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Posted by Francesca (the real one) on October 12, 2000 at 23:10:22:

In Reply to: Agonizing again!!! another Discectomy..or a Fusion????? posted by Dani on October 12, 2000 at 19:58:34:

Hey girl it depends on what condition the l4-5 is in. If it's in good shape than a doc should be able to tell you that that haveing a discectomy on the other level will be OK. If he feels that l4-5 is not in good shape than he would suggest a fusion. And rightly so because if the l4-5 is bad and he's going to open you up to take care of the L3-4 than a fusion would be necessary because it would only be a matter of time before you would need a fusion because the area will weaken. Why subject yourself to more unnecessary surgery in the future when it can be taken care of now?

The discogram (you have my blessings) should show the doc what condition the L4-5 is in, not to mention an MRI.

Did the doc in Oregon say why he would do a discetomy and not a fusion? Sometimes a doc can't go by just films alone. Although they may be accurate in imaging sometimes it's a different story once a person is opened and a doc is actually in there.

Your doc here seems to have the right idea. Have it all taken care of. I don't know of anyone who's had 2 discectomies and has not had to have a fusion. If it was me and it will be some point in time because the disc below my l4-5 is bulging at the moment and no doubt will herniate also and I will definitely need a fusion to correct both areas. I am in no rush at the moment. I would rely on my docs opinion unless you want to be opened up a 3rd time. Why suject your body to another trauma if you don't? Be well girlie!

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