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Had L4-S1 fusion, now L3-4 Adjacent Segment Disc Herniation

Started by Kristine1963 on 04/18/2019 1:09am

Hello. In 2013 I had an L4-L5 and L5-S1 PLIF. I've had all kinds of problems, mostly related to my SI joints. In the last year my legs have grown weak and have decreased reflexes. I have left drop foot and some atrophy in my shin.

I've developed a new problem though. A huge disc extrusion at L3-L4.

Wondering if anyone else has had a herniation of an adjacent segment. Did you have surgery? Did it help? Did the herniation come back?

Thanks.

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I had L5/S1 fusion surgery in October and think I herniated L4/L5 two months ago. After two microdiscectomies and a fusion in the last two years, I'd rather skip straight to fusion I'm waiting for approval for another mri. Curious about what the surgeon might suggest since I have existing instrumentation and I'm not sure if he can fuse a new herniation right next to the existing fusion.

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I'm waiting to get approval to see the surgeon. My primary doc downplays the herniation, says millions of people are walking around like that. Maybe, but I think it's a big issue being right above the fusion and it's 3/4" x 1/2" x 1/4".

I'll see what the surgeon says, but I don't like the idea of more fusion. What next, problems above that level? And if he does a discectomy, won't it always have a tendency to reherniate?

Thanks for the response, very interested in your outcome.

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Sounds like we have the same concerns! Are they going to keep herniating one after the other?, the stress a fusion puts on the adjacent discs, how many fusions are possible, etc.

I thankfully don't have to get permission to see my surgeon. I wouldn't say he downplays anything, but he generally tells me "I don't think you reherniated". My first was 7 X 10mm. Reherniated six months after microdiscectomy. 2.7 CENTIMETERS! Reherniated immediately- 2.5 cm (probably as soon as I moved or was moved). He's been shocked by the severity and how quickly it blew out. Maybe someday he'll understand that when I say "something's wrong" something is actually wrong :)

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