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Spine Update

This is a discussion on Spine Update within the Spine-Related Conditions & Conservative Spine Treatment forums, part of the General Spine Discussion Forums category; Hi All I just returned from another consult with Dr Robert Hollis from Casper Wyoming. He was very honest and ...

  1. #1
    Senior Member Gilbert P's Avatar
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    Icon9 Spine Update

    Hi All

    I just returned from another consult with Dr Robert Hollis from Casper Wyoming. He was very honest and to the point no Bull%^$# I like that.
    His recommendation after we get a new set of MRI and X Rays would be to Fuse L2-L3, L3-L4, L4-L5, L5-S1 ans something new also fuse my SI joint
    When I asked if I could ever be pain free his reply was likely not
    He also commented that my spine would continue to desenegerate and need more surgery in the coming years

    This is very discouraging news

    I am scheduled to see Dr Pettine in Loveland Colorado on April 14 I hope it goes better their.

    My best to all who suffer and search for the answer " never give up"

    Gil
    L5-S1 lam 1994
    L2 to L5 DDD
    L3 -L4 hern Dec 2007.
    L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
    L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
    L2-L3 Right-sided neural foraminal narrowing
    L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
    C3-C4 limited DDD
    15 injections Depo. P.T. 18 months 9 dose packs,
    Nerve Block Injections.4 ESI S1
    L5-S1 Foraminotomy 09
    L4-L5 Microdiscectomy 09 ReHerniation 4-2010
    Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants


  2. #2
    Moderator Cindylou's Avatar
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    Default Re: Spine Update

    Quote Originally Posted by Gilbert P View Post
    Hi All

    I just returned from another consult with Dr Robert Hollis from Casper Wyoming. He was very honest and to the point no Bull%^$# I like that.
    His recommendation after we get a new set of MRI and X Rays would be to Fuse L2-L3, L3-L4, L4-L5, L5-S1 ans something new also fuse my SI joint
    When I asked if I could ever be pain free his reply was likely not
    He also commented that my spine would continue to desenegerate and need more surgery in the coming years

    This is very discouraging news

    I am scheduled to see Dr Pettine in Loveland Colorado on April 14 I hope it goes better their.

    My best to all who suffer and search for the answer " never give up"

    Gil
    That is a tough bit of news to swallow, Gil. I'm very sorry to hear that. I hope things look up for you at your next consult in the next few weeks. You have been such a patient dude, all the while trying to find the best outcome for your spine. I admire you to pieces. You never do give up. Keep pressing forward and I hope and pray things turn your way soon, my friend. God bless, CL
    • 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

  3. #3
    Founder / Administrator Justin's Avatar
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    Default Re: Spine Update

    Hey Gil,

    Sorry about the news. It does sound like your back is continuing to deteriorate while you have been working the spine surgeon consult service.

    After Dr. Pettine's appointment, do you intend on moving forward with one of the surgical recommendations you have received?

    Good luck, my friend. Hang in there...we are here for you.

    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: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 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: 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.

  4. #4
    Senior Member bigdogchief76's Avatar
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    Default Re: Spine Update

    Sorry about the news Gil.

    Hang in there.

    MB

  5. #5
    Senior Member ajj1001's Avatar
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    Default Re: Spine Update

    aww hun, so sorry that you are facing such a huge decision. hope you get a way forward soon. x

  6. #6
    Senior Member
    Join Date
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    United Kingdom
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    Default Re: Spine Update

    Hi Gil,

    Sorry it wasn't better news at your last consult but hope your next appointment is more positive.

    Keep on keeping on.


    1993 Back pain age 29.
    1998-2001 DDD at L1/2. 10 admissions for discography/epidurals/facet injections/disc injections/RFA's.
    2005 ALIF at L1/2 with BMP & good result: pain free
    2007 DDD at L4/5 unresponsive to epidural. Discography: early degeneration, anular tear & bulge. Limited response to core strengthening.
    2009 ADR (activ L) L4/5.
    2012 Myofascial Pain Syndrome T10-L2

  7. #7
    Senior Member Gilbert P's Avatar
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    Default Re: Spine Update

    Well Well Well

    I had my tenth MRI yesterday and fell a sleep during all that thumping?? Go Figure

    Apparently my L2-L3 is heriniated L3-l4 buldge, L4-L5 herinated, L5-S1 no disc and scar tissue, there is more but this is the basic condition.

    Gil
    L5-S1 lam 1994
    L2 to L5 DDD
    L3 -L4 hern Dec 2007.
    L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
    L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
    L2-L3 Right-sided neural foraminal narrowing
    L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
    C3-C4 limited DDD
    15 injections Depo. P.T. 18 months 9 dose packs,
    Nerve Block Injections.4 ESI S1
    L5-S1 Foraminotomy 09
    L4-L5 Microdiscectomy 09 ReHerniation 4-2010
    Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants


  8. #8
    Moderator Cindylou's Avatar
    Join Date
    May 2009
    Location
    Minneapolis, Minnesota
    Posts
    2,380

    Default Re: Spine Update

    Quote Originally Posted by Gilbert P View Post
    Well Well Well

    I had my tenth MRI yesterday and fell a sleep during all that thumping?? Go Figure

    Apparently my L2-L3 is heriniated L3-l4 buldge, L4-L5 herinated, L5-S1 no disc and scar tissue, there is more but this is the basic condition.

    Gil
    I have actually fallen asleep during an MRI as well! haha The only problem with that is sometimes during sleep the body jerks or twitches, which mine did, of course. So they had to re-do a few sections of the MRI and scolded me to "stay awake!" haha Are you getting closer to moving forward with recommended surgery Gil? Hang in there, Cindylou
    • 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

  9. #9
    Senior Member Gilbert P's Avatar
    Join Date
    May 2009
    Location
    Jackson Hole WY
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    876

    Default Re: Spine Update

    Hi All

    I am moving forward to have surgery Hoping Dr Pettine has a great solution for me.

    I am getting prices from the UK, Germany and U.S. to see who will pay W.C. will cover fusion not ADR, My other insurance may cover ADR Jumping through all the hoops.

    Looking at re fininacing our house ETC

    Gil
    L5-S1 lam 1994
    L2 to L5 DDD
    L3 -L4 hern Dec 2007.
    L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
    L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
    L2-L3 Right-sided neural foraminal narrowing
    L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
    C3-C4 limited DDD
    15 injections Depo. P.T. 18 months 9 dose packs,
    Nerve Block Injections.4 ESI S1
    L5-S1 Foraminotomy 09
    L4-L5 Microdiscectomy 09 ReHerniation 4-2010
    Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants


  10. #10
    Senior Member ajj1001's Avatar
    Join Date
    Jun 2009
    Location
    Manchester, UK
    Posts
    1,313

    Default Re: Spine Update

    guess you will be having a mix anyway as your l5/s1 sounds beyond ADR. hope you get a solution soon, sorry it might have to cost you so much though.
    Alison 46 year old female
    2012 Doing Rehab
    2011 Sept 3rd Op Removal of old instrumentation and PLIF L4/L5 - L5/S1 both adr in situ
    2010 May Discogram on L2/L3 & L3/L4
    2009 May 2nd Op Failed revision fusion on L5/S1 with Charite ADR in situ
    2008 Caudal epidural exacerbated nerve symptoms. Prolapse L2/L3
    2007 L5/S1 Facet deterioration
    2002 March 1st Op ADR Charite - L4/5, L5/S1
    2000 Disc prolapses L4/5, L5/S1

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