Severe spinal stenosis: Would you do surgery?
I am new to this group. I am a 64 yr old female, in basically good health. Hip replacement 10/2018 with no complications.. Currently have no pain only bilateral finger numbness with minor lower left arm numbness. For the most part does not interfere with my daily living activities
Diagnosed with severe cervical stenosis via MRI in 8/2019,C-3-4 shows severe disc degeneration, moderate to severe bilateral formalin narrowing due to uncinate spurs/C4-5 same as 3-4 but with broad based disc bulge/5-7 C7-T-1 Degenerative anterolisthesisBroad based disc/osteophytic ridge causing severe central canal narrowing. i have gone to 2 different Neuro surgeons they both say complete opposite treatment plans. One says observe see him if symptoms get worse. The other doctor wants to do 2 surgeries, first through the front, #2 through the back to stabilize. I am leaning towards no surgery but am looking for someone to tell me they had this surgery and are happy t hey had it done. So far when i talk to people with back/neck issues they say they would never again go through surgery.
Thank you all in advance for you opinions..
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@pthaley I see that you are a new member, welcome! You do have a list of surgeries in your future and months of recovery ahead for sure. Will your cervical fusion be an anterior or a posterior approach? I have heard surgeons say they would do a posterior if there already was an anterior surgery to avoid extra scar tissue in the area of the prior surgery.
Did you find recovery from lumbar surgery to be more difficult than cervical surgeries? I hope will get relief and improvement from your procedures.
Can you come to Mayo Clinic in Rochester, MN? I came here with an emergency room dr in Georgia, USA. He was most confident with Dr Bydon and he is happy I have same doctor. Two weeks ago I had surgery for a lateral herniated disk and severe stenosis at L5/S1. Surgery went excellent. Be careful with after care. Follow directions to a tee.
You have to call number listed, have tests sent requested. If approved will be on a waiting list. I had a phone appointment then came for testing and surgery, all within 3 days.
If you come stay at a hotel within a 5 min walk from hospital if you can, especially if you don’t have a car.
Good morning. My cervical fusion will be a anterior. I seem to do well with the cervical fusions as well as the lumbar. The recovery on the lumbar is more difficult and is longer. Of course my mobility will never be the same, but I have learned to live with it. It just seems like for me, everything is wearing out at the same time.
I hope you have a good day,
I would first pursue minimally invasive surgery beginning with MILD treatment (85% of stenosis comes from inflamed ligament I have read)..and/or interspinous spacer that opens up the canal. Both are done locally under mild sedation and very quick. They are also low risk.
Have you considered MILD treatment?
Going to the Mayo Clinic at this time is out of the question. But thanks for the advice, especially about following recovery instructions to the "t".
Do both by having one assist the other. It done all the time and there’s even a special code docs use to bill as assistant to surgeon.
I had ACDF surgery in October of this year. I had severe cord compression so basically had no choice. But my symptoms have not gone away, still have severe numbness in my hands and my balance way off. So i guess to answer the question unless you will have permanent spine damage like me surgery not worth it in my opinion.
Why do people have to suffer with extreme pain from spinal stenosis? If you have a damaged heart, there are remedies. If you have cancer, there is surgery and treatment.
Doctors can replace lungs, livers and kidneys. Knee replacement, hip replacement, but there is no fix for spinal stenosis. Most people have more pain after disc surgery.
More research is needed to
make the surgery less dangerous and have better results post surgery so the patient can have a better quality of life.
I am not sure what information you have. Three weeks ago I had surgery mainly for a lumbar lateral herniated disk. At same time surgery for severe spinal stenosis was also addressed. You have to do research to find the doctor you want. You can get in sooner with some doctors. I waited 5 months but worth it to me.