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My surgery. Laminectomy, discectomy and interbody lumbar fusion

Started by Sam227 on 09/03/2010 5:41pm

This is my hospital operation report to the word.
Wide multi-leveled decompressive lumbar laminectomy L3, L4 and partially of L5 above and beyond what is normally required, discectomy at L3 -4, A T-lift transformaminal interbody lumbar fusion at L3 - 4 with the insertion of a 12 mm banana graft with Actifuse, pasterior spinal fusion with 20 ML of Actifuse, 10 mL in each gutter. Neural foraminctomies. X-Ray control. Neurological monitoring. Cell Saver.
I had three procedures a laminectomy, discectomy and interbody lumbar fusion.
I had six-week checkup with my surgeon he told me I'm doing really really good. I told about the pain I have still 6 to 10 levels . I am still taking the same pain Meds as presurgery. He had a report from my physical therapist. The surgeon said I'm doing great. I was glad to hear that. I was getting a little down from the real Bad pain I still have. If anyone has any questions for me let me know. Sam

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Sam.. did they use YOUR bone for Bone graft?

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They use a cadaver bone. I thought that was strange I asked my surgeon why not use my bone. The surgeon was in his mid-50s he felt the hipbone surgery was unnecessary. A cadaver bone worked just as well. He said over the years people complain more of the hip bone surgery than the back. . The First Three Days My Hips Hurt Me Terrible. The Doctors Said It Was from his position he put me in on the table. For me I've had other surgeries the pain was always regulated. On this surgery it was not. Every Move I made for the first three days was untolerable. People say 10 plus pain. This pain made what I lived through seem like nothing. Be ready for the first time they pull you out of bed. It felt like my spine was ripping apart. I am 49 years old now. Thought I was physically fit other than my back. The surgery is a very very tough. Remember this is what I went through. You might have it a lot easier. Sam

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Thank you Sam for sharing, I am hungry for every bit of info I can get between now and the 20th!!

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Sam
Oh my goodness!! This sounds like way more than you were expecting (although, most of it is greek to me). Are you telling us that they didn't give you anything for pain after your surgery? I hope you are feeling much better.

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I'm sure was on some pain meds in the recovery room just not enough.MY surgery was a decompression and a fusion. This was just my operative report. To the lady that's having surgery September 20. If you'd like to talk to me. Go to the local Wal-Mart or drugstore buy a prepaid cell phone and put your number on the board and I'll call you. Or if you know how to make a temporary e-mail address. I'm not super great on the computer I don't know how to make the temporary e-mail address. Good luck. Sam

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Hi Sam .. just read your post and sounds ouch!! this is similar to what i am having done on friday 10th sept .. double decompression and two level interbody fusion with instrumentation ... to say i am panicking is an understatement but keep thinking positive and hoping the pain will be lesser in the long run as i have had extreme bilateral sciatic pain for 2 years and extreme lumbar/sacral pain for the same which hasconfined me to a wheelchair ...

I imagine that the pain is bad straight after but is it any worse than pre op.. i will be in intensive care for a while as i have respiratory problems but its reassuring to read your post .and hope that there is light at the end ... pleased that your surgeon is saying you are doing well .. keep fighting ... would be pleased to hear of your progress ...

lynne - bristol - england

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Jim4 good luck with your surgery. I am7 weeks today still in a lot of pain more than presurgery. I hope it gets better it has to. I thought I was in physically good shape other than my back presurgery. Other people went home I went to a rehab center that had the same surgery as me. Good luck Jim

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Sam how are you doing today.. I think of you and refer to your advice as often as I can!

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Hpymom55
I see on another discussion your surgery is on Monday. I went to a super drugstore they had the grabber, sockhelper and toilet paper holder. Also walkers and canes a lot cheaper than I paid. . The lift chair was a great thing for me. I still use it. I wanted to let you know where I'm at now. I can't bend at all my surgical pain is about five now. I've been taking one less breakthrough pain med daily.(For 9 days now). I wish I lived near you I would give you my few extra. I'm sorry I have been negative but till now I've been in real bad shape. Like a wiseguy the other night said "everyone was out playing tennis that got fixed They are not on this form anymore" I know He is really ignorant never had a fusion before. But he might be right. Maybe it's the only ones that have massive pain that are on this website after surgery. A lot of people help me presurgery on the site. I figure it's my turn to help people now. Knowing what I know now I absolutely wouldn't of had the surgery . If you end up in a rehab center my insurance covered everything. I should've stayed for a couple weeks.Wait as long as you can for the physical therapy.. Most people wait three months or longer before going to on-site physical therapy. I wish you the best of luck. Sam

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Sam,
THANK YOU SO MUCH FOR YOUR KIND WORDS FOR ME AND THE ENCOURAGMENT THAT COMES WITH THEM. !!

I am scared... and I do want to NOT DO THIS.. I feel like I wnat to wait untill I am in constant pain as many of you are BEFORE i go to the drastic step of this surgey. Thne the oather part of me thinks that the DELAY in having the surgery may make post -op harder! AHHHHHHHHHHHH!!

I have purchased all my home "helping tools" I do not have a lift chair,,, is your a recliner type of lift chair Sam? My Doc said " Barb, stay away from soft chairs for several weeks as it causes your spine to "mush".

You say you would never have done this surgery if you knew what you know now... Sam what was pain level and life like BEFORE fuison?

Barb

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Barb
since my surgery I have not been able to do anything I mean nothing /nothing!!!!!!!!!!!!!!!!!!!!! for two months I've been out to dinner 4 times. Presurgery I knew what I could do. I was in pain constant nine to 10 plus pain. Presurgery I was in pain but I could walk miles. I really had a high tolerants to pain. When I had my first nerve block. I was pain free pressure pain free for two weeks. I never knew what it was like not to have pain for years. It was something I just got really used to. My second nerve block work for two weeks also. The four blocks after didn't help at all. My condition was bothering me for 13 years. It didn't handicap me at all till the last year. I was always on pain meds my family physician thought my hips were shot. I had an x-ray that said that 10 to12 years ago. The lift chair is a lounge chair its been real handy for me. It's not like a lazy boy and is not soft at all. Barb you have two weeks ahead of you.You will wish you were dead. Then it does get easier. How many procedures are you going to have done? I truly thought they were going to take my disc out and fuse that section together. I didn't know about the rest. Once they got inside there was a lot more to do. I wish you the best you seem like a really nice lady. I hope I was the one out of a thousand that might of have had a tough time. Good luck and God bless , Sam

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I have had L-5 and S-1 removed and the cage with cadaver bone and rods etc... put in about a year and a half ago. since its a degerative bone thing the cadaver bone desolved and all thats holding me together is the rods that were installed. I to have alot of pain which friends and family just cannot understand because they have never experianced it before! I found myself becoming addicted to the hydrocodon, oxycotin, and fentanyl patch all three of which I was on ! When I realized what was happening I flushed all of these meds down the toilet!!! since I have just suffered with the pain... Believe me I have tried everything else there is!!! And knowing there will be more in the future is alot on my plate!!! So I really feel for you!!! And I know what your going through!!

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I`m still in massive pain almost 3 months. Make sure this is ur last chance it was for me. If I had this to live over again I would never of done it. I new all things I could of ,If I could go back 3 months I would NOT have this surgery. I`m having more trouble then most poeple. Both PTand
Pain doc says I should be doing better. Please all you guys out there BE Where this is a real bad
surgery!!!! I was in good shape for a 48 year old. I thought I would of been fix with doing this>>. I`m still trying to be at the same pain level as persurgery. I can`t put socks on or tie my shoes yet!!!
Good luck to all. Sam

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This is my report Guys

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Barb

I had lumbar fusion, ;aminectomy L4,L5S1 on 11 Oct. I delayed until an orthopeadic doctor inormed me I had drop foot and loss of nerve response in lower left leg and that further delays could complicate my situation (mobility).
In thruth my surgeon was exceptional and the 2.5 days hospitalization were a breeze - some pain and discomfort but controllable. Was released home and had visiting nurses and Physical Therapy which heloed the healing process.
Negative aspect was that the pain medication they prescribed Hydrocodon accelerated the pain to intollerable levels. Stopped the Hydrocodon and all pain killers and leg pain decreased to about 7/10 24/7 for 2 weeks then decreased to 5/10 24/7 for 1 week and finally 5/10 only at night.
Some back pain but deminishes with exercise and walking.
Now in 6th week and feel great most of the day suffer from 3-5/leg pain at nite and have insomnia. I would never agree to a second operation but am thankful for the first and look forward to full recovery in about a months time (hopefully)
You have a tough decision to make and I hope I helped you rather than discouraged you.

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Barb,
Maybe my surgeon goofed up. I`m 4 months now really not doing that good yet . Still on a lot of pain meds still in a lot of pain. I`m still doing a lot of PT and what the surgeon says. I hope I get to where I was presurgery at least. Thanks Sam

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Sam227

Have read and reread your surgical and recovery problems history. I am not a physician but I just wonder if your pain medication may be causing you a problem. I was on Hydrocodon and everytime I took it the pain returned and was intensly more painful than before. My wife checked with the pharmisist who informed her that many post surgical patients experienced the same problem with Hydrcodon.. Once I cold turkeyed from it the pain started deminishing until now into 6th week post op nearly pain free and controllable with Excederin Back and Body asperin. You might want to check that out with your doctor.

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i too have similar issues and am depressed and a mess due to it my bro in law just hooked me up with this site and i am glad. most people cannot relate as they do not share our common bond. i have had 3 laminectomies and 1 fusion but still live in chronic seems untreatble pain. i know am on methadone which helps but quite dangerous as i have sleep apnea and it can b a deadly combo. today was told not much else they can do for me i feel for everone who suffers and can tell u my chiropracter helps as well as massage but am always looking for advice and info from fellow suffers

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Guys I have been on meds for many years for many things . When I had to stop taking I was able to. So I only take them for pain that I have all the time now. When you here the stories of abusing and being hooked on pain meds. Thats not most of us that is KIDs crushing and sniffing them up ther nose. I no more than most on this I own a busince That hired people that were truly pain pill users. They will spend all but food money on the stuff. And they buy the pain meds from 65 year olds that live near all of us . It was strange who the true drug dealers are they are mostly grandmothers that are on ss. Real sad but done all over the us. Now the drugies can`t sniff oxycontin anymore It`s made so they can`t crush it anymore. But oxycodone still works.It does make me mad when people think we are drugies and we are truly in pain and have to have pain meds to kind of live... Sam

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oh i couldn't agree more about the abuse of our drugs and the accusations of being addicts. i have to get a lawyer so the hospital would treat me for emergency shots u would think the drs would know pain pts assimilate the drugs differently than addicts and i do not have a scar up my back cuz i am looking to get high makes me sick yes abuse is rampid they beat my friend almost to death to steal a pain patch of fentnyl. i just threw all my stuff away as i couldn't take the side affects anymore but like chassm i am at th end of the line for help and terified

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Hey Sam! Just checking in. Sounds as though some things are looking up for you. I hope that they continue. I just followed up with pain management following a CT scan. I have the four levels above the original fusion that have now ruptured. I begin the
series of injections soon. I am so not looking forward to it. I don't want surgery again, but I don't know what else. I already hurt all the time. One bad surgery was enough...

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Some Days now I feel about the same as presurgery> So yes I`m feeling better.I don`t think I could live through another surgery ever. It has to be life or death only for me. I have been lasy for 3 weeks so today I walked 30mins Slept all day after thats why I`m up at 330am tonite. Sam

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Hi Everyone,
I had 3 good weeks now the pain is back again. I`ve had it tough for 8 days now. I wish I never lived through the surgery I`m 7 months post opp now. The first 2 weeks were real real heck. If I didn`t have my kids I would of given up. I just can`t stand the pain anymore. I`ve been out of work for a long time. I`m 49 I have to start working in March. I can`t miss anymore work my life will be over if I have to give up my Job!! I don`t post anymore cause I have nothing good to say about my surgery.I know it was a mistake having it, but the pain was so bad I had to try. Sam

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Riverhawk this is the report of my surgery. Sam

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Thanks Sam,

Ruverhawk

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Sam,

I am doing an internship as a physical therapy assistant. My first internship, there is a patient with a L4, L5 & S1 laminectomy, fusion/cadaver graft of those joints. What exercises/modalities helped in you in PT? We have this guy laying face down on a treatment table with 3 pillows under his hips. We can't get him to extend his back at all after weeks of tx. There are some other complicating factors but my PT doesn't really know what to do that he will be willing to do or things that can help him when we can't even get him to progress with lying prone. I was just curious to see what your PT did for you and what seemed to help. Any info you could give me would be great!

Kristen

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I went to PT for 10 weeks 3x a week 1 1/2 hours a time. It didn`t help me at all it just hurt me. In the end I was better just walking. Good luck Sam
ps if you want my email Let me know

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Dear Mr.Sam

During 1994, at the age of 18, I under gone Lamenectomy & Disectomy. Lamen L4 L5 S1 and Disc L5 S1. All the years Iam normal & doing all my regular jobs etc.

During 2006 I had a severe Vomitting due to food allergie, At that time the same targetted place disc came out and i was admitted in hospital for Continuous Traction and the pain releved.

The Physiotherapist who treated me told, your back muscles are very soft, for this you need to do Backward bending & back holding exercises.

I was doing the same for 1 year. In a due course, iam feeling the pain, when iam doing the exercises. Last year during October 2010 I had a very Massive pain, and the investigations done.

The MRI shows the L5 had Moved front.

Dr told me because of Lamena has been removed there is a instability in that region.

He suggested me for Lumbar Fusion with two rods and screws to Stablise.

Presently Iam un married-35yrs old.

In India the cost of this Surgery is 1.50 to 2.00lakhs. Next month only iam going to take a mediclaim policy. Since this is the pre existing disease i have to wait for 4 years. My Dr has postponed the operation, he suggested me to get marry first.

Iam having certain doubts if possible pls clarify:

1.Which type of Surgery I can opt for?
like Minimally Invasive or a Traditional long Incision Method.

2.What will be my Quality of my Life?

3.How my Marriage life will be after the surgery?

4.Iam the earning member in my family

Iam very glad if you reply me in this regard.

Presently Iam feeling normal, and doing all my regular activities.

Thanks
Amarnath.J

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This is for those who are worried about their forthcoming lumbar fusion and decompression surgery. After suffering from a lot of pain due to spinal stenosis, I opted for the spinal fusion surgery which was done brilliantly well by Dr. Kevin Kelly by the long incision way. I am doing very well and I am able to walk 2 or 3 miles without any pain. Periodically I get some fatigue when I go for a nap. Taking a large dose (1000 mg) helps quite a bit in reducing the fatigue, I suggest that you choose a proper surgeon; that is all.

I am 73, and I had the surgery six months ago. I intend to walk the Marathon in 2013. "If hopes were dupes, fears may be liars".

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