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  • lumbar decompression L1-L5

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    Old 01-09-2005, 07:32 PM   #1
    NYFUSED
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    lumbar decompression L1-L5

    Hi,
    Anyone out there that has had a L1-L5 decompression?? I have had a lami at l4-5 in 2001. Now I have stenosis the entire lumbar spine. I am worried about instability and possible fusion while the decopression is being done.
    Thanks

    Lori


    lami l4-5 2001
    acdf c5-6-7 2002
    post. lami-foraminotomy c6-7 2003
    revision acdf c5-6-7 with new acdf c4-5 2004

    t11-t12 herniation w/o cord compression
    c2-3 bulge with stenosis
    c3-4 stenosis

     
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    Old 01-11-2005, 09:01 AM   #2
    flyonthewall
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    Re: lumbar decompression L1-L5

    I had a laminectomy at L4-L5 and because of instability I was fused from L3-S1. My surgeon mixed the scrapings from the laminectomy and BMP and put it on sponges on either side of my spine. I also have 2 rods and 8 screws. If I were having your decompression I would want the fusion, too.
    fly

     
    Old 01-11-2005, 03:55 PM   #3
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    Re: lumbar decompression L1-L5

    Fly,
    Could You Give Me Your Reason Why You Suggest Getting A Fusion. I Have Heard So Many Bad Stories In Reference To Failed Fusions On The Lumbar Spine. I Am Fused At C5-6-7 ( 3 Surgeries Later) And Have Not Had Good Luck With It. I Am In More Pain Than Before And Again The Domino Effect Has Gotten Me At C3-4. I Am Very Worried About That With My Lumbar Spine. If They Fused L1-l5, I Would Then Have To Worry About T12, T11 Which Is Also Currently Herniated W/o Cord Compression.
    Any Advice?????


    Lori

     
    Old 01-12-2005, 04:00 AM   #4
    flyonthewall
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    Re: lumbar decompression L1-L5

    Lori, L1-L5 is an awfully big area to have thinned by decompression. What's going to be holding you up? I would question any surgeon who wouldn't do a fusion at the same time. The odds are you would be right back for the fusion. Your best bet would be an orthopedic SPINE SPECIALIST! You need a surgeon with a spine fellowship! And the surgeon will decide how far to go after he gets in there.
    fly

    Last edited by flyonthewall; 01-12-2005 at 04:02 AM.

     
    Old 01-12-2005, 08:54 AM   #5
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    Re: lumbar decompression L1-L5

    Fly,
    I am currently under the care of a orthopedic spinal specialist. He is 1 of the top ten surgeons in the US. I was told on the phone that after the decompression was done if the surgeon felt a fusion was needed for instability, it would be done. That is what I dont want.... another fusion. This is my enitre lumbar spine. What kind of ROM will I have? Was your fusion succesful??? How was your recovery?
    I also need to find out what is causing the stenosis. I also asked if a laminectomy was being done and was told NO. How on earth do they get into the area without moving bone/lamina?

    Thanks for your help
    Lori

     
    Old 01-12-2005, 12:11 PM   #6
    flyonthewall
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    Re: lumbar decompression L1-L5

    Okay, I feel a little better about where you are. I had a laminectomy and a posterior fusion from L3-S1 with BMP on sponges. I have 2 rods and 8 screws but he didn't touch my hip. Pre-op I could hardly walk but I didn't have constant pain. Post-op I'm doing great at 7 months. I haven't had any pain meds since I've been home. I was driving at six weeks and I started therapy and going to the Y at three months. My surgeon was two years off a spine fellowship.
    fly

    Last edited by flyonthewall; 01-12-2005 at 12:30 PM.

     
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