It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Back Problems Message Board


Back Problems Board Index


I am in my Mid-fifties. Diagnosed in 1998 with L5/S1 Spondylolisthesis (grade 1 - 7mm), ruptured disc @L5 & lumbar spinal instability. First surgery 1999. Posterior spinal fusion @ L5/S1 with pedicle screw fixation, rt iliac crest bone graft. Horrific pain in lower back and sciatica down both legs. Surgery resulted in less pain until 3/4 years later. Back pain was back (no pun intended) worst than before. Went back to both the orthopaedic and neurosurgeons. Many MRIs later, I was told "fusion is solid, there is no impingement. Go see a rheumatologist, Rheumatologist saids can't see anything that would be causing this pain. I started to think think that I was crazy. I had a spinal stimulator inserted. Worked somewhat but not great and only lasted 1 1/2 years. Next step was a morphine pump. My wife did not like the pump idea. Btw - up to this point I had been on 120 mb of Morphine Sulfate IR and 120 mg of Oxycontin and continued to work in an office environment, a 2 1/2 hour commute each way. Was told about some "miracle" docs at the Hospital for Special Surgery (HSS). I setup an appt and was told that I needed to gather as much of my medical records as I possibly could and submit them. Took me a few weeks to do that. A few weeks after that I got a call that the doctor would see me. Saw him and he said that all looked fine on the films and that there is a great chance that the hardware can cause pain. He wanted to have some more tests run.I had Hardware Shots and then a discography @ L4 & L5. Neither test is what I would call fun.The Hardware Shots gave some relief and the discography did nothing. Went back to the doctor and said that he suggests that he removed the hardware. I had 4 pedicle screws and 2 3" titanium rods. My wife and I discussed and decided that she couldn't stand seeing me in so much pain all the time and I couldn't stand being in so much pain. We scheduled surgery for a few weeks away. Surgery was conducted @ HSS in Manhattan. Went to sleep hoping I would wake up with NO pain but would settle for just a little less pain. I woke up groggy and in pain. Since I was on so much morphine up to this point, I had built up a tolerance. They took away the portable device and started giving much higher doses intravenously every few hours. That worked. Once I was somewhat coherent a few days later, my wife told me that the doc was shocked and that the fusion did not fuse at all and the hardware was slightly ajar. This was the source of my pain that the docs said I didn't have. I was then told that I will need an additional surgery to complete the new fusion.The first surgery was a Posterior Lumbar Interbody Fusion. They took the original metal out and put in new (titanium). I was to be operated 2 weeks later. I was in the hospital for 4 days. Just got comfortable and it was time for surgery
#2.Since it was anterior and all of the organs there had to be moved out of thew way. In order to do this, I bowels needed to be empty. So on top of all this, I had to drink that horrible tasting solution and remain near a restroom. It was a HORRIBLE few weeks. The second surgery was an ALIF, Anterior Lumbar Interbody Fusion. They made a 9" incision across my abdomen. They put synthetic bone in a (HAMM) cage and inserted it where the disc used to be. This is called a 360 degree fusion because you are fused on all sides. Recovery was Hell. PAIN, lack of mobility. During the surgeries they did discover that I had severe osteoporosis.Took a good 9 months before I felt somewhat better. Now, its been 2 years and the pain is back. Just had a CT Scan and MRI. The films show mild to moderate and moderate stenosis from L1/L2 to L4/S1.Some are neural foramen, some are facet and some are central canal and some are all 3. Stenosis at L4/L5 is causing impingement of the right L4 nerve root.There is impingement of the right S1 nerve root @ L5/S1. `I had 2 Epidural Steroidal Injections @ L4 bilaterally. Some (15%) pain relief. Having Hardware Shots tomorrow. They will inject anesthesia into the holes where the 4 screws are and if I get relief, they will know that I should get some pain relief from removing the hardware. After this, We go back to talk to the doctor who will undoubtedly say I need more surgery. I will do my best to provide updates. If anyone out there has been through the same, please let me know your current status.





All times are GMT -7. The time now is 12:58 PM.





© 2021 MH Sub I, LLC dba Internet Brands. All rights reserved.
Do not copy or redistribute in any form!