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Spinal fusion surgery - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1763 Questions
User :   My sister has been diagnosed with degeneration of L5-S1 disc with diffuse posterior bulge with right posterolateral protrusion and inferior migration compressing thecal sac, right exiting nerve root and causing right lateral recess stenosis. My question is does she require a surgery or whether she can get relief with medication and physiotherapy?
Doctor :   Hi
Doctor :   Iam.Dr.XXX
Doctor :   PLease let me read your query
Doctor :   is she having pain in legs?
User :   YES
Doctor :   what is her age?
User :   38
Doctor :   ok
Doctor :   when was it diagnosed?
User :   FEW DAYS BACK, BUT SHE HAS PAIN FOR A MONTH NOW
Doctor :   ok
Doctor :   the problem with spinal surgery
Doctor :   is very controversial
Doctor :   since very few gets good benefits
Doctor :   and it is the last resort of most surgeons
Doctor :   when is your surgery planned
Doctor :   so what was the doctor recommendation
User :   THE DOCTORS HERE HAVE SUGGESTED FOR MICRO LUMBAR DISECTOMY
User :   SURGERY AT THE EARLIEST
Doctor :   ok
User :   RIGHT NOW SHE IS NO PAIN KILLERS
Doctor :   ok
Doctor :   the problem with surgery is that the recovery may not be that good for some
Doctor :   that you need to discuss wth your dr
User :   THE DOCTOR IS POSITIVE, BUT WE ARE WORRIED. ANY MEDICATIONS AND PHYSITHERAPY WILL HELP
Doctor :   no since
Doctor :   surgery as i told is the last resort
Doctor :   for those who have no relief from drugs
User :   WHAT SHOULD WE DO?
Doctor :   what i can say is that go with your surgeon
Doctor :   but discuss the prognosis
Doctor :   since laser surgeries are also available
Doctor :   which are non invasivie
User :   THIS IS ALSO MINIMAL INVASIVE PROCEDURE, HE SAYS
Doctor :   Though there are many approaches to spinal fusion surgery, all the approaches involve disc removal and adding bone graft to an area of the spine to set up a biological response that causes the bone graft to grow thereby creating a solid bony bridge across the two vertebrae, and thus stopping the motion at that segment. By doing away with movement, previously painful segment is made pain free.
Doctor :   Though there are many approaches to spinal fusion surgery, all the approaches involve disc removal and adding bone graft to an area of the spine
to set up a biological response that causes the bone graft to grow thereby creating a solid bony bridge across the two vertebrae, and thus stopping the motion at that
User :   PLEASE CONTINUE
User :   WHAT HAPPENED?
User :   WHAT THE PROBLEM, i AM LOSING MY TIME
User :   YOU HAVE RECEIVED MY PAYMENT, BUT NOT RESPONDING, WHY?
User :   THIS IS NOT FAIR, I HAVE PAID BUT COULD NOT CHAT WITH ANY DOCTOR, YOU HAVE REFUND BACK MY MONEY
User :   THIS IS CHEATING YOUR CUSTOMERS. VERY BAD.
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