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  • AvatarWKBW
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    Dr. Corenman,
    I met with my neurosurgeon today to review my new MRI results of a symptomatic large recurrent disc protrusion at L5-S1, exactly where my first one was. Per your suggestion this included a discussion regarding my previous lumbar CT scan report from Feb. which stated I had a “Left L5-S1 spondylolysis” along with a SBO defect at S1, which you referred to as a “floating facet”. (See previous post for exact details). He explained that it was, in actuality, an intact (non-fracture) elongated pars that likely developed along with my SBO.

    He then said that due to his previous pre-op concerns regarding these two findings, he checked the stability of my spine during surgery and made note of it being “quite sturdy”. In regards to the thinner bone area, he further explained that he will enter through the same incision and only remove a little more bone to give him a slightly bigger window. Consequently, he and I feel confident that a revision microdiscectomy is the most appropriate choice for me at this time.

    We briefly discussed the possibility of other pain generators, but the fact that my symptoms are so similar to before and were completely resolved following the first surgery, he feels sure this revision will have the same affect with a more long-lasting result. There’s never a full guarantee or a crystal ball, but do you agree with his thinking?

    Also, I know that each surgeon has their own post-op instructions/guidelines, but do you offer your patients (going through revision microdiscectomy) any additional instructions that you feel would help prevent another reherniation? If so, I would appreciate any suggestions.

    Finally, thank you so much for helping me with my recent situation. Your willingness to take the time to read my story and give quick responses to my questions, has been remarkable! I’m lucky to have found your forum, been educated by the vast “free” information you have available on your website, and most of all, to have had the benefit of your knowledge and experience. Thank you for selflessly giving back to all of us here.

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