questions re type of surgeon - Spinal Cord Disorders Message Board

StillWater · 06-28-2003, 04:31 PM

I have spinal stenosis at the L5/L6 level. I just had a myelogram and nerve conduction tests. The orthopedic dr says I need immediate surgery with (I don't remember the term) cutting away whatever is pressing on nerves and fusion with a metal plate and screws. I do have considerable pain down my legs, but I really want to avoid surgery, at least for now. I have a couple of questions that someone here may have answers or at least experienced opinions on. What I read on the internet seems conflicted as to whether an orthopedic surgeon or neurosurgeon is best. I definately want a second opinion. Can I get one from both kinds of specialists? Does that seem reasonable?

The myelogram I had caused severe (like a 12 on a 1 - 10 scale for pain) down my legs toward the end of the test, and for at least a couple of hours afterward. I usually handle pain pretty well, but that was horrible. There was some pain at the site of the injection of the dye, and some burning there, but it was tolerable. The pain down legs was not. I'd be interested to know if others have experienced that. No one I've talked with (in real life or online) had that pain.

Thank you.

lifeonhold2003 · 06-29-2003, 08:14 AM

I don't know what the norm is on who does what surgery. My NS is affiliated with the Leatherman Spine Center in Louisville, KY. When they do the surgery, they team up both a spine specialist (Ortho) and a Neurosurgeon. I believe this is a win-win situation for the patient; however, not for the insurance co.

In my case the NS did 90% of the surgery. The Ortho put the Titanium plate and screws in. You actually see both for pre and post surgery visits. My Ortho will take the x-rays in his office to check the hardware.

As far as the Myelogram - you can see my post re: Read prior to having a Myelogram for my experience with this. I didn't have a good experience with this last one, which was done post-surgery. It's been about 4 wks. and I'm still having pain in my lower back and left leg, particularly after walking for any length of time.

I hope this helps.

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AKA: Julie

4/23/03 - Anterior Cervical Discectomy w/Fusion C5/6 - donor bone with titanium plate, 4 screws, no collar post-op