Viewing 6 posts - 1 through 6 (of 9 total)
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  • rojotoni
    Member
    Post count: 9

    Hi,
    Hope you could help. Lots of things I want to ask. Did not get much help from doctor. It is getting better they just oked a ct of lumbar spine. Ok Had surgery on June 13th 12 procedures decompressive lumbar laminectomy on right L4 with decompression of thecal sac and the nerve roots and neural foraminotomies in far lateral aspect, comp;etely decompressing thecal sac and the nerve root. Same L5 and S1 prosthetic spacer at L4-5, L5-S1. Ok my question alot of my pain is standing more than one hour and laying down when I lay down I cry when I try to turn. Can only sleep 2-3 hours. Great toe right foot goes numb also pain in butt and calf. When I try to get up half way standing or trying to sit to use bathroom. My legs or back not sure will give out also if I drive and when I get out and start to walk. Know getting ct of lumbar is this muscle or nerve? And or what could this be. Thank you

    Donald Corenman, MD, DC
    Moderator
    Post count: 8436

    You report “12” procedures form a surgery performed about 2 months ago on June 13th. You report decompression of multiple levels. You then note implantation of “prosthetic spacers” at L4-5 and L5-S1. Were these interbody cages for fusion or artificial discs?

    What is your pain now compared to prior to surgery? You must have had buttocks and leg pain prior to surgery for a decompression surgery. Did the pain shift or change in character? Do you have constant pain now or pain with standing versus sitting? Do you have back pain also or only leg pain? Do you have any weakness? If your bowel and bladder functioning well?

    Dr. Corenman

    rojotoni
    Member
    Post count: 9

    posterior lumbar interbody arthrodesis at L4-5, interbody arthrodesis at L5-S1, placement of an interbody prosthetic spacer at L4-5, same at L5-S1, segmental instrumentation at L4, L5 and S1, use of the allograft bone for the arthrodsis. Sorry didn’t know you needed that info. I feel dumb because I had the surgery and not really sure what they did. What do you mean by cages? I have not really been able to compare I can only stand for about one hour then have pain. Laying down and trying to turn also really hurts at a 10 pain level I can only sleep 2-3 hours. Then after that I can’t stand for about one min.that is about the only weakness I have. The pain is not as bad when I am sitting in desk chair. The pain is more right sided. Bowel and bladder are fine. Again thank you

    Donald Corenman, MD, DC
    Moderator
    Post count: 8436

    By your description, you had a TLIF at L4-5 and L5-S1. That’s “Transforaminal Lumbar Interbody Fusion” (see website for details and video of surgery). The spacers used in between the vertebra to hold them in anatomic position are called cages.

    You have current complaints of lower back pain but no leg pain. What was your surgery done for? Did you have incapacitating lower back pain or leg pain or both?

    You are only two months out from surgery and even though I would expect your lower back pain level to be less at this point, you still have plenty of time to heal. With allograft, the healing typically takes longer so don’t despair. It may take up to a year to heal with allograft.

    Dr. Corenman

    rojotoni
    Member
    Post count: 9

    Thank you so much. One more question please. Because of the pain they are finally going to do another test. Myelography and CT scan on 8/24. Is this ok? I am so worried I will be flying and have cruise on 9/3. Please is this safe? Thank you again.

    I used to work on an ambulance when I was younger. Not sure if that is what started it. But before surgery had discogram and they said I needed surgery. I am a supervisor and walk my hole shift. I do not sit until break or lunch. When I would leave work my pain was 9-10 hard to pick up feet and put in car lots of cramping. Leg pain is thigh, calf, foot and toes right side. The most pain is one hour or more standing and again when laying down great toe goes numb. Again thank you so much. I will let as many people I know about this site. You have been great with answering my questions so quickly. Thanks

    Donald Corenman, MD, DC
    Moderator
    Post count: 8436

    You mention pain but stated previously that you have only back pain. Do you have leg pain too? A CT/myelogram will define the position of the screws, the cage and any nerve structures. If there is residual compression of a nerve, this test will demonstrate it.

    If something is found that needs to be corrected, the surgeon may want to fix it sooner than later. Make sure you know his or her plans before the cruise you have planned.

    Dr. Corenman

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