Doc recommends spinal fusion from T12 - S1.

Posted by sassytwo @sassytwo, Dec 2, 2023

66 year old female Considering spinal fusion from T12 - S1 for pain standing and walking. Has anyone had this full lumbar fusion? I am concerned for permanent restrictions or loss of mobility post surgery.

I am active and very social. Looking for what I can expect for future life mobility restrictions as I weigh whether to move forward with this surgery. I would like to hear about your post surgery experiences as I weigh my decision, understanding healing is a very individual experience.

I believe I am at the tipping point and am moving towards surgery, if I can live with the restrictions and if I will be able to acclimate to my body new abilities and be active WITHOUT pain.

Prior Micro discectomy L2 - L3 in 2015.

Pain again about 2018 and has progressed to not being able to stand more than 20-30 minutes nor walk more than a mile. Significant pain when I do either of these things....cooking....walking to an event....putting on make up.

Once I sit, fortunately the pain lessens and eventually goes away. I can sit hours mostly pain free and laying down and sleep without pain.

I had to use a wheel chair to tour a museum with friends and find I am not doing things I want to do to avoid hurting which indicated to me that I should stop kicking the can down the road and consider more surgery.

I was surprised with this full lumbar fusion recommendation and did not realize how restrictive my life will be permanently. I am confident in my surgeon and do not feel pressure to move forward with surgery.

I bicycle 60 miles a week pain free (sitting) and it is my go to escape and exercise. I will be most unhappy if I am not able to bike. Anyone a biker

I am a massage therapist and I have stepped away from work except one worksite client. I golf and exercise and am social. Travel and site seeing is painful, but I do it anyway.

Any new treatments on the horizon? Concerns if I wait to have surgery?

My MRI reports.
1. Progressive moderate levorotoscscoliosis centered at L2, which measures 30 degrees and previously 18 degrees in 2015.
2. Progressive degenerative disc disease in the right half of L2/L3 disc space.
3.At L2/L3, previously noted right parcentral/posterolateral disc herniation has been relaced with moderate-sized osteophytic bone ridge which narrows the right lateral recess and results in mild to moderate right foraminals stenosis.
4. At L4/L5 and L5-S1 mild to moderate broad-based left paracentral and Posterolateral disc bulge/herniation relusts in progressive moderate to advanced left foraminal stenosis.
5. L3-L4, mild multifactional central spinal canal stenosis due to posterior disc bulge/herniation, bilateral facet arthropathy, and ligamentum flavum thickening. Mild-to-moderate right foraminal stenosis. This has progressed.

Thanks in advance for any information you are able to share. Tamra

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@ardeecor That’s quite a compliment! You made me giggle! I didn’t go to medical school, but I was a premed biology major and later changed my mind. I worked in research at a university for a neuroanatomist for a few years. When I became a spine patient, the surgeons I consulted missed my correct diagnosis. I spent 2 years trying to get a surgeon to help me and I was looking up everything on my imaging reports online and watching a lot of videos of spine surgeons presenting cases at conferences so I learned a lot about what they were looking for and the differential diagnosis that could be something else. I was also looking for the next surgeon to consult and reading their papers. That lead me to my correct diagnosis that 5 surgeons missed because I looked up a term in that paper. From my education, I understood most of what I read in research papers and I looked up what I didn’t understand. I was also in physical therapy for my cervical issues and getting direct feedback and discussing it with my PT. I knew when surgeons were dismissing the clues in my symptoms because they didn’t understand why. I was dismissed by 5 surgeons. When I looked up that term, “funicular pain” I found other similar medical cases like mine described as “rare.”

Some of my understanding of medical issues is my science education, also art school and a 3 dimensional understanding of anatomy and caring for aging parents and advocating for their care. I have copies of my imaging and have been able to find the issues with spinal discs and bone spurs. When you scroll through an MRI you are looking at a series of slices of a 3 dimensional image.

It’s all of that and creative out of the box thinking always asking why something happens and its relationship to what I was doing and my body position at the time. I was tracking all of that on body diagrams and drawing my pain pattern. That was enough to scare a surgeon out of helping me because he thought I had an inflammatory problem causing the symptoms. The medical paper with the term was coauthored by a surgeon at Mayo. I knew he would understand that condition and with my request for an appointment, I included a copy of the case reports I found. At last, I found a surgeon who understood my case and I hired him. That’s why I share my story because it is so difficult to be a patient dismissed by medical specialists.

That might be more than you wanted to know. If I had gone into medicine, I probably would have been a surgeon. I forgot to mention the fellowship I received from the American Cancer Society when I was in high school. I studied along with resident doctors in the pathology labs at a hospital for a summer. That let me see actual diseases in organs which was very interesting and learn tissue processing with the electron microscope. That experience led to my lab assistant position later at the university.

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@jenniferhunter If it were up to me, I’d have you awarded a double-board certification.
The thing about surgeons of any type: IMHO 99% of them come with this built-in arrogance. It gets translated to the patient as: “see, I got the degree, the experience, and the reputation, so do not fuck with that because then I cannot bill you.”
In my first post, I failed to mention that I did go to a fairly well-respected orthopedist, a current disk of my CT scans in hand (yes, sliced up like a pork roast!).
He took one look and said ‘there is nothing I can do for you.’ THEN he said “I cannot help you with pain problems “ (meaning he was not going to prescribe pain meds) (I already had a current pain dr and had not mentioned this to him.)
The Draconian Controlled Substance Laws in California have got the doctors and pharmacies by the balls-to the point even a pain specialist is afraid to prescribe anything stronger than Tylenol.
At any rate, I think you must have enough under your belt to score an MD.
Cheers!

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Profile picture for rwdixon4 @rwdixon4

@rwdixon4 This was not Dec 2, 2023 it was Sept 29 2025 ? ? ? I am now scheduled for Jan 7th at Mayo Phoenix.

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@rwdixon4 That’s great news!!

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Hi I was 58 (female) when I had surgery T 4 - S1. Before surgery I couldn't walk more then a few feet stand a few mins. Its been just over 2 years. And I am great I can walk stand etc. The only restriction I have is my back doesn't bend. Like I can't do a sit up I can't curl. But your surgery is only from T12. Sorry I can't tell you about riding a bike. You'll probably have to work up to it. Just keep up with the PT after. But it was worth it.
Good luck
Kathy

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I had thoracic fusion at T7-8, 8-9 it failed my pain was so bad I had to be in a wheelchair because standing and walking were excruciating. Recently I went to the pain doctor who was not afraid to give me the medication I needed but he also suggested getting a spinal cord stimulator placement. I was nervous about that but was so desperate I tried a week long trial and very little to no pain!! Didn't need the medicine! I could walk and stand which I haven't been able to do in years. I opted for permanent spinal stimulator placement and have been going strong ever since. No medicine needed. Mine is made by Abbott Laboratories. Have the Doctors mentioned this option to you? Hope you feel better soon and get a successful outcome whatever you decide to do

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