Choosing a spine surgeon
I have a problem in that I have interviewed many surgeons and there are at least two who have very good reviews and I'm having a hard time deciding who to go with. One of the surgeons had one bad review out of all good reviews. The other one had no bad reviews at all. I had a minor surgery/decompression with one of them that was successful only for 4 months and then my symptoms came back. He's very likable guy has great reviews and would do the fusion but I am a little worried since the first time it didn't really stick. It's very hard to decide since I already have a relationship with him and I do like him. Can anyone identify with this kind of dilemma and share a way to choose which surgeon to work on me? I keep getting more recommendations also which you and makes it more complicated.
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@jenatsky
Hi,
Was it you that had surgery at Northwestern for twitching, throbbing etc. ? Someone on here told me the name of the surgeon at Northwestern that helped them, with osteoporosis I believe also and now I can't find that message to me. If it was you please send me the dr's name again.
Thanks so much
@annie1 I’ve had osteoporosis and went through 2 separate lumbar fusions, one in 2021 for L4-5, and one in 2023, a revision to the prior one, then extended to L5-S1.
Initially the last one was successful, but a year later I experienced pain again in my left hip area, extending down the left leg with pain numbness, and pain, burning and numbness in both feet.
This pain coincided with severe pain in my neck when I started riding my bike, which I thought was the cause. I went through PT, ablation and nerve blocks on the neck for months. It was my cervical area causing the problems. I went to a new NS after all these tests, MRI’s, SPECT scans, to a well respected doctor here in my city. He told me I needed a 3 level anterior fusion, C4-7. I went through this in July, unfortunately one of the screws loosened and 8 weeks later I had a posterior fusion after removal of the front hardware. The consensus was the hardware was defective, because I was the 5th patient this happened to in the past year and there’s been a problem with equipment ever since the pandemic. Scary thought, but everything changed then.
They did not think this was caused by my osteoporosis, and now it’s been about 12 weeks since the last surgery and it’s holding up, I am healing, although it’s slow. The pain has been much worse than the anterior fusions, because they cut through muscles in the shoulders.
But what is significant is my pain in my left hip area seems to be gone.
Choose your surgeon carefully. But you can have a successful recovery with osteoporosis.
My osteoporosis has improved over time, my last scan showed a slight improvement to osteopenia, I only took supplements and ate well.
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1 Reaction@annie1 not I Annie.
@sherrym25 I'm curious as to how bad your back was before your recent surgery. If you have had the surgery, what was the scope of the operation, how complicated and risky, and was it the sum total of 9 days that you were out of commission and recovering?
How is the recovery going so far?
@jenniferhunter
I am frustrated with not getting direct answers from any of the surgeons I have consulted about their complication rate. I saw the head of spine surgery today at a notable hospital in NYC and asked him how many patients with similar symptoms like mine and osteoporosis that he has done fusion on and he said he couldn't remember any. He said he's done about 1,000 fusion surgeries in his career. Another surgeon also said he has had "none." Can anyone tell me how to get the real numbers from these guys ? The former surgeon I mentioned was recommended here by someone, although that person didn't have osteoporosis.
@ga29
can I Ask who was the surgeon and where in the country?
@annie1 The best I can tell you is to keep your question about statistics more general, such as what is the success rate for this procedure for a person with my health conditions that includes osteoporosis? You may want to see a specialist who also considers osteoporosis as part of the treatment plan. I do know of a surgeon like this, only because another member had seen this surgeon and confided that information with me. I don't have experience with him, but I will share his information.
https://www.massgeneral.org/doctors/19982/stuart-hershman
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2 Reactions@jenniferhunter
Jennifer I am very grateful that you sent me that link. He sounds like a great surgeon for me to see. I'm excited now after listening to his video also. Thanks again and happy holidays!
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1 Reaction@annie1 my NS is located in FL, He’s with a group and has excellent reviews.
My first fusions were done in Jacksonville FL, by two different surgeons ( I changed when the first one retired, for my revision surgery and extension down one level.)
But I grew frustrated with the second NS, his lack of interest in helping me; he never showed me my MRI or Spect CT results, never went over them with me.
They ordered more tests, so instead I consulted a neurosurgeon in Daytona Beach, who scheduled me within six weeks of the consultation. First, he sat with me and showed me on those same MRI and CT Spect images, my bone on bone, on multiple levels, the bone spurs, all the damage. He also did a physical examination, which I had not gotten previously. You know, with the little hammer on the knees and ankles, testing your reflexes!
Having said all this, I don’t know his history of helping patients with osteoporosis, or his stats.
I relied on the referrals of people I knew; even our cardiologist, when I went for my six month checkup, commented positively about him and his associates.
I would urge you to consider the reputation of the surgeon you choose and do some reading about your medical history, condition, and your chances for success in recovery.
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1 Reaction@annie1 I hope your holidays were good. I hope you get what you need and this new surgeon works out for you. Thanks for you kind words.
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