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Lumbar fusion L5-S1

huntsmuleys

Sergeant
Full Member
Minuteman
Jan 18, 2011
509
6
46
Oregon
Hi guys,

Has anyone here had any luck with a lumbar fusion? I am only 34 years old and have had 2 L5-S1 microdiscectomy surgeries within three years. I ruptured the same disc for the third time last week and the surgeon wants to fuse it this time. I am a little worried about this, would love to hear some success stories. Thankyou.
 
Wow, I am recovering from an L5/S2 Laminotomy. May I ask how you ruptured it so many times? I blew mine out at the gym...incline dumbell presses...the motion when catching the dumbells on my knees after my last rep. Best of luck!
 
i just had my ruptured disk microdiscectomy surgery this morning.

i did mine by lifting a 4000lb trailer by the tung to put it on my truck. needless to say, bad idea.

like zombeez, said did you do yours?

most people i have talked to have had bad luck with the fusion.
 
I was born without ever having the 5th vertebrae and had a fusion when I was 17, since that point the only time I have any pain or discomfort is when I gain too much weight. Best of luck with the surgery, it took me 9 months to fully recover when I was 17.
 
I had C2-3-4-5-6 fused a year ago. It was done from the back, and now I can't shoot prone. Can't get my head up enough. (actually that's not the only thing!) Off hand is okay, but age is the big problem.

Good luck with the surgery.
 
The first time I ruptured the disc, I was loading a trailer full of truck tires. The second time, I just bent over to get something out of the fridge. This time, I was tying my shoes. The disc just isnt holding up. I talked to the surgeon again today. We decieded to try one more microdisc surgery before the fusion. Third times a charm! Thanks for the replies guys, I appreciate it. Back problems suck.
 
The first time I ruptured the disc, I was loading a trailer full of truck tires. The second time, I just bent over to get something out of the fridge. This time, I was tying my shoes. The disc just isnt holding up. I talked to the surgeon again today. We decieded to try one more microdisc surgery before the fusion. Third times a charm! Thanks for the replies guys, I appreciate it. Back problems suck.

Had L4-L5 fusion in 1992 at age 42. Used the best neuro surgeon I could get. Turned down the orthopedic surgeon that did Orel Hurshiers's arm cuz I want someone in first place and familiar w/ nerves. I was NERVOUS. But the constant pain, uncontrolable pissing my pants, and tripping over my constantly draggin right foot sealed the deal. I'd spent 2 years of therapy, massages, lots of swimmimg pool time, and WAAY too much money on Jack Daniels and Valiums avoiding having surgery but finally gave in and pulled the trigger. Took 4 months to recuperate. I was pain free for years until I detached a couple of ligaments back there, but the DISC pain is no more. I would assume & hope that surgical procedures are much more refined 21 years later. Good luck. Ya gotta do what ya gotta do and it'll be what it'll be.
 
I rehab post-op spines every day. The fusion is a more involved recovery process and you must take care to not fail it. Often times, a fusion is required due to instability and severe degenerative disc disease. If a fusion is rehabbed correctly, that spinal level should not ever give you issues. However, a fused spinal level does distribute more stress to the adjacent levels above and below over time, often leading to issues down the road. I think that L5-S1 is the best level becaiuse there is not a moving segment below it (the sacrum is below), so you can only have adjacent levels problems above. Keep your core strong.

Mikr
 
No, don't do it. I had from L4 to S1 done. No fucking way would I recommend it!
 
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I am 10 days post-op from a L5-S1 fusion, and I feel good (doped up on pain meds). No more nerve pain, just pain from having the surgery. I know PT is going to suck and it is going to take 6 months to a year to fully recover, but I think it will be worth it.
 
I had a L5-S1 microdiscectomy about ten years ago when I was still serving in the Army. After 6 months of the Doctor saying, hey, take these pills - oh those don't work, well, take these and so on and so on. I finally talked them into getting me a MRI. That same day after the MRI the doctor phoned me to say you need to go to a neurosurgeon you have a ruptured disc - well, thanks for six months of pain Doc. I had the surgery and was back working out, lightly after 8 weeks and was good after 6 months. I do have flare ups but I don't think that has anything to do with the surgery, it just has to do with being human and having a bad back. Oh ya, my wife had the same surgery two years ago - his and her scars. She still has issues with numbness in her left foot.
 
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That is great to hear, because I really want to get back into the gym.

JSTARSZ, Out of curiosity what did the Army do with you after the surgery? Did they MEB you?
 
I am 10 days post-op from a L5-S1 fusion, and I feel good (doped up on pain meds). No more nerve pain, just pain from having the surgery. I know PT is going to suck and it is going to take 6 months to a year to fully recover, but I think it will be worth it.

I am now 12 years post-op from my L5-S1 fusion. Lab grown bone inserts, titanium rods, screws, anchors, and ties. Off and on, it still gives me a bite, but considering where I was before the operation, I am fully functional again. It is a HUGE blessing!! I wish the same for you and yours!!

DK
 
Sounds like your surgeon has made the right decision. Recurrent disc herniations and a degenerated L5S1 segment usually respond well to the proposed surgical procedure.
There is probably little or no motion at that segment now anyway as it is collapsed, and there may be some segmental instability causing posterior facet joint pain...
best of luck
The trick is to get in and out without harming the facets at the L45 segment above..There is a chance down the line of degeneration at the segment above L5S1 called ASD(adjacent segment degeneration)...your doctor will discuss that with you
 
Dealt with the same:
Im 35, Played top level lacrosse in the northeast in high school. Herniated at l5-s1 in 1997. Rehabbed over the summer before college.
Went to syracuse on a lacrosse scholarship 97-98 (broke my leg which ended that)
Had pretty bad flare ups for years. Went through 2 police academies and basically just managed the spasms. Re herniated at same level after a double shift, came home and shoveled snow. This was my first surgery a micro disc in 2006. Rehabbed an did pretty well, still some spasms...2007 , after a complete career change, went on an all day dove hunt. Woke up to piss in the middle of the night and couldn't walk- i re herniated the remainder of my disc at the same level. This was when i had my discectomy. Fast forward to 2012: shot and RO'd a carbine match- woke up again unable to walk.
(Currently i am in the med device sales) spine hardware, etc...
My neuro tells me since i am a 3 time loser, an i hVe massive instability, its time to fuse l5-s1. I was not psyched because of how active i had always been, and considering i see these procedures almost ever day.
Had the surgery using a medtronic minimally invasive system.
Result: saved my life dude. I was pissed at my self not having the surgery long ago.
6 weeks after surgery i shot in a major 3 gun match with no issues. I have zero pain, and zero limitations. No more sleeping with stupid ass pillows under my knees.
My point here is most people who have back issues can give up rather easily. I spent a third of my life dealing with this and now feel like im finally ahead of it. Im convinced that strong mental attitude, and wanting to get better are as important as the skill of the surgeon.
You will hurt, you will second guess yourself. Do research on your doc. Stay positive and tough it out. You will end up being stronger than before.
 
I'm 26 and have gon the fusion route, just because that's what the VA would cover. However, there are better surgical solutions now including titanium springs on opposing sides of the vertebrae that actually gives you better mobility than before.
 
Would have been useless without my L5-s1 Total fusion. Life was a fetal position and drugs before. Like you I was trimmed through the back and it kept reoccurring. Fused through the front and now I have a life. Have flair ups but I know what my left leg is like without pain.
 
Only as a LAST resort. If the surgeries you had fixed it before then stick with those. You can NEVER go back. I had 2 artificial discs installed in my L4-L5 and L5-S1 and it was the biggest mistake of my life. I'll spare you the details, but my advice is start swimming 3 days or more a week and get your core solid. When you look like Phelps you probably won't have any more issues.
Good luck to you.
 
Okay, I'm not a doctor, but my back is what fucked me up, why I had to leave the army. I deal with this everyday; my bed and the wall show damage from tossing and turning, wife's side doesn't. I have insomnia a lot because of the pain. I went to the VA back school and they had a bunch of guys there and they asked everyone with a spinal fusion to raise their hands. Half went up. How many had 2? One went down. 3? 4? 5? Then one guy had 7. When asked if it helped with the pain or returned mobility, they all said no. Keep in mind these are VA patients so some are lucky they woke up with nuts.

Still, some of the specialists are civilian doctors that DO give a shit. If you are VA, make SURE to get another opinion.

So my predicament is this: I have to see a pain doctor. Had to for last decade. But a year or so ago I divorced the VA's pain team and went to a real doctor. VA couldn't get me a shot in the back for 3 months, but when I need it I need it NOW. So my new doc can do that, but I don't want a needle in my spine unless I'm ready to just end it. So they can manage the pain, to a point, but I'm still a fucking cripple and IN pain.

Then a couple of appt.'s back, one of my 3 doctors there tells me about a new surgery that is offered in Germany, not approved by FDA yet, that FIXES this problem. I don't know what exactly it is, but I got the idea it has to do with replacing the actual disc. When it gets approved, I'll wait a bit to see how it works, then I wanna get in line.

Which, if you have DDD (degenerative disc disease) like me, you would want. I was warned that if I had spinal fusion done, I'd just be starting a cycle of surgery to fuse 'em all. She has one patient almost like that now. And mine has gotten progressively worse for ten years. I hate MRI's, I know they'll be bad, and the nerve tests suck and I know they'll turn out positive and bad too. I fucked up all my S's and L's and one or two T's. S1 to L4 or 5 are just totally shot.

So I'm waiting for the surgery. I'm already in pain. I've been in pain and spent six months of last year laying on the floor in the prone, Dilaudid drips, etc. So been there, done that. I've only talked to one guy that LIKED the spinal fusion, and he was real young. He said he could play soccer again. Still, he's young. He may not be ready for his second surgery yet. My wife's mother had a cervical fusion here recently; I guess she's much better and was up and around pretty fast. That is more dangerous than a sacral or lumbar fusion, and more important.

If you're getting lots of nerve pain, you may end up with no choice. I tough it out, but there's been some days I wanted to just quit. Pain meds work for all but the nerve pain; then Gabapentin can help but nothing really stops it, not even the synthetic heroin. I use lots of ice packs, learning that helped a lot. Some will stay cold for hours.

Personally, if I can't run and I'll still be in pain, I don't want the surgery. I want to run again, as in marathons. I used to be able to run for 3 hours and shuffle all day long. No shit. That's my goal, to get my life back and tell 'em to keep their government checks. I probably would have gotten the fusion, BTW, had I not went to that back school and met others farther down the road than I.