World's worst lumbar spine - t10-s1fusion recommended today :-(
I am 70, diagnosed with DISH in march 2010. Arthritis of cervical spine 1992 and lumbar issues early on. I have been self employed with an internet newsletter since 1992. want to keep doing that. See web site athttp://cookrepoort.com Cervical diskectomy 1992. Cervical fusion botched in 2000 revised successfully by Dr, Todd Albert. Laminectory l4-l5 in 2000. In 2006 Dr Albert said that needed "revision." Meanwhile right hip was replaced at Rothman in hilly in December 2000. cervical revision in Aug 2000. left hip totally replaced in 2009 also Rothman.
In 2010 with both hips done I could walk reasonably well but since then weakness in lumbar area has severely progress. Have been doing treadmill and low bench pulls and situps at local gym for six months. Helps. But walking more than 200 yards very difficult. 4 10 mg hydrocodone 325 acetominophin per day plus 1 200 mg celebrex keeps pain at bay. But I feel horribly Weak. too much sedentary life. But 26 day research trip to guifinet in spain got me first major dose of exercise in 3 years confirmed the wiseness of gym seven days a week. I hoped by this routine i could avoid surgery. Saw Steven Scherer cheif neuro muscular at Penn 4 times this year. After reviewing april 4 2013 lumbar MRIhe urged a surgical consult.
Had one of June 18 with Penn neurosurgeon. Did not understand why continued exercise would fail and so focused on that the consult went nowhere. Dr Scherer agreed to explain why i had no choice on aug 30. Basically MRI says severe compression nerve root L&R, severe compression foramina L&R moderate to server compression both root and foramina at other levels. You will loose your ability to walk no mater how much exercise you get because the compression is killing your lower extremity motor nerves. That got my attention.
I emailed Todd Albert asking if he would consider lumbar surgery on my. within 36 hours Dr Albert responded by recommending Dr Jeffery Rhin. I saw Dr Rhin today. In addition to reviewing the MRI from April he took multiple xrays going from the cervical spine to lumbar spine. Standing.... one "film". Measure the scoliosis at 35 degrees.
I also have facet damage and growth from the laminectomy affecting the facets at two level. Plus spondo lethysis at one level.
In june i was told decompression at 3 levels... no rods no screws. 3 hours. Today I asked Dr Rhin of the list of defects on the radiology report what would you address? EVERYTHING!!! 7 to 8 hours posterior. Until i had the standing xrays he said he might have togi anterior as well. That scared the hell out of me. The nagging uncertainty of getting gradually worse and often i feel its not so gradual is such that i am inclined to go forward before i get even older.
I have no other serious issues. no hypertension, no diabetes never smoked, infrequent alcohol. both parents lived into their 90s. So if my lumbar spine can be rebuilt I might have 20 years or more ahead of me
One thing that I was glad to hear him say was that he wants me to see dr James Harrop neurosurgeon and they would both do the surgery together. So orthopod and neuro makes sense. I will do this. He indicated that the surgerty could take place next month. I am hoping to be able to attend a week long conference in Quito Ecuador in March. President Correa is calling in an international team of advisors to design a rebuild of Ecuadora political economy on the ground of commons and collaboration. No guarantee but he thinks i should be able to go.
so with this lengthy introduction what are the words from the wise? Given my age it seems to make sense to do as much as possible rather than piecemeal aproach. Any questions to ask about the instrumentation? I gather failures are more RARE? I have the MRI images on my machine but i don't know if thinking about uploading any there is possible or makes any sense.