Doctor recommended l4-5, l5-s1 fusion. What'll my life be like?

Posted by reidy @reidy, Feb 16 11:00pm

I am 80 years old.Whats my life going to be like.

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Profile picture for bassetmom @bassetmom

@abettera1961 Brian, if you are going to Northwestern anyway, perhaps you could make an appointment with Dr. Tyler Koski, neurosurgeon. I have heard he is excellent. Maybe he could give you a second/third/fourth opinion. I don't think it could hurt considering all you have been through and are facing.

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@bassetmom ty makes sense

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I just joined this conversation, am I allowed to post a conclusion of my CT scan?

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Profile picture for rdg60 @rdg60

I just joined this conversation, am I allowed to post a conclusion of my CT scan?

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@rdg60 - of course. If you can paraphrase in lay language, all the better.

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Mine was great. I was 61 when I had it. Took 5 months to heal and one year to forget I had it. Now, 8 years later I'm looking at going back for more. Ask your doctors team to tell you what the other surgery results are like. Depends on how active you are and will be in your own recovery - and exactly what they are fixing.

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Just found out about this string of chats. I noticed that you posted your inquiry on Feb. 16. Did you have the surgery? If so, how have you been doing? Is life what you expected it to be post-surgery? Are you glad/not glad that you had the surgery?
I'm 79 yrs. old and on March 23, 2026, I had T10 pelvis fusion with L4-L5 transforaminal lumbar interbody fusion and L5-S1 transforaminal lumbar interbody fusion with S2AI screws (pelvic fixation). I'm adjusting to the permanent physical limitations and figuring out "work arounds". Working toward a return of daily 4-mile walk by the time of full recovery (2 years). Began driving again in mid-July but cautious about driving interstate highways (I-70, I-25) because of inability to turn head to look behind for oncoming cars--I must rely on rear view and side view mirrors and car sensors. So, I take the long way through city streets for some appointments. Perhaps I'm being overly cautious, but I'll never get back on my bicycle or go tubing on the river in the summer. There was too much work done on my spine to risk injury. Basically, I'm living a new "normal" way of life. I'm happy to be alive no matter what new challenges come my way.

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Didn't work for me unfortunately second opinion is a good start

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I had L3-S1 laminectomy and fusion on March 30 this year. I am 78 and doing great, no problems at all. Feeling so much better that I keep forgetting I had the surgery. Since I am still not fully healed I still have some lifting restrictions and cannot do repetitive bending yet. I have my 6 month check up the end of this month and I fully expect that all is well with my hardware. Life does not have to change much after this surgery. Make sure you have the best orthopedic spine surgeon you can find. Have you had the surgery yet?

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@heyjoe415
You are so lucky. I had a laminotomy at L 3 4 after almost 6 years of stenosis when all the surgeons were saying I needed fusion I refused and finally found one that would do the laminotomy only. The only problem is that it didn't last. In fact the pain I had only went away for about 2 months. Then came back. Now they're saying I have to do the fusion to get rid of this atypical pain which is throbbing in my calf muscles after I walk even if it's very short distance like from the kitchen to the window. I am afraid of the fusion still but just throbbing is driving me crazy. The only thing that helps me is oxycodone and I don't know if I could stay on that the rest of my life. Any feedback? I'm fairly strong in my core but I don't actually spend that much time on it every day. I go swimming once or twice a week and do physical therapy once a week. I don't know if good compression I have would be helped at this point even if I did core exercises 3 hours a day.

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Hi Annie,

Just checking in to see how you are doing.

All the best.

Joe

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