Spinal Fusion Surgery – Good or Bad Experiences?

Posted by sb6088 @sb6088, Nov 2, 2025

I have degenerative disc disease which is pretty advanced and have been told by several doctors I should have Four-level fusion (L2-S1) surgery, yet I am unsure. I have heard and read so many different opinions on this varying from definitely don’t do it to it has helped a lot. I do understand it depends on the person and how extensive the damage is so I am taking that into account. I’m also very concerned as I recently had a meniscectomy on my knee and ended up with nerve damage which makes me even more fearful about a more invasive surgery.

While I have read a lot about it and met with a surgeon, I am interested in personal thoughts and comments from anyone that has had the surgery and their experience, to those that like myself that are contemplating it as well. I’m really unsure how to proceed at this point.

Thank you in advance.

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@sb6088 I had my fusion L4-S1 in 1990 with stainless steel plates and screws. They have performed very well without any issues. Unfortunately I have osteoporosis and osteoarthritis of the spine. The newer methods are much easier to recover from with shorter hospital stays. Good luck on your choice.

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Profile picture for lkildare1 @lkildare1

I had a thoracic fusion t 8, 9 and 7, 8. It did not help and I have been in excruciating pain for over 20 years. Decided after various other treatments to get the spinal stimulator and it has been the best decision I have ever made. I am mostly pain free my nerves have been angry for 20 years but the stimulator blocks their angry messages to my brain. I was bedridden before the stimulator but now I am able to live again with little to no pain. Hope this helps.

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@lkildare1
Thank you, very helpful. I hear so many stories from people who have had the surgery and they're in more pain than they were before. I am very interested in the spinal stimulator which I have just heard about. Based on what you said I'm definitely going to look into it further. Again, thanks for sharing your experience with that. Gives me some hope!

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Profile picture for jenatsky @jenatsky

@sb6088 I had my fusion L4-S1 in 1990 with stainless steel plates and screws. They have performed very well without any issues. Unfortunately I have osteoporosis and osteoarthritis of the spine. The newer methods are much easier to recover from with shorter hospital stays. Good luck on your choice.

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@jenatsky
Thanks for the info. I'm glad to hear that although you had the surgery in 1990 its still helpful. Does the osteoporosis and osteoarthritis of the spine affect how you feel now, are you in any pain? Even though surgery today is probably better than it was in past years, I'm still scared to have it even though if successful it would probably bring me much relief.

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My OP and OA are a pain. I’m using buprenorphine patch 20mcg as my main pain control. I have Percocet for breakthrough pain but I rarely use it. I instead micro dose 15mg THC and 15mg CBD 3x a day with tincture. I’m an old hippie so this is not new for me. Cold weather, rainy weather, snow, barometric pressure all give me back pain. My saving grace is my joints are fine and I walk daily and now with a cane. It’s no fun getting old when you hurt all the time.

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Profile picture for dlydailyhope @dlydailyhope

@sb6088
I had ACDF surgery on c5-c6 in 2022, decompression/fusion of L3-L5 in 2024 and ACDF c6-c7 in 2025. I have a congenitally narrow spinal canal which causes many issues for me with any degeneration. I am 56 (female).

I may need L2-L3 decompressed/fused (adjacent segment issue) due to severe stenosis. I remember something shifted when trying to rotate sides/rollover in bed and my back twisted about 3 months after my L3-L5 surgery. That seems to have herniated my L2-L3 disc. I may also need surgery again in my cervical spine because something seems to have shifted in my neck and I have new pain. The issue with fusion is that your spine wants to move but not all levels can move as normal. A big missing piece in my opinion is teaching fusion patients how to do things differently and change body mechanics with fusion to reduce risk of adjacent segment issues.

Before my lumbar surgery, I had back/hips/buttocks, legs and foot pain, weakness and numbness affecting my standing/walking (hard to do without symptoms for 5-10 minutes). I had severe stenosis at L4-L5 and neurogenic claudication. It was an extremely painful surgery but many symptoms improved, especially the pain and numbness. I have residual weakness due to long term nerve/spinal cord compression injury and my new severe stenosis at L2-L3.

After my c5-c6 ACDF surgery, my daily headaches, neck/shoulder pain, arm/hand weakness, bladder control issues and heaviness in legs when walking, all improved after surgery. I have residual permanent weakness in my arms/hands due to delayed diagnosis of cervical spondylotic degenerative myelopathy (spinal cord compression injury).

I don’t have regrets getting the surgery and anticipate many surgeries in my future due to my narrow spinal canal. I’m not looking forward to this but do t feel I have much choice. I want to do physical therapy to help regain some muscle strength and flexibility since I have gotten so deconditioned the last 6+ years due to pain/weakness/numbness affecting my ability to do most things.

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@dlydailyhope Did your headaches go away immediately after your c5 c6 ACDF surgery or did the linger for a few months. After a few months my headaches went away but now 7 months later they have returned everyday with no relief other than ice and heat on my neck. It's very frustrating when I wake up in the middle of the night and have really bad ones but to have them now everyday is horrible. I thought once the nerve compression was taken care of they would stop.

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Profile picture for jenatsky @jenatsky

My OP and OA are a pain. I’m using buprenorphine patch 20mcg as my main pain control. I have Percocet for breakthrough pain but I rarely use it. I instead micro dose 15mg THC and 15mg CBD 3x a day with tincture. I’m an old hippie so this is not new for me. Cold weather, rainy weather, snow, barometric pressure all give me back pain. My saving grace is my joints are fine and I walk daily and now with a cane. It’s no fun getting old when you hurt all the time.

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@jenatsky
Does the THC & CBD give you significant pain relief? That's something I haven't tried yet but would be willing to if it was helpful.

My migraines used to coincide with weather changes but I never thought that my back pain may do that too.

I can 100% empathize with your statement about getting old and hurting all the time. Never thought it would be this bad.

Thanks for things to think about!

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Profile picture for mayr @mayr

@dlydailyhope Did your headaches go away immediately after your c5 c6 ACDF surgery or did the linger for a few months. After a few months my headaches went away but now 7 months later they have returned everyday with no relief other than ice and heat on my neck. It's very frustrating when I wake up in the middle of the night and have really bad ones but to have them now everyday is horrible. I thought once the nerve compression was taken care of they would stop.

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@mayr
I did have relief of daily headaches I had from neck and shoulder tension and C5-C6 cervical spine/spinal cord/nerve roots compression. I used to wake up with them every day.

Have you had updated MRI of your cervical spine to see if you have new compression of spinal cord or nerve roots? There is the problem of adjacent segment disease above or below fusion levels. I am having some issues post C6-C7 ACDF and getting a new MRI in early December. My surgery at that level was May 2025.

Have you had a MRI of your brain and seen a neurologist for your headaches?

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Profile picture for dlydailyhope @dlydailyhope

@sb6088
I had ACDF surgery on c5-c6 in 2022, decompression/fusion of L3-L5 in 2024 and ACDF c6-c7 in 2025. I have a congenitally narrow spinal canal which causes many issues for me with any degeneration. I am 56 (female).

I may need L2-L3 decompressed/fused (adjacent segment issue) due to severe stenosis. I remember something shifted when trying to rotate sides/rollover in bed and my back twisted about 3 months after my L3-L5 surgery. That seems to have herniated my L2-L3 disc. I may also need surgery again in my cervical spine because something seems to have shifted in my neck and I have new pain. The issue with fusion is that your spine wants to move but not all levels can move as normal. A big missing piece in my opinion is teaching fusion patients how to do things differently and change body mechanics with fusion to reduce risk of adjacent segment issues.

Before my lumbar surgery, I had back/hips/buttocks, legs and foot pain, weakness and numbness affecting my standing/walking (hard to do without symptoms for 5-10 minutes). I had severe stenosis at L4-L5 and neurogenic claudication. It was an extremely painful surgery but many symptoms improved, especially the pain and numbness. I have residual weakness due to long term nerve/spinal cord compression injury and my new severe stenosis at L2-L3.

After my c5-c6 ACDF surgery, my daily headaches, neck/shoulder pain, arm/hand weakness, bladder control issues and heaviness in legs when walking, all improved after surgery. I have residual permanent weakness in my arms/hands due to delayed diagnosis of cervical spondylotic degenerative myelopathy (spinal cord compression injury).

I don’t have regrets getting the surgery and anticipate many surgeries in my future due to my narrow spinal canal. I’m not looking forward to this but do t feel I have much choice. I want to do physical therapy to help regain some muscle strength and flexibility since I have gotten so deconditioned the last 6+ years due to pain/weakness/numbness affecting my ability to do most things.

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@dlydailyhope
Thank you for sharing your experience with the pain and surgeries you've had and what you've learned from it. That is a great suggestion regarding how its important to teach fusion patients how to move so as not to risk adjacent injuries. It was also interesting reading about the pain you had prior to your surgery as that is exactly what I'm going through right now. I have neurogenic claudication as the pain starts at the top of my leg and goes all the way down to my foot. Just as you described, I can only stand about 5-10 minutes until the tingling/numbness forces me to sit down. I'm happy to hear the surgery worked for you but concerned as you said it was a painful procedure.

I have to say you've definitely gone through a lot with your condition and its good to that for the most part its turned out well. I think physical therapy would also be very beneficial as it does seem to strengthen muscles and help improve movement especially in areas that cause pain. However I'm involved in that now after surgery for meniscus tear and for the back pain but not sure how helpful it is without having surgery to treat the root cause (in the back).

Again, thank you for sharing your perspective as I truly found it helpful. Not a lot of people have a positive experience to share with fusion surgery so I found it very interesting. I hope you stay well and wish you the best with any future issues or surgeries.

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Profile picture for dlydailyhope @dlydailyhope

@mayr
I did have relief of daily headaches I had from neck and shoulder tension and C5-C6 cervical spine/spinal cord/nerve roots compression. I used to wake up with them every day.

Have you had updated MRI of your cervical spine to see if you have new compression of spinal cord or nerve roots? There is the problem of adjacent segment disease above or below fusion levels. I am having some issues post C6-C7 ACDF and getting a new MRI in early December. My surgery at that level was May 2025.

Have you had a MRI of your brain and seen a neurologist for your headaches?

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@dlydailyhope Yes I have seen a neurologist for the headaches and he wants me to take anti seizure meds and yes I have had an MRI and MRA which both showed normal results. I am seeing another spine surgeon tomorrow but I think he will just say he agrees with my previous surgeon since they are familiar with each other. My most recent MRI of cervical spine shows some substantial changes but the surgeon says not to worry about them he doesn't see anything that would cause my new symptoms along with the headaches - heavy legs tingling fingers feet numb neck pain that comes and goes. I am 80 years old and was active and now I find it hard to do anything. About all I can do to take care of daily needs and rest because I get so tired now.

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