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Dr. Andrew Rynne

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Had Spinal Fusion, Spondylolisthesis, Muscle Weakness, Have Infections. Is This Normal?

I had spinal fusion two yrs ago grade 2 spondylolisthesis and I havent been able to fully recover from surgery. I now am a grade 2-3 spondylolisthesis and my center core muscles feel weak especially my bladder. Can not empty properly and keep getting infections. Please tell me if this is normal for patients that have had a fusion.
Wed, 11 Sep 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

It is not common to get bladder symptoms after spondylolisthesis or after spinal fusion. However, if the sacral nerves are pinched or compressed due to listhesis or due to surgery, bladder symptoms may occur.

A careful examination is required by a neurologist and urologist. Ultrasound should be done to look for post void residual urine. If there is a significant amount of urine left in the bladder after voiding, then self intermittent catheterisation may be required.

I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Had Spinal Fusion, Spondylolisthesis, Muscle Weakness, Have Infections. Is This Normal?

Hi, Thank you for posting your query. It is not common to get bladder symptoms after spondylolisthesis or after spinal fusion. However, if the sacral nerves are pinched or compressed due to listhesis or due to surgery, bladder symptoms may occur. A careful examination is required by a neurologist and urologist. Ultrasound should be done to look for post void residual urine. If there is a significant amount of urine left in the bladder after voiding, then self intermittent catheterisation may be required. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist