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@jenniferhunter

@esouppain I am a spine surgery patient and my issue was a cervical spinal cord compression. Cord compression caused me issues where my bladder would not empty completely on it's own without me forcibly emptying it. I also had muscle spasms shifting my neck and when my physical therapist realigned my vertebrae correctly, my bladder functioned correctly again. This is how I knew that my spine was causing the bladder malfunction. A doctor told me that spinal cord compression can cause incontinence of bladder and bowel, so I was experiencing early symptoms and I did not want that to progress to a permanent problem. I also had an uneven gait and walked with a limp, except when my therapist would realign my spine, I walked normally until the next spams shifted the bones again. The symptoms you describe are all consistent with a spine problem.

May I ask what diagnosis you received from your surgeon? Did they show you the imaging and describe where the problem is? Did your surgeon also have imaging done of the cervical and thoracic spine to see if there were any issues or complications there? That is a good question to ask, because the surgeon needs to discover where the problem is coming from, and if there is more than one place generating the symptoms such as having a cervical cord compression also, then lumbar surgery would not solve the entire problem by missing part of it. That is just hypothetical, since I do not know your situation, but all the problem areas of the spine need to be defined and evaluated. It sounds like an urgent situation and your surgeon wants to decompress the nerves that are causing incontinence. Nerves will die after too much time and too much pressure and this can become a permanent disability. That being said, Spine surgery is a long recovery, and surgery at the lower end of the spine is a tougher recovery than the upper end because you are bearing most of your body weight there.

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Replies to "@esouppain I am a spine surgery patient and my issue was a cervical spinal cord compression...."

Thank you for your reply. My spinal issues are primarily lumbar in nature. The surgeon wants to an L3 laminectomy, bilateral L3-4 foraminal decompression and L3-4 TILF interbody arthrodesis with cage. Posterior approach with allograft and autograft.
The hospital has a good reputation for a rural facility (maybe an oxymoron) but arachnoiditis has been my primary concern recently and they won’t even discuss that possibility. My concern is this particular invasive surgery will do more harm than good due to excessive scar tissue. The myelogram I recently had showed severe thecal compression with extensive clumping of the nerve roots at L3-4 to the point of not being able to see the nerves below this level on imaging. I’m seriously considering waiting for a second opinion from the Cleveland Clinic that is scheduled for December before I make a decision about this surgery. Any thoughts or opinions?