Lumbar Foraminal Stenosis - Fusion Surgery Options Part 2
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- Опубліковано 13 чер 2024
- This Video focuses on fusion surgical options for patients with foraminal stenosis. Symptoms often include buttock and leg pain and when a patient's quality of life if effected and all non-surgical options have been explored, surgery may need to be considered. There are 2 surgical ways to treat foraminal stenosis, directly decompressing the nerve and indirectly decompressing the nerve. This video focuses on the indirect decompression of the nerve using procedures like Anterior Lumbar Interbody Fusion (ALIF), Lateral Lumbar Interbody Fusion (LLIF) and Transforaminal Lumbar Interbody Fusion (TLIF). The previous video focused on direct decompression surgery for Lumbar Foraminal Stenosis.
#thespineguy #drbriansu #foraminalstenosis #fusionsurgery #indirectdecompression #decompressionandfusion #risksofsurgery #discheightcollapse #bonespur #ALIF #LLIF #TLIF #facetectomy #Partialfacetectomy #indirectdecompression #laminotomy
Dr. Brian W. Su, MD
Spine Surgeon
Chief Development and Strategy Officer | California Orthopedics and Spine
Medical Director of Spine Surgery | Marin General Hospital
Director | Marin Healthcare District Board
Chairman | Marin Specialty Surgery Center
Yelp:
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Contact two locations:
www.caorthospine.com/
415-927-5300
2 Bon Air Road, Suite 120
Larkspur, CA 94939
7100 Redwood Blvd, Suite 200
Novato, CA 94945
Curriculum Vitae:
www.caorthospine.com/brian-su...
FTC: This video is not sponsored.
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Information obtained from this video should not be taken in lieu of your own medical provider's advice and treatment plan. Please consult directly with a physician or other healthcare professional regarding any diagnosis or treatment plan options. Content provided on this UA-cam channel is for informational purposes only and should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose , treat, cure or prevent disease.
I had a TLIF on L5/L6 (yes I have an extra vertebra) 7 months ago. I couldn't walk more than a block without severe pain. After the operation, I walked a mile 2 weeks after surgery!
Excellent video and very informative. You made it easy for a layman to understand the differences in the operations and what one might expect. Thank you.
So helpful Dr Su! I was most impressed by the story of your beautiful mom. This is inspiring for me and gives me a lot of hope for the future.
Dr. Su, great video again! Could you kindly make a video and explain what happens if the fusion fails in either lumbar or cervical fusion procedures.
Yes I will
Excellent video
Excellent series of videos. In a technical professional's opinion, these are top quality.
Great surgeon Dr. Su. Your parents would be so proud of you!
Like the surgery your mom had!❤
Thank you 🙏
Dr Su- Thank you so so much for explaining these surgeries and helping me to understand the options I might have in the future to improve my health and quality of life. I am 65 and feel I am most similar to your mother. I have buttock and leg pain and L4/L5 compression of the nerve. I have also aways been totally against surgeries for myself. However I am now retired and cannot fulfil my dreams of walking through the alps and traveling. The pain has been unbelievable. Sadly health care access is stretched in my area and limits access. Even though I HAVE insurance. Of course I will need to find a surgeon in my area. Do you know anyone in Madison Wisconsin or Base Switzerland who can do this surgery well?
Unfortunately I don't know of anybody there but you can certainly have a virtual visit with me by calling 415-925-8200
Dr Su wish you were here in NJ. I have been dealing with stenosis at the L3-L4. I want to treat it with minimally invasive surgery not a fusion, which is what most dr’s want to do. I have lower back pain, leg cramping in the hamstrings and calfs. Do you know a Dr in the NY, NJ area who does what you do?
Try hospital for special surgery, Columbia, or sinai
You are using examples of single fusion. I am going to be having L2-L5 fused. What is the best approach for you, and complications. Also patient healing experiences.
A long segment fusion while it sometimes needed may not always be. It really depends on where the compression is etc. Yes many people have multi-level fusions and do well. You can always call 415 925 8200 for a second opinion with me.
We've spoken before. I am in need of an ALIF. However I just had a full thickness rotater cuff surgery the day after Christmas. The nerve block didn't happen due to my artery being too close is ehat they told me. I am in excruciating pain all day every day 19 days after surgery. My question is how soon approx before I can undergo the ALIF?
I typically let people get spine surgery 6 to 12 weeks after other surgeries but I would have to look at the case
I have moderate formaminal stenosis at L5-S1 along with some central stenosis. I have radiculopathy to my toes and a fair amount of pain down my leg. I’ve been getting by with epidural steroid injections about 3x per year which offer good pain relief but are getting to be less effective. I spoke to a spine surgeon a few years ago and he said I could get the surgery but it would be an anterior approach with rods because my scoliosis (22 degrees at the lumbar region) would otherwise make my spine unstable . I also have osteoporosis. Do you think that I’m not a surgical candidate at this point ?
I would have to look at the images. Please call for 415 925-8200 for second opinion by video visit
If I'm not mistaken, it seems like any hardware inserted always creates more problems later. If i'm hearing correctly !
That's not true. There are pluses and minuses to each.
My MRI says I have bilateral neural foraminal stenosis L5 S1 with compression on the left nerve. I also have LLD due to my left hip being hiked up. I don't have any disc bulges or degenerative disease. Could the stenosis be caused by the hip hike causing the compression?
You can certainly tell by doing a selective nerve root injection over the affected nerve and see if it helps you. I would defer to your doctor.
@DrBrianSuTheSpineGuy Thanks, I've put an orthopaedic insole on my shorter leg, my pelvis is now straight and the pins and needles in my left leg have gone (for now). Instant relief... Thanks for replying 🙂
I had L2-S1 fused 3 weeks ago. Still having nerve pain and burning sensation in the hip, is that normal? Not having pains at the fusion site only in my hips and down my legs. He also put screws in my sacrum and fused it to another bone I can't remember the name of it. The surgery took 7 hours
You can take up to one year for the nerves to heal
@DrBrianSuTheSpineGuy I take 300mg Lyrica daily, will that help the nerves heals faster?
What kind of blood loss is normal on the TLIF?
Typically less than 200 ml
Thanks. Would this require a transfusion?@@DrBrianSuTheSpineGuy