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  • BillL
    Participant
    Post count: 18

    Okay, and as always, thanks for the additional insight. I certainly don’t want to keep harassing you with questions but in this setting would an L4 CT be mandatory? The second surgeon acted like he would be leery without that to estimate bone remaining after the laminotomy and medial factetectomy. Could a Metrix be done safely without the CT?

    And two adjacent annulotomies close together with max 30% strength after scarring….any concerns about the annulus blowing out so to speak laterally?
    Thanks

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    CT is not necessary but can give the surgeon some additional information to try and restrict any unnecessary bone removal. The annulus has already torn through and through laterally or you wouldn’t have a far lateral herniation. Other than bone removal, there should be nothing to worry the surgeon who performs the microdiscectomy.

    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 2 posts - 19 through 20 (of 20 total)
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