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Old 02-08-2013, 03:33 PM   #16
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Re: xlif for L4-L5 plif for L5-S1

That doesn't leave much time to change your mind, does it? Remember that this is not an emergency situation. You have time to reconsider, even if you are scheduled for surgery on the 12th. Do you have your insurance clearance for the surgery?

 
Old 02-08-2013, 06:21 PM   #17
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Re: xlif for L4-L5 plif for L5-S1

[QUOTE=teteri66;5130323]That doesn't leave much time to change your mind, does it? Remember that this is not an emergency situation. You have time to reconsider, even if you are scheduled for surgery on the 12th. Do you have your insurance clearance for the surgery?[/QUOTE]

Unfortunately it has come down to an emergency situation
I cant stand for more then 20mins, walking is now a shuffle & all cry out all night in pain
Because I have exhuasted all my FMLA & Med Leave at work my company has decided to "let me go with the eligibilty of re-hire"
My insurance has approved surgery for the 12th and I fear if I dont do it then I will not have the coverage to do it later :/

 
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Old 02-08-2013, 08:55 PM   #18
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Re: xlif for L4-L5 plif for L5-S1

Insurance may be a valid reason, but, believe it or not, your pain does not make it a medical emergency.

 
Old 02-10-2013, 08:19 AM   #19
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Re: xlif for L4-L5 plif for L5-S1

XLIF CANNOT be done at the L5-S1 level because there is no access to the area due to the hip being in the way. That is why he suggested the PLIF for you at L5-S1 and the XLIF for the L4-5. Hope this helps you understand why he is doing two different procedures. Good Luck with your surgery.

I saw a spine specialist 2/8/13 for a second opinion regarding my severe DDD back issues and have done extensive research this weekend. For me, he recommended an XLIF as well as Axialif for my back fusions L2 thru S1. This compares to my local ortho spine surgeon who recommended ALIF and PLIF at the L5-S1 ONLY. I have allot to look into. This in NOT an urgent matter as I have dealt with back and leg pain since my last surgery 2007.

I still need a CT Scan this week to better understand my issues at the L3-4 level. I am just joining this message board today and will continue to do research this week re: doctors trained for the recommended procedures and getting in touch with reps in my area who sell the needed medical devices/equipment for the surgery.

 
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Old 02-10-2013, 08:49 AM   #20
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Re: xlif for L4-L5 plif for L5-S1

Hello and welcome on board!

I am so sorry you in so much pain and facing surgery, this is not fun and I get it.
Teteri asked if you had several opinions. She asked you for a reason: this is so important, this is also part of your successful well being.
Never, ever go for even mild surgery without seeing second and more if needed opinions, especially if you go for spinal surgery. One very important detail: you must see another opinions out of the area where your surgeon practices.
I learned in a hard way how important this is. When I went for second opinion in same area where my surgeon practiced, it was waist of my time and money. I learned later that doctors who know each other or of each other, will not contradict each others opinion. So I was told: sure, follow what your surgeon told you, he knows his business, he is a good Dr. I agree with him, you need this surgery 100%.
Naive me, but at least I know it know and share with you like I would share with my relative, because I care.
For my second surgery, I went for second opinion to the best place I could reach (we all have good hospitals around who specialize in what we need) and who never heard of my surgeon. I got myself a fare, honest opinion and ended up staying with them. But when I came, I told them its only second opinion, I didn't want them to know I want to be operated by this doctor. Only b/c some surgeons are very "knife happy" and no way I will be someone's Guinea Pig.

I understand you in pain; I get you want a better life quality, but surgery may not be the answer. Not always the answer. Sometimes people wish they never done it. This is why, despite all the pain you are in, do your homework, research a good hospital even if you have to travel, it so worth it (I travel to my HSS in NYC for almost 2 hours). Take all your pictures, reports and records and make an a/p with the director of spinal orthopedic department. If you have to wait - it's OK, at least than you will know you done EVERYTHING before you go under the knife.

I wish you luck and hope will hear from you jumping and leaving your happy and healthy life soon.

Moldova

 
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Old 02-10-2013, 03:04 PM   #21
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Re: xlif for L4-L5 plif for L5-S1

Moldova....I had my second spinal fusion (L5/S1) at the Hospital for Special Surgery too. It's a wonderful hospital, my first surgery was at St Luke's in the city. I would absolutely travel a greater distance to go to the best hospital. I lived on Long Island at the time, and there were no shortage of hospitals around....but I didn't want just any hospital. I didn't think twice about a longer drive to a better hospital ( not to mention I had a great view from my window over the Hudson, my night time view of the bridges lit up was great! ) . A second opinion is a must , especially when surgery is involved.

 
Old 02-10-2013, 04:28 PM   #22
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Re: xlif for L4-L5 plif for L5-S1

nitzi ~ Welcome to the board.

We weren't questioning why the two procedures for the reason you suggested, but I was wondering why he didn't just do a PLIF for the two levels.

You have a big decision to make. Quite a difference between a multi-level and a one level fusion. Maybe a third opinion??

 
Old 02-12-2013, 01:18 AM   #23
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Re: xlif for L4-L5 plif for L5-S1

[QUOTE=teteri66;5131310]nitzi ~ Welcome to the board.

We weren't questioning why the two procedures for the reason you suggested, but I was wondering why he didn't just do a PLIF for the two levels.

You have a big decision to make. Quite a difference between a multi-level and a one level fusion. Maybe a third opinion??[/QUOTE]

FINALLY got to meet with my doc for.clarification!!!!
It seems he's doing the xlif at L4-L5 and a modified plif L5-S1 because of scoliosis he fell the plif is need and has better access thru the xlif because of the same reason......apparently he will not be usising the large incision that typical goes hand in hand with the plif but rather two small "hole" and instering 4 screws

Thatnk you all for the help and support!
If only my bf could be as nice!

 
Old 06-09-2013, 07:45 PM   #24
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Re: xlif for L4-L5 plif for L5-S1

So, did you have surgery? how did it go? I had an XLIF at L4-L5 and am interested in your experience. Happy to share mine as well if you're interested.

 
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