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  • Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    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

    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: 8465

    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

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