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Old 03-25-2005, 05:03 AM   #1
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kt41577 HB User
level II spondy w/surgery?

I just had my second epidural yesterday after my 1st one 4 weeks ago, wow was that one worse!! I had real bad spagettii leg, and couldn't walk for 45 min. the doctor said if non-surical methods like meds, PT and the ESI's don't work, then fusion surgery would be my answer. he said I have a 75% chance that it would work with surgery. I'm only a level II, and the PA told me they don't do surgeries on level II, and I have to be at a higher level. (I really don't like my PA, he treats me like I'm a big baby, and that the PT, meds and ESI's should be working for me!) I like my doc though.

my other question is aren't the ESI's just masking the pain? so if the injection wears off, won't the pain be back? that's if PT is not working?
so if I have to have surgery I would like to do it sooner, I'm getting married in 6 months, just started a new job, and would like to start my family after were married-so there's never going to be a good time for surgery. I'm only 27 and I thought the younger I am, the better.

so anyone had fusion with level II spondy, how long does it take fro re-coup time? how long are you wearing a brace? any other advice would be helpful as well!!
thanks!!

 
Old 03-25-2005, 06:41 AM   #2
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caszyman HB User
Re: level II spondy w/surgery?

kt41577,

I disagree with your PA on the fact that they don't do surgery on level II spondy. My daughter was diagnosed about five years ago with congenital spondylolisthesis. About 18 months ago dancing daily aggrevated her condition. The dr has tried rest and meds, pt, bracing and another round of pt. She is still only slipped 35% and surgery is scheduled for June 10th. We chose a summer date so that she'd have a full three months to recoup before having to go back to school full time. We actually had surgery scheduled last August and it was put off by me since I wanted him to try bracing first as our last non-surgical effort. We saw two other pediatric orthos last summer and they all concurred that surgery was reasonable since she had so much pain in her legs and back. We were told when you reach a level III, or 50% slipped that you have no choice but you have to have a fusion since you're disc has slipped off. We booked this surgery before knowing about her having stenosis which is also causing the pain. So now she is definately having the surgery now.

My daughter's surgeon won't be bracing because he's using the instrumentation, at least that's what he told us last summer. We'll have to see if it changes. Sorry, but I can't give you any answers on recoup time yet since she hasn't had her surgeryl He did tell her absolutely no water skiing this summer. LOL That has been the only thing she has gone against his wishes in the past and he never forgets it.

If you haven't had a second opinion, you may want to think about that. I don't regret getting these opinions at all. Best of luck to you.

Last edited by caszyman; 03-25-2005 at 06:42 AM.

 
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Old 03-25-2005, 06:55 AM   #3
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flyonthewall HB User
Re: level II spondy w/surgery?

What kind of doctor are you seeing? My spondylolisthesis was only grade 1-2 but my stenosis was so bad I could hardly walk. When My OSS went in to do a laminectomy he also fused me from L3-S1. Because I live alone I went to rehab for a couple of weeks. I wore a brace for 3 months.
fly

 
Old 03-25-2005, 06:27 PM   #4
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BobiM HB User
Re: level II spondy w/surgery?

[QUOTE=kt41577]
so anyone had fusion with level II spondy, how long does it take fro re-coup time? how long are you wearing a brace? any other advice would be helpful as well!!
thanks!![/QUOTE]


On April 14 my son is having a 2 level fusion because of Grade 2 (bordering on 3) spondylolisthesis. He has to wear a brace for 3 months. We had many consultations and they all believe differently as far as a brace is concerned. It went from no brace to 6 months with a brace.

Bobi

 
Old 03-25-2005, 06:33 PM   #5
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Quietcook HB UserQuietcook HB User
Re: level II spondy w/surgery?

Hi,

I highly recommend you consider seeing an ortho or neuro who is a spine specialist and doesn't put back patients off on PA's. Not demeaning PA's, but the spine is so complicated and I'm grateful that my spine specialist does not use PA's that way. His will see you once a day in the hospital and may see you for prior discussion before the doc comes in as he may decide an X-ray will be asked for so can get it done then, but that is what little exposure I've had to him in the office. He's right there in pre-op and with the surgeon when tests are done, ensuring the staff have things set up the way the surgeon wants it done.

Also agree that any time surgery is discussed that there be at least two opinions from spine surgeon specialists. I've had 8 spine surgeries and 4 fusion surgeries. Still walking and going strong.

 
Old 03-28-2005, 07:02 PM   #6
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kt41577 HB User
Re: level II spondy w/surgery?

if you have spondy, are your disks involved? do they herniate or bulge? or is it just the bone and nerves involved?

 
Old 03-28-2005, 07:45 PM   #7
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Quietcook HB UserQuietcook HB User
Re: level II spondy w/surgery?

[QUOTE=kt41577]if you have spondy, are your disks involved? do they herniate or bulge? or is it just the bone and nerves involved?[/QUOTE]

As spondy is the slippage of your vertebrae forward or where you have a rounded back, backwards where you have more sway back or in my case sideways. The way I understand it, that does mean that the disc are likely buldging or herniated as the vertabrae is not in alignment. It can vary by degree and there are causes all the way from birth defects to natural aging process to extreme extension such as with gymnastics and of course injuries.

Hope that helps.

 
Old 03-29-2005, 01:48 AM   #8
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Bionicwan HB User
Re: level II spondy w/surgery?

KT

Hopefully the ESI's will help you. And if your really lucky - maybe surgery will not be in your immediate future. The ESI doesn't really mask the pain. It's purpose is to reduce inflamation thereby elimating any pain caused from inflamation. I would certainly listen to your Dr over his PA. I understand you being anxious to get this behind you - but please don't commit to surgery until any and all alternatives have been tried and exhausted.
Congratulations on your upcoming wedding - please keep us posted on how your doing.

BionicWitch

 
Old 03-29-2005, 02:21 AM   #9
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flyonthewall HB User
Re: level II spondy w/surgery?

What kind of doctor do you have? Is it a specialist with a spine fellowship.
fly

 
Old 03-29-2005, 06:15 AM   #10
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kt41577 HB User
Re: level II spondy w/surgery?

thanks for the replies and advice! it helps so much! my doc is with a sports and spine group, he treats mostly athletes, which I am not anymore!! but he is an ortho. he's just not very clear with me, for example, I didn't know what level I was until recently, or if the bone was cracked, or if I have stenosis, or if my disks are involved. so I'm hoping this ESI works, and give it another month, then go for a 2nd opinion. thanks again!

 
Old 03-29-2005, 06:25 AM   #11
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caszyman HB User
Re: level II spondy w/surgery?

As Quietcookl replied the spondy is a slipped disc. L5 is slipped on my daughter's spine and I can visually see this on her xrays now. As previously posted, her spondy was there from birth but we didn't find out until five years ago.

Her involvement in sports made her slip advance to grade II. Many sports that she was involved in were extension activities, whick we now know are a no no for spondy patients. She played volleyball, hurdles and high jump and was a dancer. He said her soccer didn't give her any problems. Her dr. has explained to us that the instability of the spine was causing most of her leg and back pain. He has never mentioned anything about a herniated disc or bulging disc to us. She also had no cracked bones since her's was congenital.

My daughter's dr didn't want to try injections. It possibly could have been her age. So we decided we were at the end of the road. I surely hope the injections work for you! That would be great to avoid surgery.

 
Old 04-07-2005, 06:31 AM   #12
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dianaj85 HB User
Re: level II spondy w/surgery?

I had a grade 2-3 slip, and no disk left in there. Tried the ESI (2), and they didn't help. Did PT, Osteopathic "adjustments", ultrasound, traction, etc. Nothing helped at all.

I had fusion at L5/S1 one year ago (Apr. 6), and I feel great, now. It was what I needed, I guess. I am so happy that I did it. It was a REALLY scary thing to do, though. I had been warned by other back pain sufferers (and by people who'd had back surgery) not to do it, and that it would just make it worse. So far, so good. I try to be careful, and not lift heavy things or do anything stupid. I do mow my yard again (with a self-propelled mower!), ride bikes with my kids, walk, play light games of tennis, swim, and stand as long as I need to without pain in my back.

There is life out there after all the pain. I feel very fortunate, and pray that my pain does not return. I wish you all success with whatever treatment you choose!

 
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