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Assessing severity of spondylolisthesis

Spine Health | Last Active: Jun 9 11:25pm | Replies (13)

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@annie1 - just wanted you to know I moved your post about severe spondylosthesis here to this thread where others have talked about a similar topic:

- Assessing severity of spondylolisthesis https://connect.mayoclinic.org/discussion/assessing-severity-of-spondylolisthesis/

Hoping members here such as @marlenec @sueinmn will have some thoughts for you on your struggle to find a surgeon with an objective point of view and whether a fusion might be an good next step for you or not.

Have you already visited with more than one surgeon, then, annie1? If so, are their opinions exactly the same, or different?

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Replies to "@annie1 - just wanted you to know I moved your post about severe spondylosthesis here to..."

@lisalucier

Thanks. I have L4/5 stenosis and spondylolisthesis. I anticipate that I will need more intervention than the occasional steroid injection and pt for core strength. I am in NC. Would love to hear from others about the best care and interventions for these conditions. Thanks in advance everyone and good luck.

@lisalucier I can understand your having questions. I am trying to find what I hope to be able to completely independent workup re this awful pain. Having a tough time finding that, or maybe the communication is what I am missing. So continuing to look as I do have choices. It is disheartening I must admit.

@lisalucier
I have seen many surgeons and they all say I need fusion, but they are proposing different types, that is anything from a six hour surgery AlIF and posterior fusion(360) to three level fusion. One well known surgeon who didn't want to treat me because I lived too far from his hospital only proposed two levels.
I am also worried that since I have had stenosis since late 2016 I have caused nerve damage, but I have osteoporosis and in the beginning some of the surgeons didn't even test for that, so maybe it's good I didn't have fusion at that early point. I have been on Evenity now for a year so I would be at the optimal point for fusion, but I still have osteoporosis in some areas.