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Is it necessary to have a discogram prior to fusion surgery? My neuro told me he thinks I need a three level fusion and wants to do a discogram and an emg. I really don't want the torture of a discogram. I might as well just get the surgery Thanks
[QUOTE=lobster327;2770027]Is it necessary to have a discogram prior to fusion surgery? My neuro told me he thinks I need a three level fusion and wants to do a discogram and an emg. I really don't want the torture of a discogram. I might as well just get the surgery Thanks[/QUOTE]




I went to a consultation with a spine surgeon in december 06, he was talking about a 4 level fusion but wanted me to have a discogram Dec. 22 06 I had the seven level discogram, on Jan. 4- 07 I got the results of my discogram 6 out of seven were not good he wanted me to have another discogram and keep going until they found a good one to stop the fusion at, they did 5 more levels stopped at t-7 and still didnt find a good one now he wants to put in rods all the way up to t-4.
I'd have the discogram - you want to be really sure they're doing the right thing in surgery. I'm sure you're tired of the pain, but maybe if you think of this as insurance that the surgery will be effective... Mind games, I know... :)
Yeah, I'd get the discogram as well. In fact, I did and it turned out all 3 levels were bad. So, I would go through with it and make sure that all levels are really necessary.
A discogram is not "required" but preferred prior to getting a fusion. You don't want to fuse a disc that is not causing you any pain.

I have a bulging disc, l5/s1, that 4 doctors thought was causing my pain for 3 years. My last surgeon did a discogram to make sure that is what was causing my pain and IT WASN'T! It turned out that l4/l5, what appeared by MRI to be a relatively healthy disc, was severly torn and had nothing left inside it and just a shell. It was about the collapse, but on MRI.. looked ok.

I am now fused ONLY at l4/l5 and not at l5/s1--where my bulging disc remains (& has been since age 18) and I am now 45.

Hope this helps you to understand how important the test is.

Yes if any of those discs cause pain.. it really hurts, but it's worth it do surgery on the right discs.

All the best to you. Tammy:wave:
it is kinda the last step before determining if fusion is right for you. I had two bad out of three. So, for me it was necessary and it worked :) It is the one way to be sure the discs are to blame and not something else.
Good luck to you-they suck but atleast you'll know!
I have never had one and my ortho told me that it wasn't necessary. I have a feeling this time though that he will change that stance. I hope not, they sound horrible.
Hi Just... so let me see if I understand... I do not really have any pain in my back, leg or foot... but I do have significant numbness in both my feet & I can feel pressure on my right sciatic from the butt to the toes.

So the discogram checks to see if you have pain in your disc?

I have had an MRI & EMG to date (MRI impression shows bulging & protruding discs L3 to S1 superimposed over a congenitally slender lumbar spinal canal & assoc with facet spondylosis resulting in extra dural defects) (EMG impression shows bilateral L5-S1 radiculopathy with moderate spinal stenosis causing possible early sensory neuropathy).





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