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Possible Fusion from T12 to Sacrum

This is a discussion on Possible Fusion from T12 to Sacrum within the Spinal Fusion (Including Discectomy & Laminectomy Procedures) forums, part of the Spine Surgery Support category; Originally Posted by KBear I'm doing alot better post surgery. I still have pain, like a 3-4 out of 10; ...

  1. #1
    Senior Member Carmen's Avatar
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    Default Possible Fusion from T12 to Sacrum

    Quote Originally Posted by KBear View Post
    I'm doing alot better post surgery. I still have pain, like a 3-4 out of 10; but nothing like before. Prior to surgery, my pain was a 9-10 out of 10 on a daily basis. With meds, I could get it down to a 4 or 5. Now, with meds, I am pain free. So, it is an entirely different existence.

    I'm glad your hubby is taking off of work, you will need alot of help in the first weeks. There is a list of items to have post-surgery on here, search for it, as it has a lot of things I would never have thought of; but that came in super handy.
    Hi KBear,
    I am looking to have 5 to 6 level fusion. It will be from the T12 to the sacrum) How bad will it be? When will I start to feel better? I have to wear a brace for 3 month afterwards. I think I have the sheet for post-surgery as well as what to bring to the hospital. I have been on here for awhile. I have not been able to walk or stand. I hope this will be what is needed. I will be talking to you again.
    carmen
    • Scoliosis and multilevel severe degeneration of the intervertebral disks
    • Marked multilevel facet arthrosis
    • Fusion of the L5 and S1 vertebrae
    • Grade 1 spondylolisthesis at L4-L5 and L5 and S1
    • Slight antherolisthesis at L3-4
    • Multilevel asymmetrical neuroforaminal narrowing

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    Senior Member Carmen's Avatar
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    Default Possible Fusion from T12 to Sacrum

    Quote Originally Posted by Gilbert P View Post
    OH

    I received a lam in 1995 and did Great for 15 years you will be fine keep us posted .

    All The Best

    Gil
    Hi Gilbert,
    You just recently had your surgery. How are you doing? I was told that I would be in hell for 3 months. I will post some of what the doctor said and if you look at my signature that will tell all that has to be done. I can't believe you are up and around. Someone must be taking very good care of you. God bless. Carmen
    • Scoliosis and multilevel severe degeneration of the intervertebral disks
    • Marked multilevel facet arthrosis
    • Fusion of the L5 and S1 vertebrae
    • Grade 1 spondylolisthesis at L4-L5 and L5 and S1
    • Slight antherolisthesis at L3-4
    • Multilevel asymmetrical neuroforaminal narrowing

  3. #3
    Senior Member Jack-of-all-trades's Avatar
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    Default Re: Possible Fusion from T12 to Sacrum

    T12 to S1 is a lot of surgery. Relative youth helps in recovery. I made the mistake of not making sure of the post-op orders prior to surgery. The resident in charge of the floor, plus all of the nurses had this thing about narcotics. They were trying to give me the same doses as a narcotics virgin and it was just barely enough to keep me out of withdrawal and did nothing for the pain. When my doc came around that evening I pitched a fit and got it straight for one shift. Since my dose was enough to put the average patient in serious trouble the next shift held back on the dose of Dilaudid that helped with the pain. The days I were in the hospital were right before a holiday and I never had the same nurse twice. There was little continunity of care and I had to go through the same song and dance with each set of care personel.
    Low back pain became somewhat dehabilitating in 2005
    Have had 11 steroid injections, IDET, Trial for nerve stimulator, PT, chiropractic trial, practically every med known to mankind. Discogram indicated three diseased levels with L5-S1 being the most likely pain generator. Post minimally invasive PLIF with internal fixation (titanium) on 12-28-09 of L5-S1. Doing better than expected. Last opioid 7/9/10. Five months pain free, then my neck turned against me. MRI on 12/1/10-- disease at C2 to C7. Only surgical alternative is to fuse entire C-spine. Diagnosed now with Aggressive Relapsing-Remitting Multiple Sclerosis with cord & brainstem active lesions

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    Moderator Terry Newton's Avatar
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    Default Re: Possible Fusion from T12 to Sacrum

    That is a large surgery to have done Carmen and I hope you are getting more than one opinion. Once fusions take place there is no going back as there is little to add to or subtract from the experience.

    I had a hemi-laminectomy several years ago before my four level ADR surgery and my neck still lacks some stability due to the removal of part of my vertebrae in my cervical area. There is no way of fixing it now and I live with it.

    So please get as many opinions as needed to make you feel comfortable with what they are going to do to make you better.

    Welcome to the site and I hope you get the support you are looking for here.
    Terry Newton; Moderator

    1980 ruptured L4-L5
    1988 ruptured SI-L5
    1990 ruptured C5-C6
    1994 ruptured C6-C7
    1995 Hemi-Laminectomy surgery C5-C6, C6-C7 Mayo Clinic
    Bicycle Accident with a large dog in 2004
    Shoulder reconstruction surgery
    MRI, EMG, Facet Injections, Epidural Blocks, Lumbar Discogram.
    Stenum Hospital Surgery November 4, 2006
    Prestige Disc C5-C6, C6-C7
    Maverick Disc S1-L5, L4-L5

    I'm busy living my life after a successful 4-level ADR surgery with Dr. Ritter-Lang at Stenum Hospital in Germany. If you would like to contact me, please click the email icon under my SPS Member Profile, as I'm not on SPS daily.

  5. #5
    Senior Member Katie's Avatar
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    Default Re: Possible Fusion from T12 to Sacrum

    Terry, thanks for chiming in on this. I was afraid to give the same opinion and be construed as being negative, but I am also very concerned about this many levels of fusion. Obviously I know nothing of your case, Carmen, but strongly urge you to get a number of opinions on this, more than just two even.

    Best wishes with whatever course you take, and we will be here to support you all the way.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

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    Moderator Cindylou's Avatar
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    Default Re: Possible Fusion from T12 to Sacrum

    Yes, definitely agree with Terry and Katie on this Carmen. Major, major surgery that cannot be "taken back." I would personally be getting 5-6 opinions on such an invasive surgery.

    By the way, do you mind sharing what suburb west of Chicago you hail from? When I moved from Minneapolis as a kid to Chicago we ended up in Palatine. Just curious if you are near there? We are here to support you all the way.
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

  7. #7
    Founder / Administrator Justin's Avatar
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    Default Re: Possible Fusion from T12 to Sacrum

    Hi Carmen,

    With your level of degeneration and scoliosis, the proposed surgical plan from your surgeons "makes sense." I have personally spoken to many Spine Patients with "long" fusions to correct scoliotic conditions that are doing very well. This doesn't make the proposed intervention any less invasive, but I hope it helps offer some reassurance that patients have come before you with similar problems and were addressed successfully with surgery. We are here to support you along the way.

    I hope you are doing well. :thumpup:

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization

    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997, 17 years old: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003, 23 years old: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009, 29 years old: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

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    Senior Member Carmen's Avatar
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    Default Re: Possible Fusion from T12 to Sacrum

    Quote Originally Posted by Justin View Post
    Hi Carmen,

    With your level of degeneration and scoliosis, the proposed surgical plan from your surgeons "makes sense." I have personally spoken to many Spine Patients with "long" fusions to correct scoliotic conditions that are doing very well. This doesn't make the proposed intervention any less invasive, but I hope it helps offer some reassurance that patients have come before you with similar problems and were addressed successfully with surgery. We are here to support you along the way.

    I hope you are doing well. :thumpup:
    The nurse advised me to try a brace that medicare will pay for if it is perscribed by a doctor. I really do not want to have this operation until late Feb., March or later. I will try the brace first. Do you think I should contact that doctor in Colorado? I also contacted Dr. Fessler at Northwest Memorial but he has not contacted me. I faxed him my MRI results. I know someone that used him for their operation. What do you think? Carmen
    • Scoliosis and multilevel severe degeneration of the intervertebral disks
    • Marked multilevel facet arthrosis
    • Fusion of the L5 and S1 vertebrae
    • Grade 1 spondylolisthesis at L4-L5 and L5 and S1
    • Slight antherolisthesis at L3-4
    • Multilevel asymmetrical neuroforaminal narrowing

  9. #9
    Senior Member Carmen's Avatar
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    Default Re: Possible Fusion from T12 to Sacrum

    Quote Originally Posted by Cindylou View Post
    Yes, definitely agree with Terry and Katie on this Carmen. Major, major surgery that cannot be "taken back." I would personally be getting 5-6 opinions on such an invasive surgery.

    By the way, do you mind sharing what suburb west of Chicago you hail from? When I moved from Minneapolis as a kid to Chicago we ended up in Palatine. Just curious if you are near there? We are here to support you all the way.
    Palatine is on the other end of the world. I am from I know you would never have heard about the town I live in so I will mention it is kind of
    sandwiched inbetween Hinsdale and La Grange. Those I am sure you have heard of...My office was in Hinsdale, 5 minutes away, and I do my shopping in La Grange. So you know how far away it is from Palatine. You were not that far from Wisconsin. If you have any other questions, just email. Carmen
    • Scoliosis and multilevel severe degeneration of the intervertebral disks
    • Marked multilevel facet arthrosis
    • Fusion of the L5 and S1 vertebrae
    • Grade 1 spondylolisthesis at L4-L5 and L5 and S1
    • Slight antherolisthesis at L3-4
    • Multilevel asymmetrical neuroforaminal narrowing

  10. #10
    Senior Member Carmen's Avatar
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    Sad Re: Possible Fusion from T12 to Sacrum

    Quote Originally Posted by Jack-of-all-trades View Post
    T12 to S1 is a lot of surgery. Relative youth helps in recovery. I made the mistake of not making sure of the post-op orders prior to surgery. The resident in charge of the floor, plus all of the nurses had this thing about narcotics. They were trying to give me the same doses as a narcotics virgin and it was just barely enough to keep me out of withdrawal and did nothing for the pain. When my doc came around that evening I pitched a fit and got it straight for one shift. Since my dose was enough to put the average patient in serious trouble the next shift held back on the dose of Dilaudid that helped with the pain. The days I were in the hospital were right before a holiday and I never had the same nurse twice. There was little continunity of care and I had to go through the same song and dance with each set of care personel.
    Do you know who else I can get an opinion from? The doctor that I faxed with my MRI report did not fax me back. Scared I bet. Do you know anyone that will be afraid to fax back? Carmen

    Thanks to all the posted a replies to me. I really appreciate the feedback. I don't know where to go to next. Does anyone have any suggestions? What about that place in Colorado that Justin went to?? I have to look back for his web site. I have no idea who would be good. As you know I need someone that keeps abreast of what is going on out there. Thanks to anyone that sends me where to go. I am trying to get my house, my car and everything else ready for this big procedure. I am not married. I have no family except in CA or in Kenosha, WI but I really can't count on them to come out I don't think. Carmen
    • Scoliosis and multilevel severe degeneration of the intervertebral disks
    • Marked multilevel facet arthrosis
    • Fusion of the L5 and S1 vertebrae
    • Grade 1 spondylolisthesis at L4-L5 and L5 and S1
    • Slight antherolisthesis at L3-4
    • Multilevel asymmetrical neuroforaminal narrowing

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