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I am contemplating S1-L5 lumbar fusion. Outcomes thoughts

Spine Health | Last Active: Jun 15 10:41am | Replies (47)

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@tony1946

Dear Fellow skier
Some thoughts!
I’ve decided I must get surgery. Like you I am a dedicated skier, trees, bumps and heli skier. My #1 passion. 78yo
I know we can both ski after surgery; it’s a matter of how and how well. I will ski after my extreme stenosis in L345 is decompressed. I will not play golf; too hard on the lower back.
My question is will I jump back into bumps, trees and steep or cruise. I always skied the edge short swing and bumps. That kind of skiing is much harder on the spine than GS or medium radius turns on groomed trails. So as a completely unqualified guy giving you an opinion; you know you will get it done sooner or later. You want to ski again like me; I’m sure you see my point as an instructor.
Just sharing my thinking on skiing and surgery.
I am confident
78 with extreme stenosis I will ski again I missed last 2 years. Getting decompressed this fall (Sept ), will work hard to be ready to ski the 25 Season. From my reading what you get is what you get.
Sounds like you’re in a similar situation where you haven’t skied recently but are not ready to give it up. That’s my deal.
Now the spine interferes with my fitness and training off season, that is unacceptable.
Good luck I’m going down swinging.
My neurosurgeon recommended decompression and coflex . It’s like fusion but flexes. I did research didn’t like the metal options . He agreed to do a hemilamenotomy or partial Laminectomy. It leaves your spine stronger than the full one and should receive the stenosis pressure. Depending on your symptoms the hemi can work unless you have lower back pain as a major complaint. My surgeon did say it could work for a while but a fusion might be needed later. I have heard so many bad stories on spines surgery I’m thinking less is more. Somewhere in the 30-50% revisions or reduces are needed. Recovery from fusion is considerable. I do doubt myself sometimes. This spine surgery as my Neuro Dr says is very individual and no gaurantees.
Good luck , if your losing fitness,
like me due to pain, it’s time!
Tony

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Replies to "Dear Fellow skier Some thoughts! I’ve decided I must get surgery. Like you I am a..."

I agree with you, Tony. Lumbar fusion results are very individualized. It can be really helpful or it can change completely your lifestyle. My first fusion was on L4-L5 in 2021. It did not help my pain. Pain and inability to be active was my major complaint.

I had my second fusion in July 2023. Different surgeon, he revised and removed the screws from the prior surgery, then extended it down to L5 – S1. It was minimally, invasive, supposed to be quicker recovery time. I did nothing but walk for three months wearing a brace. I feel it has help me a great deal, while my pain is not gone, my ability to move around is much better.

Unfortunately, now my neck is giving me a lot of trouble due to my increasing my activity. At 71 years old, I’m not ready to just sit. I want to be active, I want to go, bike riding, hiking, kayaking!
That may be unrealistic, but I’m going down fighting as Tony says!
Good luck with your decision, above all, choose a great surgeon