Lumbar Spinal Stenosis---surgery questions

@northstar25
I can empathize. I have the same as you and had surgery to decompress and fuse L3-L5. My surgery helped me reduce back pain and weakness/numbness down to my feet. My L4 was also slipping over L5 and this level was totally blocked (causing neurogenic claudication).

For my surgery, they went through the back only. They had to remove discs, cut away arthritic bone that was compressing my spinal cord and nerve roots, put in disc spacers and hardware. It was a really painful surgery and 3-6+ month recovery (takes a full year to see the full effect of surgery and reduction of symptoms). I am in my mid 50s and had 2 cervical spine ACDF surgeries and 1 lumbar open surgery.

Did they say why they would go through your stomach and back and why they couldn’t just go through your back? You should get a couple more opinions from reputable and highly reviewed/rated surgeons before picking one. My 4th orthopedic spine specialist surgeon is who I chose to do all 3 surgeries.

How long have you been suffering? Did you try physical therapy and steroid injections?

@northstar25
I can empathize. I have the same as you and had surgery to decompress and fuse L3-L5. My surgery helped me reduce back pain and weakness/numbness down to my feet. My L4 was also slipping over L5 and this level was totally blocked (causing neurogenic claudication).

For my surgery, they went through the back only. They had to remove discs, cut away arthritic bone that was compressing my spinal cord and nerve roots, put in disc spacers and hardware. It was a really painful surgery and 3-6+ month recovery (takes a full year to see the full effect of surgery and reduction of symptoms). I am in my mid 50s and had 2 cervical spine ACDF surgeries and 1 lumbar open surgery.

Did they say why they would go through your stomach and back and why they couldn’t just go through your back? You should get a couple more opinions from reputable and highly reviewed/rated surgeons before picking one. My 4th orthopedic spine specialist surgeon is who I chose to do all 3 surgeries.

How long have you been suffering? Did you try physical therapy and steroid injections?

I’m so sorry to hear about what you’re going through. I’ve had two extensive Lumbar Spine Laminectomies and Fusions, plus spacers and rods. I only have one Lumbar disc yet to be operated on, plus a lot more up my spine, but you get the point.

The first thing I would tell you is that I’ve interviewed orthopoedic surgeons and neurosurgeons for my surgeries and I would always choose a highly-regarded neurosurgeon over a highly regarded orthopoedic surgeons. There are two reasons for this: 1) Am orthopoedic surgeons is more highly trained in matters pertaining to your spinal chord and central nervous system - where there is the most risk in an operation on your spine, and 2). A neurosurgeon has much more extensive and intricate training. If a neurosurgeon, heart surgeon and orthopedic surgeon are in an operating room together, the neurosurgeon is always the leader for just this reason.

Next, I’d want to know if your lumbar spine pain is affecting the functioning of your arms, legs, or other parts of your body outside of your spine. My neurosurgeon decided to operate on me the first time because my right leg/hip wasn’t functioning and made if difficult to impossible to walk, depending on the day. My second surgery took place only after my right leg and hip made had me limping severely and my right glut was in non-stop spasm. I’m not a doctor, but I do know that my neurosurgeon (and many others) do not operate on people with back pain alone. (I believe one-third of adults in the US report back pain.). I’d still see a neurologist associated with a practice that includes one, or more neurosurgeons. My bet is, though, that they’ll prescribe alternate, non-surgical forms of treatment.

One more note: please be cautious about neurologists, surgeons, or pain management doctors who prescribe opioid-based pain meds any more than short-term (30-60 days). Even if you’re awaiting surgery, opt for non-opioid spinal injections first. They can be remarkably helpful.

Hope this helps! Good luck!

Hope this is helpful. I am retired operating room scrub nurse. By going through the abdomen and securing the spine is what we called a “360.” My guess is that your spine needs much stabilization. Here is what I found on the Internet for you to help you understand: A 360 lumbar fusion, also known as an anterior/posterior lumbar fusion or circumferential fusion, is a surgical procedure that stabilizes the spine by fusing vertebrae from both the front (anterior) and back (posterior) of the spine. This approach is often used for patients with significant spinal issues like degenerative disc disease, spondylolisthesis, or spinal deformities.
Hope this helps.

Is the 360 lumbar fusion also used to repair Scoliosis? Do you know or have you heard any feedback on Scoliosis curve with a severe rotation in the trunk area ? Once the scoliosis Curve is repaired Does a trunk rotation D rotate at all ?
Is the 360 lumbar fusion also known as a LLIF Lateral Lumbar Interbody Fusion ? I've had this done on L3 L4 & L4 L5 I have a kyphoplasty in L2 that was crushed after the kyphoplasty can this be bridged over to fuse up to T9 T 10 & T11 from the L3 L4 fusion ? ? ?
Also, I have been In a review. With Mayo, Arizona for the Scoliosis repair for approximately seven weeks. I understand it’s very difficult to get a surgeon to perform this procedure as it takes up to eight hours and sometimes more.. I can’t help, but wonder if the rotation in the trunk is going to increase the curve put pressure on the lungs from the ribs the longer it takes to get it repaired ?

I need this procedure done sooner rather than later !!!

Any Suggestions?

Thank you in advance for any replies ~

I’m so sorry to hear about what you’re going through. I’ve had two extensive Lumbar Spine Laminectomies and Fusions, plus spacers and rods. I only have one Lumbar disc yet to be operated on, plus a lot more up my spine, but you get the point.

The first thing I would tell you is that I’ve interviewed orthopoedic surgeons and neurosurgeons for my surgeries and I would always choose a highly-regarded neurosurgeon over a highly regarded orthopoedic surgeons. There are two reasons for this: 1) Am orthopoedic surgeons is more highly trained in matters pertaining to your spinal chord and central nervous system - where there is the most risk in an operation on your spine, and 2). A neurosurgeon has much more extensive and intricate training. If a neurosurgeon, heart surgeon and orthopedic surgeon are in an operating room together, the neurosurgeon is always the leader for just this reason.

Next, I’d want to know if your lumbar spine pain is affecting the functioning of your arms, legs, or other parts of your body outside of your spine. My neurosurgeon decided to operate on me the first time because my right leg/hip wasn’t functioning and made if difficult to impossible to walk, depending on the day. My second surgery took place only after my right leg and hip made had me limping severely and my right glut was in non-stop spasm. I’m not a doctor, but I do know that my neurosurgeon (and many others) do not operate on people with back pain alone. (I believe one-third of adults in the US report back pain.). I’d still see a neurologist associated with a practice that includes one, or more neurosurgeons. My bet is, though, that they’ll prescribe alternate, non-surgical forms of treatment.

One more note: please be cautious about neurologists, surgeons, or pain management doctors who prescribe opioid-based pain meds any more than short-term (30-60 days). Even if you’re awaiting surgery, opt for non-opioid spinal injections first. They can be remarkably helpful.

Hope this helps! Good luck!

Hope this is helpful. I am retired operating room scrub nurse. By going through the abdomen and securing the spine is what we called a “360.” My guess is that your spine needs much stabilization. Here is what I found on the Internet for you to help you understand: A 360 lumbar fusion, also known as an anterior/posterior lumbar fusion or circumferential fusion, is a surgical procedure that stabilizes the spine by fusing vertebrae from both the front (anterior) and back (posterior) of the spine. This approach is often used for patients with significant spinal issues like degenerative disc disease, spondylolisthesis, or spinal deformities.
Hope this helps.