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Here to help answer any questions about spondylolisthesis of the L5/S1 and after affects of surgery and what you may face if your single in the system.

Started by ragweed2011 on 05/18/2013 10:41pm

I guess allot of my old friends are in the middle of living there lives.
If anyone is facing future surgery of the lower lumbar.
Or questions about what to expect before during and after.
And what you may face if your single and need help from the state.
As well as if you are working and decide to have surgery.
Life has changed in many was for me.
Hope to be able to help someone with there questions.
Thank you.
Ray.

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16 Responses

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Sure was hoping to hear how nurse nancy was doing after her.
Hardware removal. We're are you nancy.

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come on people i'm here to help.

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Here to help. Anyone. Ask away.
Ray

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Hi Ray, good to hear that you are still on the forum. Where are you at with your bone growth regarding your fusion?

I have my two year post op review in one month in order to determine the integrity and progress of my fusion at L5/S1 level. All of my previous pain is gone, hence, I am extremely glad that I had the surgery.

Cheers,

Robert.

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MR. MILLER!!!!
You are one if the few. The proud. The pain free!
Lol. Glad all is good for you.
Me. No fusion. Still in daily pain and anxiety and depression.
On stronger meds then when I started.
Xanax cause I'm going bonkers and anger issues.
Shrinks because I hate life and the world.
Lost the love if my life over this.
Made it worse she used my disability as the excuse to end it.
Talk about a kick in the nuts.
But life goes on. Yes I came back to see if I could help anyone.
They never seem to use the search box to find answers.
They post what we had right under our postings and I just shake my head.
But. Oh well. But I'm very happy to hear you are well my friend.
DON'T DO ANYTHING STUPID!!! Don't hurt yourself. You are one of the few lucky ones.
Keep it that way.
Just me and old jake now.
Pour dog has to lick my face to wake me up.
God bless you. May he keep you strong and health.
And pain free.
Good luck on the two year review.
God bless
Ray.

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Hi Ray,

It's not good that you are still battling pain and all the other associated issues. As for moving forward, are you able to have a bone growth stimulator inserted? If so, does the public or private health care system cover the cost?

Despite the negatives, I honestly believe that your psychological strength and positive spirit will carry you though these challenging times....you will get better!

You are right about being careful, I had to pull our German Shepherd's lead quite hard recently and have subsequently noticed some minor spasms in my left calf. I am sure that this will abate soon.

Cheers,

Robert

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Hi, i have an upcoming tlif spinal fusion and im a lil worried about it. im 41/
male and a moderate cigarette smoker. ive done some research and it seems smokers hav a higher risk off failed fusion. I have deg. disc, herniated disc and athritis. Had a discoctomy done about six mnths ago and it got worse. Im not in very good health from smoking and lack of exercise. i was just trying to find out what to expect. any advise ? thanks - worried sick :-\

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Hi Chris,

You will be having one of the most successful spinal procedures. The TLIF procedure has a low incidence of complications and in fact, many clinical studies and surveys indicate that the majority of TLIF patient's report substantial pain reduction as well a successful fusion rate (i.e. 90%>).

Yes, smoking does apparently increase the risk of a failed fusion, however, taking calcium supplements now may help mitigate such risk?

From my experience in having aTLIF with hardware nearly two years ago, I can offer the following comments;

* Typical hospital stay can vary between 2 - 7 days.
* Once back home from hospital ( first two weeks), I tended to frequently alternate between standing, walking, and lying down. Generally, I found that walking was the best, though, even fit people will tire quickly as your body is still recovering from major surgery.
* Ensure that help is available at home for you especially any tasks that involve bending, lifting or pushing anything over 2 kg, yes 2 kilograms! Being a relatively active and fit person, I was initially surprised how quickly fatigue sets in. If your toilet is of modern design, that is, a toilet which is lower to the ground, I would recommend hiring a toilet seat frame as these alleviate stress to your back.
* You can expect to need pain medication for the first few weeks. Some people may need to take longer. A visit to a pain management clinic may be of some benefit if you feel the need.
* Work wise, and depending on what sort of work you do, expect to be off work for 8 - 12 weeks or so.
* Physiotherapy typically commences between 6 - 8 weeks post op. Hydrotherapy is also a great gentle way of rehabilitating.
* Remember, your recovery is a lengthy process and furthermore your commitment to your rehabilitation activities will heavily influence your successful recovery.
* Bone fusion can take up to 2 years or so, therefore, it is essential that you focus on being careful with the things you undertake.

Cheers,

Robert.

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hi robert..
no bone growth stimulaters are to be given while or right after surgery.
i never got one.
i'm on the states insurance so i guess i wasn't important enough to get one.
its benn almost two years now since the surgery.
my six month xray showed no fusion.
there was bone growth but a big black gap strate threw.
i was told by the good doctor.
if it don't fuse in six months it isn't going to.
i have small movement i can feel grinding so i know it just rubbing calsium on calsium.
i was told told to go and get another opionion but i'm not going to be cut open again.
tried ounce. thats enough.
pain is ok.....it's managable at this point.
yep getting with the lord to see me threw this life.
its all good i guess.
but you keep going....live a long and pain free life .
we all will get threw this .
just a new life now to get use to.
my prayers are with you.
ray

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Hi Ray,

Bone fusion's can take up to two years or so. My fusion only started bridging at one year post op and furthermore my neurosurgeon said to allow two years for a full fusion to occur.

Any consideration towards the recommendation of a bone growth stimulator will only be made after a two year period is exhausted and subsequent CT imaging confirms non fusion.

It appears as though there are many so called professionals who fail to provide accurate advice regarding indicative fusion periods.

More importantly, and although I only understand the Australian medical system, your previous surgeon and or healthcare system should be responsible to provide you with a bone growth stimulator given your failed fusion status. The system in the U.S. sounds very unfair with people having to legally challenge the unjust outcomes.

I must say that, if my fusion is not fully fused at my upcoming two year post op review in July, then, I will be able to access a bone growth stimulator via the taxpayer funded health care system no cost. In Australia, we can choose to pay for private health insurance or alternatively, have an assessable levy deducted from our annual tax return. Public cover does not offer the full benefits that an expensive private cover policy would, however, I was happy that my $40,000 spine surgery was covered by our public Medicare system.

Cheers,

Robert.

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Im happy your fused Robert.
Glad you have great doctors there.
Very happy that your no longer in pain.
Your the 1% that is lucky.
You keep up the great work on staying healthy.
Blessings. And good luck. :)
Ray.

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THIS INFORMATION CAME FROM A MEDICAL SITE FOR L5/S1 SURGERIES.
THE INFO IS FOR HIGH RISK FUSIONS. ITS SELF EXPLANATORY.

Electrical stimulation

Aetna considers direct current electrical bone-growth stimulators, as well as inductive coupling or capacitive coupling non-invasive electrical stimulators medically necessary for any of the following indications:

Delayed unions of fractures or failed arthrodesis at high-risk sites (i.e., open or segmental tibial fractures, carpal navicular fractures), or
Non-unions, failed fusions, and congenital pseudarthrosis where there is no evidence of progression of healing for 3 or more months despite appropriate fracture care, or
Members who are at high-risk for spinal fusion failure when any of the following criteria is met:

A multiple level fusion entailing 3 or more vertebrae (e.g., L3 to L5, L4 to S1, etc.), or
Grade II or worse spondylolisthesis, or
One or more failed fusions.
Aetna considers electrical bone-growth stimulators experimental and investigational for all other indications, including the treatment of avascular necrosis of the hip, Charcot arthropathy, Charcot foot, fractures of the scapula or pelvis, loosened knee prosthesis, lunate fractures, odontoid fractures, sacroiliac fusion, spondylolysis (also known as pars inter-articularis fracture), and stress fractures (not an all inclusive list) because of a lack of adequate evidence of their effectiveness for these conditions.

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I had spondylolisthesis of the L5 grade 2 slip.
The only X-ray I had after my surgery was six months after.
If I would have gotten one when I was a month after. It may have helped.
But at six months. It wouldn't do anything.
Just don't know how else to say it.
But everyone. Life is good.
It's worth livening.
God bless you all. I pray for everyone here.
I'm not here to debate.
Gods blessings.
Ray

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Hi Ray,

As for my fusion progress, I will see next month if my fusion is actually fully fused?

If you are still battling pain, have you tried acceptance commitment therapy?

I offer my sincere blessings to you as well my friend, keep positive and take care.

Kind regards,

Robert.

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Hey spondylolisthesis sis. How r u hanging on? I'm a spondylolisthesis grade 5 with 2 surgeries under my belt n over ten years since my first surgery. If u have any ?s or if u just need to talk I'm here. I know the lose of things, life as I call it, ur struggling with n I would love to b your what i like to call spinal sponsor. Hell if AA has em y shouldn't we! Your friend Kim :)

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