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Third opinion by surgeon.


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Old 09-19-2017, 12:52 PM   #1
martinb3152
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Third opinion by surgeon.

Went and had a third opinion by a spine specialist in SF. And this surgeon requested a Catscan in which the other two surgeon did not. What i seen on this Catscan is that i have a broken disk down by L5/S1. My L5 disk is slipped back so far it's really pressing against the nerve roots. He also told me when I asked him whether he would go through the front and back for the fusion, that he would only go through the back. I like the idea of a less invasive type of surgery, but a little concerned about whether he could give me a good fusion by just going through the back. What is the consensus here. Have most of you that have had a fusion operation had a 360 degree surgery or the less invasive surgery through the back? Anyone jump in and please give me your experience and the outcome of the surgery.
thanks,
Martin

 
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Old 09-19-2017, 01:24 PM   #2
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Re: Third opinion by surgeon.

Would this surgeon also fuse from L4-S1?

Did the ortho spine surgeon you liked want to fuse from both anterior and posterior?

 
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Old 09-19-2017, 05:49 PM   #3
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Re: Third opinion by surgeon.

[QUOTE=teteri66;5469002]Would this surgeon also fuse from L4-S1?

Did the ortho spine surgeon you liked want to fuse from both anterior and posterior?[/QUOTE]

The second surgeon that I liked wanted to go through the front and the back. He said that is the only way to get a good fusion. The third surgeon just wants to go through the back. He said it would fuse and that it would be actually harder to go through the front for my particular case.

I saw the Cat Scan. It's clear as night and day that the L/5 disk is slipped way backwards and that and also the nerves that come through the tiny holes in the vertebrae are being squeezed off. Sorry can not remember the
terminology to describe these conditions. I am leaning towards the third surgeon for a Posterior surgery. This would be L4/L5/S1 fusion.

Last edited by martinb3152; 09-19-2017 at 05:51 PM.

 
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Old 09-19-2017, 08:17 PM   #4
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Re: Third opinion by surgeon.

The condition you describe that you saw on the CT scan was indicated on the MRI report. It is a spondylolisthesis (slippage) and where the nerves are getting pinched off, it is called stenosis.

I am fused from the posterior only (2010) from L3 to S1, and it has been fine. It can be dangerous going in from the front because you have to work around major organs and move major blood vessels. But the 360 fusion is the most durable as it is reenforced from both sides. Not that many surgeons do it any more except in certain cases, where it remains the best way.

Were you able to find housing? When can they do the surgery?

 
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Old 09-20-2017, 03:28 PM   #5
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Re: Third opinion by surgeon.

[QUOTE=teteri66;5469034]The condition you describe that you saw on the CT scan was indicated on the MRI report. It is a spondylolisthesis (slippage) and where the nerves are getting pinched off, it is called stenosis.

I am fused from the posterior only (2010) from L3 to S1, and it has been fine. It can be dangerous going in from the front because you have to work around major organs and move major blood vessels. But the 360 fusion is the most durable as it is reenforced from both sides. Not that many surgeons do it any more except in certain cases, where it remains the best way.

Were you able to find housing? When can they do the surgery?[/QUOTE]

Yes, I was able to find suitable housing in which I think we will be there for awhile. At least a year in which would give me enough time to heal. I am just still undecided to go with the 360 fusion or just the posterior type. Being a drummer and picking up drums and some things weighing as much as 60-80 lbs, would a single fusion hold? The surgeon who wants to go through just the back side said I probably shouldn't pick up more than 30 lbs. for the rest of my life with this surgery. I don't know if that would be the case with a front and back surgery. But I believe I remember the other surgeon saying the same thing. I would just have to find another way to maneuver my drums around. Asking for help from other musicians, ect...

There is nothing stopping me right now except to decide on which of the two to do this. What I like about about the third surgeon is that he would do the surgery right in San Francisco. The other would have to do it 45 miles south in San Jose in which is a major pain for me. I also like the idea of maybe having a faster recovery with the surgery going through the back. Most likely I am going with door number 3...martinb3152

Last edited by martinb3152; 09-20-2017 at 06:44 PM.

 
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Old 09-25-2017, 09:07 AM   #6
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Re: Third opinion by surgeon.

Assuming that the surgeons' education and training is more or less comparable, and you've checked out background information concerning past lawsuits, etc., I would go with the one you are most comfortable with. Different factors are important to different people. For example, there was a surgeon in a university spine program that I liked, but eventually decided it was too inconvenient to drive back and forth every time I needed to see him...80 miles one way. So I went with a local guy who I felt had comparable credentials. As a matter of fact, he just did a third surgery Friday morning!

Regarding which procedure--it is probably not a good idea to lift that much weight on a regular basis regardless of whether you have a PLIF or an ALIF-PLIF procedure. You may need an assistant to help you.

 
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