Donald Corenman, MD, DC
Moderator
Post count: 8378

You have had great results from your two surgeries for nerve and cord compression. I am surprised that you were able to go back to full activity after six weeks from a posterior neck fusion. Time to fusion for a posterior neck takes at least three months. Well, obviously you did well so no need to focus on that surgery.

A pars fracture in the lumbar spine after a decompression surgery is not highly unusual. The initial surgical decompression thins out the pars and if too thin, a fracture occurs. This fracture can cause all the symptoms you describe. Do you have most symptoms with standing and walking or with lying down? I assume your pain is mainly left leg oriented.

The pars connects to the inferior facet at the level of the fracture. Without a pars to support the weight of the vertebra, the foramen collapses and the nerve root is compressed. Also, the fracture causes inflammation and the nerve is right in the path of the inflammatory process.

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.