraminotomy and medial facetectomy on the right side” sounds like a good idea. No fusion should be contemplated especially below a pars defect.

    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.
    leroydog
    Participant
    Post count: 5

    Surgeon B only recommended a microdisectomy at L5-S1 Level vs laminectomy. Are there certain scenarios with a herniated disk where a laminectomy is preferable than removal of disk? Or am I just getting lost in the nomenclature as there will be a laminotomy with a microdisectomy?

    To be clear surgeon B did not think I was a fusion candidate at L5/s1 level.

    Best,

    Luke

    Donald Corenman, MD, DC
    Moderator
    Post count: 8339

    I would agree more with Surgeon B that a microdiscectomy is all that is needed, While he is there, he could probe the foramen and if tight (unlikely), he could additionally perform a foraminotomy.

    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 3 posts - 7 through 9 (of 9 total)
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