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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@sassytwo I was wondering if you had this surgery? If so how did it go? This is the exact surgery that was suggested for my husband. I can't find many who have had T12 to S1. Many that have commented did not have the same surgery, so, any information you can provide would be appreciated.

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Hi
Yes, I am almost one year post surgery and doing very well! I walked 3 miles today and provided massage for two clients! What a year, but i have a new lease on life. Definitely still feel
like a recovering back patient but better every month. I am looking forward to bicycling and traveling this Spring. Prior… it was difficult to stand in line at Target or cook dinner.
Feel free to ask questions. I relied on two like spine patients as I went thru my procedure

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Profile picture for klsteffes @klsteffes

I'm a 59 year old woman with scoliosis. I had my back fused from T4 to S1. My surgery was done over three days, an 8 hour surgery through the abdomen, a rest day, and a 10 hour surgery through the back. My surgery was May of 2022. I was also scared of not being able to be active again and it was hard to find anyone that had a long fusion to give me perspective.

My restrictions of no bending, lifting, or twisting were in place for one year. All I was allowed to do was walk. Within 2 months I was able to walk over 3 miles and after 5 months I was able to walk 6 miles, pain free. Prior to the surgery, my back would have started to hurt after about 2 miles. The only thing now that prevents me from long distance walks is time. I also went snowshoeing. That's walking, right?

After one year my restrictions were lifted. I'm now in the rehabilitation stage. This past summer, I was able to ride my bike again. The longest ride was 20 miles. Not as far as before, but it is improving. I didn't have back pain, but I was struggling a bit with shoulders aching and my seat not hitting me correctly. I'll be riding more next summer after I have some adjustments made to my bike. I'm not yet willing to get an e-bike.

I was also able to hike in the mountains (I use hiking poles to help with stability), I'm starting to jog (slowly for short distances), and I'm back at the gym. I also played a few rounds of golf this summer. I can't hit far because I can't twist, but I hit straighter. I've purchased a season pass for downhill skiing, but haven't tried yet...waiting for snow! I'm confident I'll be able to ski, but I know I'll need help getting my boots on and getting up if I fall....don't fall, right?!?

This is a long way of saying, anything is possible. I'm determined to do everything I did before, but it may look a little different. This has been the most difficult and frustrating thing I've ever experienced. Those around me keep telling me I'm doing great. Personally, I'm disappointed that I let the frustration take over at times and I didn't progress as fast as I thought I should.

I have no back pain. I have some discomfort and still feel a little like a spine patient and my shoulders get a little achy and tired.

If you move forward with the surgery, set realistic goals....walk a little more than the day before. I set a goal of walking a 5K under an hour at three months, riding my bike for at least a 20 mile ride, and hiking. I did it!

My goals for the next 5 months are downhill skiing, cross country skiing, jog a 5K, and do 50 pushups the day of my 2 year anniversary.

I wish you luck and encourage patience...something I lack.

Kelly

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@klsteffes Thank you for sharing your fusion story. My husband is already fused T9- S (don't remember the number) with wires attaching to his pelvis. This was a total redo from 4 prior surgeries plus higher. He now has T7-8 and T8-9 with issues and is considering fusion. He is concerned with restrictions - being able to move, drive, bend etc... He is as active as he can be but is in pain. He is now 79 years old. The surgery of 12 hours was done at the Mayo Clinic in Rochester and we think very highly of the surgeon. He has DDD, was in 5 helicopter crashes in VietNam. When he was 60 years old he was told he had the back of a 90 year old.

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Profile picture for sassytwo @sassytwo

Hi
Yes, I am almost one year post surgery and doing very well! I walked 3 miles today and provided massage for two clients! What a year, but i have a new lease on life. Definitely still feel
like a recovering back patient but better every month. I am looking forward to bicycling and traveling this Spring. Prior… it was difficult to stand in line at Target or cook dinner.
Feel free to ask questions. I relied on two like spine patients as I went thru my procedure

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@sassytwo Yay for this positive report! The timeline is helpful. I am at week 12 and frustrated that I can barely make a mile - a really slow mile. I also appreciate that you provided 2 massages! That's amazing! What physical symptoms remain from your surgery? At this point, I still have a lot of swelling on my outer thighs and lower abdomen. It hurts to pull pants over the swelling. I made my own dinner last week and was ecstatic - but felt I was lagging behind in what I should be doing. I have not been out in public except to work a few hours a day 4 days a week. One of my goals this week was to try to go out on a date with my husband. It has been far too long - but I'm not sure if my goals are practical. Do you remember where you were at this point? (I have a t10 to s1 with tethering.) Thanks for any encouraging and even practical news!

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I had several spinal fusion surgeries with the last leaving me fused from L2-L5. Last surgery was about 14 years ago; I'm now 85. Spine was fine and I was essentially pain free for the first few years. The last three years lower back pain has been increasing to where I can no longer walk even a block and can stand for no more than 3 to 5 minutes. Sitting is pain free. I cannot use an upright exercycle because it creates pain. I can walk in a pool or water tank where bouyancy helps. The post-surgery pain that I now have is has been shown on SPECT scan to be coming from L5-S1 and also the R sacroiliac joint (SI). Spine doctor who is very highly regarded says that fusing S5-S1 would be a guaranteed failed fusion and he won't touch it. He has offered a spinal cord stimulator (SCS). I'm on the verge of making an appointment with him to learn more about what he sees as potential pain relief from a SCS, which brand he installs, the success rate he sees, etc. I live by myself and it is now hard to shop and to cook. I have two young women who help me at home; one does cleaning every other week and the other comes 3 hours one day to do what needs to be done. That helps me keep ahead of the worst. But things are getting ahead of me. Pain pills are limited to Tylenol which gives me a few hours a day of relief from the worst, but still is not enough for me to enjoy cooking, laundry, or other tasks necessary for keeping life going.

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Profile picture for eric4727 @eric4727

@klsteffes Thank you for sharing your fusion story. My husband is already fused T9- S (don't remember the number) with wires attaching to his pelvis. This was a total redo from 4 prior surgeries plus higher. He now has T7-8 and T8-9 with issues and is considering fusion. He is concerned with restrictions - being able to move, drive, bend etc... He is as active as he can be but is in pain. He is now 79 years old. The surgery of 12 hours was done at the Mayo Clinic in Rochester and we think very highly of the surgeon. He has DDD, was in 5 helicopter crashes in VietNam. When he was 60 years old he was told he had the back of a 90 year old.

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@eric4727 I think I might have responded to you in a different thread. I really don't have any restrictions. I'm 3.5 years post surgery. I'm finally to the point that most days I don't feel like a spine patient. Good luck to your husband.

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