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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Back Injury. Fusion In L4-L5. Can Surgery Cause Neuro Compressive Disease?

in 08-10 i had a back injury i had a fusion in the L4 / L5 in 09-11 im still in very bad pain according to the second opinion i now have severe neurocompressive disease that i did not have could the surgery have caused this ? I found this out 07-19-12 i have been reffered to chronic pain management from the exam surgery would not improve my problem it would get worse than get better.
Mon, 6 Oct 2014
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Neurologist, Surgical,  's  Response
Hi, If I were your treating Doctor for this case of pain after L4-L5 fusion, I would ask for imaging study of your lumbar spine because you may have developed discal hernia at the upper level of fusion (L2/L3), or the level below it ( L5/S1) with compressive elements. You should have a CT scan or MR ( if the hardware is compatible) scan of your lumbar column. The decision how to treat your problems should become clear after this. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
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Back Injury. Fusion In L4-L5. Can Surgery Cause Neuro Compressive Disease?

Hi, If I were your treating Doctor for this case of pain after L4-L5 fusion, I would ask for imaging study of your lumbar spine because you may have developed discal hernia at the upper level of fusion (L2/L3), or the level below it ( L5/S1) with compressive elements. You should have a CT scan or MR ( if the hardware is compatible) scan of your lumbar column. The decision how to treat your problems should become clear after this. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.