A Case of Double Failed Lumbar Fusion and Dangerously Misplaced Pedicle Screws
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- Опубліковано 27 кві 2018
- Dr. Gillard describes the case of a primary failed lumbar fusion, followed by a failed revision fusion. In both cases the pedicle screws were terribly misplaced, resulting in new radicular pain and danger.
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I'm so sick of doctors who claim the patient is crazy because they don't know what's wrong.
I watched "the spine guy channel" and thank goodness I did. Highly recommend, very conservative recommendations.
Recovering from a L4/5 cortisone injection and trying to avoid surgery. Feel better!
They just want you hooked on pills
Me too😢
I have a failed fusion l5 S1 in 1992 and have been suffering ever since. This story is so similar the Dr. denied that anything else was wrong. Later they figured out that they mis read my MRI and all I had was a pulled muscle.. Now I am tread like a criminal due to the pain meds I have been on. I am so hopeless now that I am just on gabapentin. My pain haunts me day and night. sever sciatic pain. Thanks for your video I hope people really think about surgery before undergoing the knife. I was 27 yrs old and have been permanently disable ever since.
Try Topomax instead of gabapentin. It helped me. Start very slowly. 12.5 mg at night and work up to 200 mg bid. Positive side effect it helps you lose weight instead of gain weight.
does your pain go into leg?
@@milekrizman Yes. I have very bad nerve pain that goes down my left leg all the way to my foot. Its been horrible to deal with.
@@TheWarbucksTrades before the surgery I had only pain in my left lower back. No pain in leg
@@milekrizman sciatic pain usually does go across the butt cheek and down the leg. I have severe pain from sciatic pain everyday after having failed fusion from L4/5 & L5/S1 fusions. Both failed. Was told from 5 different surgeons that nothing more can be done! Been stuck in bed for a year now. I’m on pain pump with fentanyl now and still in severe pain. No relief.
Hello dear doctor. I don't know how to thank you, how to thank for your help. I play your graet videos over and over. Thnak you so much. You are the best doctor I know.
🌷🌷🌷🌷🌷🌷
I wish you were closer to Los Angeles. I’ve been living with UNBELIEVABLE pain after failed C2 to T1, anterior/posterior surgeries in 2012. Everything you mention for this man resonates with me. I’ve tried everything including swimming, acupuncture, massage, etc. 4 neurosurgeon consults... life just isn’t worth living anymore.... waiting for a nerve test to be approved. There’s nothing else and I can’t get my insurance to approve the psych testing for a spinal cord stimulator.... sigh...
Incredibly well articulated video, thank you.
Ha.... I didn't even catch the joke.... well articulated video, terribly articulating vertebrae.
The poor soul. As someone with a not entirely successful L4 - S1 fusion, I sympathise. I hope he can find some help as suggested.
Need help
Dr. Thorne at Scripps in La Jolla. He is a master at repair.
I just had that surgery. What do you mean " not entirely successful"?
I'm not a medical professional but Dr Gillard explained this so well I'm horrified that a qualified surgeon could make these mistakes.
Very sad. There are incompetent doctors in many places, but this patient has clearly had one of the worst. I hope he can be seen buy a team of doctors that can repair or at least reduce the damage. Whoever did this to him should face criminal neglect charges and no longer be allowed to do any surgery.
I agree 100%!
Government controlled medical care
@@cindyjohnson5242 Canada.
its performed by Taliban, so...lol
you lucky they leave you alive on the new surgery
@@cindyjohnson5242 They use pain against us to kill us.
Dude, I mean Dr., I wanted to see the video but couldn’t take my eye off that beautiful rig behind you. I love PRS guitars. Mesa Boogie isn’t too shabby either. Well done! After watching this video, I’m absolutely terrified of my upcoming ALIF for L5-S1 in a few weeks. Having a great level of mechanical ability is important to drive a screw into the right spot. I waited for a long time to do this surgery with back pain on and off for 15 years or so. I’m going to be 55 yrs old in a month which is why I went ahead and decided to do it. Hopefully I’m not a case study for you in the future.
Dr. I can tell you how much your candid attitude lifted my sprits and the no “BS” call. Like a referee at a basket ball game, you see a foul or out-of-bounds activity, you call it out! As a 6’3” Farm kid the grew 7” at age 11, I was always given a man’s chores and worked my behind off as everyone else was younger or stepfather & his dad, sat in the truck and had beer while I did all of the chores for 1.5 hrs. or longer if cold. Either way, I knew only hard work with no allowance. My mechanical aptitude was everything, apprenticed at a good 2 man shop, honed my skills. I went 25 miles to the city to have benefits. I went right into a dealership and took test my boss asked for an was awarded ASE Master certification.
Years later at 28, a shop tried hard to get me to quit and work for them. I did. They built a gas station/shop on a hill and did not pack the dirt. A slab of concrete sunk 8” and the three techs (Including myself) cut 2X8’s at a slant to be able to drive a normal car into and out of the shop. The boss lost his case and bought a huge backhoe and found out I could run it. Removed concrete and down 4 feet so drain pipe could be fixed. It rained in late summer. They put tarps over it then removed to dry. Two weeks or so passed and my boss asked me to run the rented earth compaction machine. I said no and argued for 20+ minutes. My pay per hour went way up and I am running this gas engine, that jumps up & down. The dry soil turned to mud, picked it up and drug it to a new location. Same problem. I knocked it over after 5 hours, locked my tool box and went home with a sore back. I woke up with the sensation of the worse sunburn I ever had. I had a surgeon with 30+ years and after laminectomy, mylogram and dropped in screaming pain. Now the fall and 29 years old. He took donor bone from hip and explained what became true. (R.I.P. / Nice guy) He told me out of 5 major muscle groups, I tore three of them near the bottom. He said these are scar tissue. 20 years pass and had a fusion using the “Harrington” procedure with pedestal screws, bars and bracket five year before. No longer could work bad elbow, torn rotator cuff, just a sum total too much. About 2 years later, dorsal nerves trapped in scar tissue and burns after bending to wash hands or work at the bench. Had an RF oblation but low, 3 bilateral. It became worse and come on quicker, but an L3-L2 epidural eliminated the pain and burning twice. Same 2005 Doc. got in and did not like what he saw. He did a good job but have the screws in S1-L5-L4-L3 and won’t go higher for the obvious reasons. Going back to have an epidural at the L3-L2 again, but if good, the only thing I can do is radio frequency nerve oblation that may help a little because it’s been soo long. Repeat again every two years or more. I can’t sit on my butt, and I have to bend for everything. Just want to stand like a man at 62, and walk to my mailbox without my abnormal long cain. I hope this works as quality of life has dropped to #2 w/10 excellent. I want to get off hydromorphone 8mg X 4 (Was 5 for 6 years) & diazepam 10mg X 4. It helps but for 20-40 minutes, then tick-tacs.
Anyone reading this after April 30th, 2021. If asked by work to do heavy work, even if you are built like a bull. 28-30 is your peak!!! Stop, say no, walk away and quit if need be. It is not worth it! There are other jobs, could be hard at first, but better than a lifetime of being young and looking like your 85 years old, in pain. It is really hard to cut your caloric intake from 2,000 to 500 calories per day. In pain, you can’t burn calories so you gain weight. 5 lbs. per month X 12 = What? 160 lbs. 170 lbs.? Now close to diabetic, heart problems 25 years early! Don’t do it ever. You look after you! Know-one else will. I can’t mow my own yard. Takes 4 tries and this year, no garden! First time ever. Sad, but life is hard, don’t make it harder! I am P. O.! Omaha.
Hope you feel better eventually man, I hear you. Very sad and fcked up world out there. I wish I wasn't such a working horse through my 20s and then got rear ended by some idiot who wasn't paying attention at 40mph. It's crazy to think that these ppl can get to Mars, but can't help those who are in need of relieving their back pain. Hope you're well, hang in there and great advice to young guys out there.
You are so correct, if you do heavy hard work , lifting etc while young it WILL catch up with you down the track.
@@RolandElliottFirstG I think my maternal grandfather told me that “Hard Work Will Get You Everything!” I am not sure if he mentioned when to start or how hard to work! All I know is, they spent sometime at a small garage drinking from a jug with 3 X’s on it. lol. Have a good Thanksgiving for 2021.
I am waiting for spinal electrodes at the L1 level. Live lumbar nerves trapped in scar tissue that use to be muscles. The Dr. in 1987 told me that much. Hoping for 50% or more relief so I can bend (6’3” tall) and walk like mowing my yard without a cane. Even to get the mail. 3 epidurals where perfect but lasted 1 1/2 day with non-particulate steroids. Fingers crossed as few Dr’s do not want Medicare patients.
To add to my other comment, i am 6'7 and have similar issues with my back.
@@RolandElliottFirstG Wow, you are tall and we are both living in a 5’2” world. My lumber burning only after bending started over 11 years ago. Been getting worse and more becomes more intense as the day progresses. Now in my early 60’s, I have a lot to do and have no intention to stop now! I will keep you and everyone in my prayers. Someone always has it worse but how much will you mind let you take. I look at things I want to do in my garage and cry. It wears you down.
I tell myself to keep going, just to get one thing done. I refuse to watch my neighbor mow his yard as I have to use a cane! I have to keep cardio, muscles even though my son would do it. I couldn’t sit and watch TV all day, unless real sick, that would be torture! Best of luck.
I work in construction and I can see the big mistakes. I don't need to be a doctor in other to see that , I've been watching MRI in lumbar discs for couples days . Poor kid , I feel sorry for him
2008 L4_L5 disc herniated, 1 failed Epidural injection. 2 failed SPINAL BLOCKS , WALACE IMPLANT IN 2008 . WAS SUPPOSED TO REDUCE MASSIVE PAIN I WAS MAXED OUT ON FENANL. AND OXCONTION . ... DURING OPERATION NEUROSURGERY DRILLED OUT NERVE ROOT, VERTIBRA TO REDUCE PAIN ,,, IN SIATIC NERVE RIGHT HAND SIDE .... FAILURE ... IMPLANT COLLAPSED , IT WAS SUPPOSED TO LAST 25 YEARS , 2009 SAME DOCTOR OPENED ME UP AGAIN TH SAME QUACK ! OF A DR DID SAME PROCEDURE-AGAIN REMOVING more Bone from VERTEBRA L4_L5 .... AGAIN EPIC FAILURE OF IMPLANT COLLAPSED IN ONTOP OF ITS SELF ... THEN I WAS LEFT IN PAIN FOR 12 MONTHS BETWEEN SEPSIS - KIDNEY DISEASE DIABETES AND CHRONIC HEART DISEASE DUE TO A FAILD MICRODISECTOMY 2011, CAUSED A CAUDIA EQUINA SYNDROME. 2011 . IN HOSPITAL FOR CHRISTMAS...2013 NEW MAN . DID GOOD JOB FINALLY RESEARCHED THE DOCTOR.... GOT A FULL SPINAL FUSION . . LIVE WITH FAILD BACK SYNDROME AND CAUDIA EQUINA. AGED 44 . PAIN 4 REST OF MY LIFE , UNTIL I GET THE COVID-19 .... ILL BE CHECKING OUT ....
I dig your Mesa Boogie and PRS Doc!
Hi Dr Gilliard. Very informative video. I feel so bad for this patient. I know what is to be in constant pain. I had a two level neck fusion in 2020 that I am still suffering from pain. I had multiple imaging done and no Dr has been able to tell me what’s wrong. It’s frustrating how a person in pain is dismissed by these surgeons.
I’m going to now watch your video on reading an mri
Thanks for teaching us sir.
Thanks to you, I was able to diagnose my husband's cervical problems, and got a surgeon whom fixed the problem, from a previous neurosurgeon that should not be practicing medicine.
Was his name. Dr Citow? Same thing happened to me. Had to have a huge revision surgery to fix it.
This is very scary. I had a fusion @ L4/L5 where they came in from my right side. They only put a bracket on this side which would probably be ok but the spacer that they put is metallic and my new doctor can’t see if the bone graft took or not. No bone graft on outside part of fusion. The reason I got a new doctor is because I still have pain and even have new additional pain. All my doctors involved believe that L5/S1 failed shortly after surgery. First doctor had me get a round of shots to be sure that was the problem but then just threw his hands up and said that there was nothing he can do except for a pain stimulator so I went see a neurosurgeon. He got me going to three months of therapy and then surgery to fuse L5/S1 and tie in L4/L5 on my left side with additional bone graft. I’m praying for a miracle that I won’t need the surgery but I am doubtful. When I woke up from my first surgery my right leg was completely dead. No feeling or control whatsoever. You could have amputated it and I wouldn’t have felt it. The feeling and movement slowly came back and that was like the most painful dead leg I ever had. That’s why I think my first doctor is scared to work on me anymore. He said I had bad arthritis and ligaments and the bone was too brittle. I don’t think he was being honest at all. He went from being one of the nicest doctors to being completely distant. I’m tired of being on pain meds and being in pain all the time and I’m hearing horror stories with that pain stimulator.
So sorry you are going through this! Have you had any resolution?
That is staggering I am a carpenter and i would ashamed if i failed to hit my mark that badly with a screw its staggering, I also have a fairly rare and interesting spine condition that started as the result of a 40ft cliff fall in 1970 at the age of aged 15 years old, I sustained a compression fracture dislocation of my lumber spine Dislocated the lower 3 cracked the 3rd in 3 places and compression fracture between 3rd and 4th, I had almost no neurological deficit at the time; and have had no surgery it all self fused, I had a fall in 2015 broke 5 ribs and a scan at that time,
I also have the rare bone L6 for interest, to the situation and i have a full copy of the scan, It appears on the scan that I am developing some real problems with my thoracic spine though am having some difficulty gettting this confirmed,
Thank You for a most informative video,
What's with the shiners? That docters is hungry!!!
Thank you for the. very informative video. I have a botched laminectomy. Not sure how to proceed. Constant pain even with an SCS
I had 2 failed fusions in 2010 c4-c7 and 3rd c3-c4 in 2015. Live in constant pain!!
Honestly after seeing this I no longer feel that my lumbar spine is that bad and I’m greatful for having only one fusion revision and 4 other lumbar surgical procedures dealing with herniated disc and stenosis issues, I do have some pain issues, but over all my spine is stable but complex as far as treatment of symptoms , and I’d rather be me than him!!
you just need to get a new spine fusion :)
Wow, this has got to be Canada!!! So sorry for this young man. I completely empathize with what you’ve had to go through. I really hope you’ve found help and are doing better now.
I’m going through a very similar situation with a botched fusion, been trying to navigate our joke of a medical system since 2018. Same deal, Surgeon refuses to take accountability, and all other Surgeons that have assessed me refuse to help . I’ve went to NYC, and Germany on my own $ seeking help. Had half the revision surgery I need in Germany , now I can’t afford any more personal loans.
Sent my images to multiple institutes in the states and Germany and they all agree the hardware is misplaced, screws , cage and all. It all Needs to come out in order to heal. They refuse to acknowledge that here, help me , or send me to someone that will help me. It’s beyond hopeless and frustrating. I don’t know what to do at this point. I’m only 29 and just want my life back.
so sorry 😞
Hang in. Be careful of blood pressure and sleep deprivation. Chronic Pain that is severe can cause heart attacks and strokes. It can cause suicidal depression. Sleep deprivation affects mood too. All the best to you. Hope you got some relief.
Hello Penny how are you?
have you found help for your health problem ?
Where do you live, have you seen doctors in Texas?
I am having my surgery on the 17 and I am terrified but the pain I go through on a daily basis is out of control.
the neurosurgeon here in Texas seems like he has a heart compassion for humans. If you like I can share your story with him and see what happens?.
I hope you are ok considering the circumstances.
God bless you ! 🙌
hello Penny. I just got my fusion done on the 17th of
this month.
right now I'm at the rehab and I'm supposed to leave back home on 12 /02 on.
can tell you that these surgeries from my personal experience were the worst pain that I have ever experienced
throughout my whole life.
nothing that I would say will changed their mind or even feel my pain through my explanation. still on rehabilitation and recuperating, I don't really have strength to talk or to say anything else other than I'll be back in a few weeks and give you a more detail explanation.
to help how you know how my surgery is going one thing that I dId notice right away, you know like when we holding our phones and typing I feel like my fingers are doing their own thing and typing for me, before I even touch them key pad.
like they are tweaking . and I don't know if is something related to the surgery but I'm assuming it is. I'm going to talk about that with my surgeon next time when I go for a follow-up.
other than that right now that's about as much as I can tell you and I'm hoping that after I heal well first I'm hoping that I will heal without complications no infections and no relapse and then my second desire is that I will notice with my daily activities if the surgery really got me stronger and pain free from that specific health problem that I have thank you
I’m so sorry this happened to you. I’m a young Canadian woman who also had a bad lumbar fusion at Mississauga hospital in Canada, the trillian spine institute is supposed to be one of the”our best”, but the cocky know-it-all young surgeon I had, (Dr. Jhas for anyone watching in Canada) ignored my concerns and gaslit me, tried to say my emergency revision surgery was “as unnecessary precaution”, refused to make time to book my 6 month follow up for 11 months, at which point the hardware had set in the wrong place. I have been considering going back to Germany, where I lived in 2019, for a third revision surgery to have the hardware removed, I’m curious to know where you went for consultations and what kind of rates they were quoting you to perform the surgery?
Wishing you all the best in your healing journey, I’m saying a prayer for you now to find relief. I hope things have finally started to turn around for you, solidarity sister🙏🏻❤️
Went through the same crap after my first fusion, their even suggested I see a psychiatrist.. I found a REAL Doctor here ( not US) who fixed it as well as he could, replaced the infected screws and installed a cage to support the screws.. I am pretty ok now...
Wow, what's your doc's name & address?
Elaina Weeks Doctor Hertlein Sana Klinik Munich Germany, also known as OCM Munich... they are the best here.
I remember reading on your website . Surgeon selection is the most important factor in spine surgery .
100% agree!! And it is not as simple or straightforward as it should be! It’s a really really long in-depth journey of research to find an excellent surgeon whom you can trust. I’ve watched hours of UA-cam on surgeries, education, and testimonials. So glad I found Dr. Spiro Antonaides on here. I contacted him several years ago and he did a very complicated cervical spine surgery for me and he will be doing my L5 S1 surgery as well
@@angelaclark5916 fusion ?
@@mickypoole9226 yes. I would rather avoid but I’ve done that already for too many years. So, taking the leap of faith and hoping it improves my quality of daily living. Pain is so grinding.
@@angelaclark5916 have you thought about total disc replacement ?
@@mickypoole9226 I haven’t
I hope this guy gets the best help after what he has been through with these other doctors,, and get out of the country you are in and I pray that you get healthy and pain Free 🙏✌🏼✌🏼💖👍💯🙏🏼🙏🏼🙏🏼
I had the alif procedure @ L5/ S1 in Nov 2020. Sciatica is worse in my left leg now, and has even moved into my left arm. Constant pain in my left back along with muscle spasms in my left leg and unbalanced at times. Ugh...
Excellent video, with excellent reporting. I have laminectomey some 50 years ago. Ret law enforcement now 71 had fall now groin pain into both thighs buttocks can’t walk far burning pain I have also T 11,12, fractures Cervical 5,6,7 done spurs Nuro advised pars fracture to L4/5 S 1 needs cage with done in. I am very worried now waiting for operation but with all the of the above I am very concerned now.
I had 2 failed spine fusions in 2010 and 2011. The first one had to be repeated due to a screw coming loose. I'm in worse shape now than I was prior to ever having the first surgery.
Well, that was scary. Just had a consultation with an orthopedic surgeon today about my L5 S1 problem and chronic lower back pain. Last scan was two years ago so he has ordered another. Now I am frightened.
just get a new spine fusion :)
How sad, I went through a similar situation back in 2005, the first surgeon messed my lower back up, the pain was worse after the surgery, I kept telling him something was wrong, I was going numb from my lower back all the way down both legs to my feet, I finally was able to go back and see said Dr, only for him to say nothing was wrong, I funny had enough of his B.S. and went to the emergency room at the university of Chicago, they set me up with an appointment with the head of neurosurgery for the hospital. He sent me for all kinds of x-rays, mri's and ct-scans, finely the Dr found out the first surgeon left a big hunk of bone on my nerve, so, he set me up for surgery to remove the bone fragment and fix whatever he could. He was able to remove the bone fragment, but kept telling me how sorry he was that he couldn't do anything else, because my spine fusion was a mess, it took him over 2 hours just to remove the bone fragment on my nerve, he told the bone fragment almost severed my nerve in half, and he told me there was no surgery or grafts that he could do to fix the nerve, he sent me up with an appointment with a pain Dr, who, said she could only give me pain meds to help with the pain, and that was all. It is December 29 2019, and I still have to take pain meds to help me with the pain and help me be able to get around and do things, I will never have a quality of life (as she put it), even taking the meds, I won't, she said it's something I will have to deal with, I still have really bad pain, the medication helps, but not I wish it would, she said she could give me stronger meds, but I refused, because they are highly addictive, even the meds I take now are addictive, but not as bad as the meds she was talking about. How I wish I could go back in time an either never have the surgery or had a better surgeon do the operation, even if it meant going to another state. That was the first surgery I had ever had, I didn't know any drs, so I called my insurance company to help me out, they were the ones who referred me to the first surgeon........
Nerve problems, I need to find out why I still have nerve problems
Sorry to hear about your pain and issues. I've had 4 spine surgeries that never did any good to stop leg pain and now I am going to have a total hip replacement and who knows how that may affect my nerve pain, so I really understand what you have been through. Pain meds have never done my any good so no point in taking them. Hope you can get some relief.
Ok thanks.
Life time situation😔
@@rizzlerazzleuno4733 why did you have so many spine surgeries?
@@imveryhungry112 In attempt to stop nerve pain.
I had a back fushion of the L4 L5 SEPT 3rd 2021. I ended up with a back infection and have had nothing but problems since. I now found out 3 of the screws are broke and the 4th screw is on the verge of breaking. I also have a grade 1 1/2 almost 2 slippage. Im in severe pain. My doctor said I need emergency surgery but he can't seem to get me in until July 29th. Today I'm debating going to the ER for the pain. Im so worried about my back.
Yes I will be getting a hold I would like see your thoughts on a spine stimulators. The pain centers are pushing these on patients. Like they are working for them and I just feel they have a kick back putting these in and are they worth it when you had 8 surgeries and still have bone problems ? And been living with adhesive arachnoiditis. I will email you thank you
Hi, I have a question. I had my scoliosis surgery when I was 12, Im now 26. Im thinking about getting it removed since its been so long and Im having muscle strain and my back Is tired all the time. My hips joints are starting to as well.. Do you think the spine is fused enough to get it removed without recurving in the future. Thanks
Hi Douglas, thanks to you i learned everything about spine. I came from Croatia and no one accept black disc as a source of pain. I sufferend since 15, and now im 32. I had 2 artificial disc in Barcelona 5 months ago L3-L4 & L4-L5 and i feel reborn.
For that patient if fusion didnt fuse, there is a real chanse to remove it all and insert ADR. Thanks for informative video, speccialy about annular tears which i had and noone accepted it as a pain source...
THAT'S AWESOME , BEST MOVE YOU EVER MADE GOING TO EUROPE FOR SURGERY ! ! !
Da M hi, can you guys refer any EXCELLENT surgeons? I’m suffering with severe pains and can’t risk my money on sub standard surgeons 😭
Poor thing the pain must be unbearable
Do you look at cervical surgeries also?
Thank you Dr. for your time and passion for making people walk again, and freeing them from pain. You’re a gift from God.
I am horrified by what the butcher did to the poor patient. Unbelievable, that he is even allowed to keep operating is beyond comprehension!!! That butcher probably thinks he’s the best at what he does. Cocky monster 👹.
God bless you and god bless the poor patients that this butcher has probably destroyed, already .
I would love for you and your friends to look at my case to see what you think. After watching this video i became worried about where I am standing with my fusion and laminectomy, because I've become decreasingly worse since my surgery. I went back and looked at the findings and it talked about screws being out of place like you described in this video, it also said something to the affect
FINDINGS:
1. There are postoperative changes of posterior segmental fusion with screw and rod construct at L4-L5. The left L4 pedicle screw breaches the outer cortex of the left pedicle. The left L5 pedicle screw breaches the anterior lateral cortex of the L5 vertebral body. There is lucency surrounding the left L5 pedicle screw raising concern for possible loosening of the screw. The hardware is intact.
2. There are decompressive laminectomies of L4 on L5.
3. There is a persistent grade 1 anterior spondylolisthesis of L4 on L5. This is stable from prior imaging. No new malalignment is seen.
4. Imaging was performed from the lower aspect of T11 through the S2 segment. The imaged vertebrae maintain their height. No fractures are noted. There are no osteolytic nor osteoblastic lesions identified.
5. The sacroiliac joints appear normal.
6. No paraspinal soft tissue abnormalities are seen.
T11-T12: No posterior disc abnormality, central canal stenosis, or neural foraminal narrowing.
T12-L1: No posterior disc abnormality, central canal stenosis, or neural foraminal narrowing.
L1-2: No posterior disc abnormality, central canal stenosis, or neural foraminal narrowing.
L2-3: No posterior disc abnormality, central canal stenosis, or neural foraminal narrowing.
L3-4: No posterior disc abnormality, central canal stenosis, or neural foraminal narrowing.
L4-5: There is a decompressive laminectomy defect. There is significant streak artifact from the orthopedic hardware. The normal soft tissue planes are disrupted due to the surgery. The spinal canal and the foramina are not adequately evaluated at this level.
L5-S1: There is no significant osseous encroachment on the spinal canal at this level. Degenerative endplate osteophyte and facet arthrosis is causing mild to moderate left and mild right foraminal stenosis.
_________________________
IMPRESSION:
There are postoperative changes of posterior segmental fusion with screw and rod construct at L4-L5. The left L4 pedicle screw breaches the outer cortex of the left pedicle. The left L5 pedicle screw breaches the anterior lateral cortex of the L5 vertebral body. There is lucency surrounding the left L5 pedicle screw raising concern for possible loosening of the screw. The hardware is intact.
You need to go to Another Neurosurgeon and and have him read your M.R.I.and help you. The Dr. Who caused this will not help you cuz they won't admit they did anything wrong.Find a good Neurosurgeon and make and appointment with him and go see a good Neurosurgeon.It looks like your current Neurosurgeon didnt know what hes doing. Do it quickly because this is dangerous. Having a screw poking through the bone and hitting soft tissue where you have blood vessels is not good.
@@whendis.roberts9903 I agree I've tried seeing others but no one will take me
@@Imaghostfreak67 Where do you live? What City and State and what type of insurance? I will try to find someone to help you. I'm very good at finding good Doctors and Neurosurgeons and Surgeons. You deserve the best care that there is. You are Gods Child and God wants the best for you. You must not give up.
I live in Newaygo, MI the 2 closest cities for me are Grand Rapids, and Muskegon. My original Neurologist was Dr. Ali out of spectrum health neurology in Grand Rapids. I'm so frustrated.
I need advice please.
who decided what kind of metal will be used for the fusion on the lumbar?
I have been told that the only material that the body doesn't reject is platinum or something like that. help me .......!
I've had three back operations and am still in hellish pain. I would bet that my MRI would look like this or worse. Much of the time my life is not worth living and the doctor says, "Well, I fixed you." Oh hell yes.....he fixed me, all right.
Sorry , I feel your pain I had a Trifusion in 2015 on L4 L5 S1 and the same here , they can’t shut the pain off so the put a implant in me , a spinal nerve stimulator , so between the implant tv music and my computer is some of the things I have to do to help me not think of the pain I live in everyday of my life . Now they want me to take this test to run the dye through my spine to see all of the damage that is there .
I set my reports and scans to Dr. Roger Thorne at Scripps in La Jolla CA. He Saved my life.
Well you answered my question
I am 72 years old and have undergone spinal surgery in september 21 for spinal stenosis and L3-L4-L5 listhesis.My pain and leg problems have remarkably improved.but I have developed bladder hypotonia .I have to do self caterization twice a day.i would like know the chances of recovery.
Both of these procedures, what it looks like to be were done in a Monday.. no doctor wants to admit their fault- esp with this consequence.
What works for me- If I get a feeling I’m getting short changed in regards to treatment or care- I go get a second opinion from another health care professional. Instead of getting brow beaten by the same physician.
Thanks for the video- 👍🏻
Unfortunately, in this patient's country you are not allowed to change doctors or sue.
I have my records an cd of my last test they pushing i need to get a joints screws bolts to support my back in l5 l4 s1
This is me to a T. Exactly same situation my main pain is in the outside of my right calf it feels like someone is giving me a chairlie horse every step. Also had a tib/fib put back together and the 2 screws are busted in half on the same leg. And having no family or friends or money living on PWD ( Vancouver B.C. Canada ) 🇨🇦 is just over 1200 a month . Rent for a 1 bedroom apt goes for around 1200 to 1800 .I went to school yo become a pipe fitter and obviously that's out the window. Now 42 think I'll try to become an outreach worker part time. So we'll see.......Cheer's.
I have a surgeon here in Toronto, Canada, Dr. Jhas of Trillium Spine Center, that has been “so busy” that I’m still trying to get in for my “6 month follow-up” 11 months later, and I fear I have a hardware issue because of new shooting nerve pain in the opposite leg and ongoing chronic pain around the hardware site of a different quality than originally. Unfortunately, in Canada we have such a critical shortage of surgeons that you have to wait a year just to get the first consultation, and another year for surgery (more if it’s not “urgent”), so if feels hopeless if you need to have revision surgery done to correct work in a time sensitive window. I’ve already had one revision surgery due to infection obtained in the hospital, what happens if you have hardware out of alignment during the healing process and you wait t too long to fix it?
Thank you for these videos, it really helps to be informed, and to see there are surgeons out there than are such compassionate patient advocates 🙏🏻
That’s crazy. Do you have socialized medicine in Canada? In the United States, I was able to see my spine surgeon within two weeks and part of why it took so long is my work schedule so I had to make the appointment for the following week. I hope you get some relief. Back pain is miserable. It wears people down physically, mentally, and emotionally.
Here we are in 2023, My surgeon definitely thinks my L4/L5 fusion did not get enough bone growth and that is causing the pain since surgery. I will say all the leg pain and sciatic pain was gone day 1 after surgery, but I have had pain and still have pain anytime I bend forward. My question is the original surgery was done from the back but this time he wants to do the revision at L4/L5 but coming from the front, How will he remove the screws? Can it be done from the front or will he have to do that from the back and do the rest from the front?
Took me 12 yrs to get a mri again in 2015. Been on ss supplement want to put screws an bolts in my lower back
Hello, this is a good question and confusing for people. The L3 nerve root runs down the lateral spine and courses right in front of the root of the anterior part of the transverse process of L4. So that misplaced pedicle screw could indeed be rubbing the L3 nerve root.
what will you do for a disk that is 11 milimeters out of my spine and also have a fractured on the same place this young man has.
the doctor who will perform surgery on me say fusion a metal plate and screws with a braket holding it in place to help with the fusion. L5
S1 I don't like the idea of having hardware in my body but the pain is horrible 25 year and counting can't take it anymore.
also the fact I won't be able to bend forward or turn side to side is scary thought.
27:18 is his L5s1 ok? Why is the posterior so thin compared to the front
Hi my name is Ramiro Del bosque I have had several lower back surgeries and my screws keep loosening I have 10 screws in my lower back. What can I do because I’m still having a lot of pain.
I am in the USA where are you I need your help
I had a lower lumbar fusion 23 years ago it failed in 2019 I was in an accident it screwed up my back never had 3 mails read to me because of covid now I'm in excruciating pain still no mails read my surgeon /friend wants to help please help me
There is something that may need to be checked. I also have a failed fusion than nobody will address. I've been back and forth with doctors and even got a new surgeon to look. My original surgeon suggested that he take out the hardware, but I refused because my pain was so bad with my original fusion surgery it required a 7 day hospital stay and 10 day rehab stay. That was 2019
In the July 2022, I severely dislocated and broke my ankle. After 4 months and so far 10 hyperbaric oxygen treatments, we are finding I may have a hardware problem. I still have open sores over my screws which won't heal. No predisposing conditions that would cause this. Every step I take is painful. Still have periods of shooting severe pain
I have asked to have my hardware removed as soon as it's feasibly possible. The soonest they will do it is April 2023. Anyway, if that stops the pain, it may be my back still hurts because of the hardware. I'm going to ask for it to be removed.
Can I ask u doc I had hemilectomy and microdisectomy l3 4 and l4 5 .does it mean I lost posterior bone removed on two vertebrae what else could be the other option.thx pLs ans for me
I have 8 screws,3 rods cage , fusions pushed out of my back I cannot walk upright sense my surgery . I’m in so much pain and now I’m told the upper back is collapsing and no one can do anything. There’s isent help and I’ve have pain down both legs neck but I could just give up I became disabled because of my surgery. Doctors around here will not see a patient until 3 years after a failed surgery if ever. I waited many years and now I’m pretty much done
Those x-rays from 2015 and you noticing it now did you crack is back by chance
Hello I had the same complain both legs on pain for a year 6 months de infuse my back cause my bone weee shifting. But I still have pain on legs and now new pain on my buttock .please help what should I do I’m always on pain pills .I can’t work ok because of pain.
General cutaneous syndrome. I had the same exact thing. If he has burning like fire and knife pain. They hit the nerve.
I didn't even get far enough for you to show the screw going into the nerve. I've had 23 back surgeries, 5 drs royally screwed up.
I am going through this right now .
I am passing that same thing my doctor tells me that the surgery went well but now I have more pain and now I am passing out frequently it has been almost 2 years from my surgery he won’t take a second review
If you could help me, I'd be greatly thankful. Had a fusion 10/2018. Can't do too much without pain. Not much different & even worse after surgery. Had laminectomy, fusion of L4 & L5 with cage graft and decompression.....still feeling horrible.
Dr. Roger Thorne at Scripps in la jolla fixed my failed fusion. Recommend 100%.
Hello. Hope you are feeling better. It happened to me also..bad back surgery. Loss use of my left leg..etc etc.. looking for a good back Dr. In Maryland.. to maybe fix my problem..
How can I get in contact with you
I kept going back to my Drs and surgeons to say my left prosthetic cemented hip was painful, down the front of my leg and groin, when I walked. It took 7 years before the did anything and had to redo the hip, it has now started again the same symptoms they are telling me the same thing again, that it is fine. ?? So I will just wait until I am crippled before I go back to them, one physiotherapist said basically it's all in my mind.
I feel so sorry for this patient, I myself have had two spinal fusions in my lumber spine seven and a half years ago that was a complete failure after visiting my surgeon so many times and told there was nothing he could see that would be causing my extreme pain, he refused to do anything about it now after seeing another surgeon Im having more surgery to rectify the original surgery I have been diagnosed with a collapsed disk and servere flat back syndrome
The hospital is a training hospital The Royal North Shore Public Hospital. The original surgeon who is a top surgeon at this hospital his name is Dr Hartin.
im having a fusion in 4 days time. After watching rhis, i dont know if i should proceed or not.
How in the Hell did those Drs. get certified? Always remember that in Sports, YOU, sacrifice your body, for the entertainment of others. At any amount of $, it's NOT worth it. Outstanding video Dr. and hope to God that that guy is pain free today. I'm facing something like that in the near future and am scared a lot about it.
Respected sir . Very useful information, I have operated with ORIF Humerus and wrist in April-2021. I have also confusion about removing the both hardwares. Some people's are telling should remove.but I am thinking about again I need to take surgery, Kindly suggest me if I leave inside the body any problem will come in future I am 34 Y. Which is better if need be removed or can I leave is inside the body. Kindly suggest me. My humble request Sir. From Karnataka.
I’d be happy to send you my case if you’d like to use it for a class or case study, I’d actually enjoy watching the production 😊
So scared. After multiple epidural injections, nerve root blocks and multiple spinal fluid leaks and three spine surgeries later the horrific problems continue now I’m being faced with these nerve ablation procedures. I’m highly concerned because the aftermath of epidural injections in my neck left me with Essential Tremors since 2017. I’m highly concerned now having anyone get that close to my nerves in my spine. “Is it just me or is there anyone else out there experiencing such a huge amount of bad luck with their spine”
I'm really sorry to hear. How are you doing after a year later? I'm going through some difficult times myself
Hi Dr. Whats the difference between radicular pain vs radoculopathy
Radiculopathy is a diagnosis made when the neurological examination is positive (i.e., decreased reflex, decreased sensation, and/or decreased muscle strength). Radicular pain is an adjective which describes a pain that radiates down either the upper or the lower extremity in a fairly narrow band. Its often dermatomally located.
I am in the same boat. Had 360 spinal fusion in 1997. S1 L5 L4. Bone graph taken off left illact joint. Now I have unstable SI joints. 2003 they took our hardware because pedicle screw in spinal nerve. Now I have 2 more herniated disc above fusions. Pain so bad. Also 2 herniated in middle of back. Pain doctor said he want treat me anymore if I don't get into a surgeon. I have been trying to but workers comp is holding it up. Then this pain doctor cut my pain meds to two hydrocodone break through instead of three. What happened to do no harm on to heir oath. I'm 64 and the pain is getting so bad. God help us
is there any age limit of patient for spinal fusion
I also have congenital stenosis. I had a fusion in late 2018. Since the fusion I have been in severe pain. Just found out I will need another surgery. I’m really considering seeking council regarding my situation.
Are you in pain worse now than before your first spine surgery? They want to do a cervical fusion on me :(
Sir how can I send you my MRI and CT scan too look at it 🤗 after 2 fusion surgery L4 L5 & S 1 .! I'm still not comfortable and have pains
I had terrible left leg pain, the neurosurgeon said I had to have a laminectomy to correct. Went for surgery on 2/2021 but he did a fusion on l2-l5 and s1. In recovery I felt losing mobility in my RIGHT leg. I was told that during surgery that blood pressure dropped in my leg and damaged my nerves. Now I have drop foot, my toes are numb on both feet, the skin on my left leg is numb along with the skin on my lower right side and butt cheek plus my bowels now have a mind of their own. After 2/12 mos. of rehab to no avail I had an EMG 9mos.later and was told the nerves in my leg were fine but the problem is in my l5 from surgery. I was scheduled for more surgery on 11/2021 but my vascular surgeon stopped it and my primary didn't recommend it because I could end up in worse shape that I am now. So I guess I'll be a cripple for the rest of my life.
Oh my! I'm really sorry to read this. I would get a second opinion from doctors not associated in any way (and far away from) with the surgeons who apparently created this mess. Good luck!
Good explanation Dr Wright after I fall my MRI revile all of that problem L3 L4 L5 Moore in Moore I can I get contact with you
I'm sorry to hear about your disc problems. You can contact me at chirogeek@chirogeek.com.
Please I need your help
Please how can I reach you
What can go wrong with fusion? Any information on the minimally invasive procedure called OLLIF.
CDaeda i have had extensive back surgeries (23). I had a friend I referred to one of my drs at the time, who had fixed another dr's screw up. He did this approach and had a hard time recovering. I had had an anterior approach that went horribly wrong. Just like any risks of going anaesthesia, there is always a certain percentage that that approach could have issues. My anterior approach is a 3% chance that my bowels would shut down. Well I was that 3%, for 14 days no food and had an NG tube up my nose down to my stomach bringing up anything that went down. They had knicked just above my umbilical and caused a hernia. That I can't get a dr within a 100 mile radius of that dr to fix it. Also they never sewed my muscles back properly so I can barely stuck in my stomach- I've invested in a lot of spanks. I'm not sure where your from but if you're in Florida, I can give you the top neurosurgeon in the world and one of the leading Orthopaedic. He used the Mazor* robot on my back that was the largest back surgery done at that time. Ibe had more success have posterior approaches than anything. They all say these OLLIF,TLIF,ALIF approaches are better. Safer. Less recovery etc. But having had these different approaches,also my mom, have had problems versus the original surgery they all learned, the posterior approaches have had as much if not better recovery. I wish there was a way to post a photo of my back with all my hardware and scars. Always get a second opinion and that you're dealing with the BEST surgeon in your state. Both of mine I reccomend are over 3 hrs away. And its worth every minute, mile and gas money I spend.
CDaeda good luck in which ever surgery you have. I hope I didn't scare you but after what I have been thru I make sure people are educated in making the best decision with a 2nd or 3rd opinion, without the other drs opinions.
ترجمه
L5 pars is the what I figured he needed fixed with fusion and it wasn’t addressed!?
My L5 shifted 9mm after a fracture and it took 6 yrs to find this. The last specialist refused surgery. He stated the risks outweigh the benefits. Finding walking difficult and numbness in the lower spine. Should I be concerned?
Hi there Dr. Sir. I hope you are doing well. I only just heard of you but I'm glad I did. I myself have a situation. I'm a single 38 male in Ohio. Just had my 5th spinal revision last month on the 28th. Ehlers danlos/connective tissue disorders genetically run in my mother's side of the family. I don't meet the Brighton score but my mothers sister and two of her children have it on the scale. I don't because my mom and dad don't have it. Though we suspect they are "silent/non descript carriers" of some sort. I had my first surgery at around 14ish/15 years of age. I can't find anyone to pick up primary care or coordinate referrals for me which is what primary care is supposed to help do. I do have a primary care provider but he is leaving for a new fellowship in two months heading to the northwest part of the state. So I'll have to start over yet again, from the beginning. I have a pain Dr but he's not board certified to dispense properly for chronic pain cause he is mainly physiatry and sports medicine. So he can't meet my mme need. I'm a multimodal chronic pain patient whom knows his rights. I just need some legit advice.
Also I am fused from my hips to about my t10. Then also I may one day need surgery at the c5-6-7. Trying to avoid it. And I have a broken right ankle that has been broken since December 13, 2019.3 surgeries on it cause of their screw up. Now I have a broken myleolar bone(I think that is how it's spelled) in my foot and with connective tissue disorder and pre-diabetes and bad blood clotting factors like von willibrands.. And I've got a "collegiately educated" team of like 40 doctors I've assembled over the last two years since moving here.. And they are all just leaving me hanging. I've got about maybe 6 out of that 40 that actually Do pay attention.and your video here basically describes me to a t.
I had mononucleosis. I got it from a cut on my hand working in broken glass from finishing up some community service hours as a juvenile. Well I got a cut from a broken wine bottle I think it was, ended up sick in a bed on rotated saline drips borderline comatic.well at that time it was between 6&7th grade for me, In a 6 month span laying in a bed my body grew and grained 9 inches of height in that time. Which is normally or typically "unheard" of. First surgery as an emergency displaced my hips so badly so that my right leg is now over an inch longer. I've asked for lifts and no referrals no progress.as a patient whom "jumps through every hoop.. And has almost 20 years of good solid records that I don't divert meds or ask for extras, I stay within 100% compliancy with no risks on me to them. But they get so scared of the Dea and their prescriber numbers are more important. But they take oaths. And by "doing no harm" they are doing more actual harm and they are being Complicit to the problem. And that's why we have high over dose rates because people are are forced to buy street drugs that are cut with bad adulterants and they do them thinking its substance a, when it's substance b, and they have no tolerance for substance b. Or maybe they even have an allergy to b.
I have undergone a similar operation on the 25th of April 2023..
Right after the operation i have been suffering from burning pain on my outer right thigh. The doctor advised me that the pain will disappear with time. The pain is still there. Please advise me what to do.
I live in Africa, in Namibia.
to me, the the second MOST HORRIFYING thing in this video is that this doctor won't tell us what country and what hospital/doctor botched this surgery... that information will save countless people from having to go through the same thing!!!!
Obviously a communist country, you know, just like they are trying to turn America into......
Do what we say or we will call you crazy.
Had a back surgery in 2003. Went though the front then the back..l5 S1. Loss the use of my left leg. Got 65 percent of it back. Loss muscle mass. My leg is so skinny...worse mistake of my life..Dont know what to do after 19 years..
sick seemed like they didnt want to go in to just fix the parch frac
ture. he didnt need the fuse just the fracture. that sucks smh
Who is the doctor???
So sad. Legal action required
Hi can you read my MRI ,I had S1/L5 fision in 2004 and since 2012 Im in the bad back pain ,left and right leg pain I got a Arachnoiditis .How can I contact you and send my MRI scan tu you ???can you hellp me ,thanks .
I would get another opinion to validate that arachnoiditis did NOT exist before fusion. I think that diagnosis is often made by NS when they can;t find anything else on films. Because that diagnosis is NOT curable with surgery, it gives them an out. If it was there when fusion was done, it's not likely to be pain source now. Good luck. In general, I have read that fusions are more successful with leg pain than back pain.
Unnecessary laminectomy L-3-4 part S-1; 2004 severe pain since.
Great info. Check out "the spine guy"... this video reminds me of one of his. Love that people are more educated now and that all of this information is so valuable. Weed out the aggressive surgeons! And a good surgeon will listen ... the more opinions you get the better. My uncle will be in pain forever due to a "botched" fusion.. studies show that often people get better without surgery. My father was classically trained as a chiropractor in Davenport at Palmer Colleege. So I have always grown up with natural or conservative approach to my back and neck. Not all MDs have the best of intentions and the biggest conflict of interest is getting paid for surgery. Not all are bad of course.... but hopefully, surgical outcomes will become mandatory to report.
Thank you for the video!
Some needs a good lawyer. This is EASILY a 2-4M settlement.
I have that case damaged nerve right leg
That is a shame!
I was used as a ginniepig for a double lumbar fusion in 2014 that has been and is a nightmare, pain has taken over my life, please consult with me as No one seems to be able to stop this Nero surgeon from doing this to people 😢 I never needed the surgery to begin with and have mri reports showing before an after , I didn't sign up for this off lable surgery, parts , he's still practicing 2022 help in Michigan
First started traction to relieve pain from herniated disc, sleep that way without pills. Decided to stay stretched, crutches to get around. Two months later, over ten years of sciatica
Believe this method can benefit many, thanks for highlighting
Is that scar tissue in the skin covering the epidural and facets?
I would like to know what the symptoms are for a Lumbar Disc not fusing? How would you know if that was the case? I had a CT scan and my doctor still can't say for sure if it fused or not?
Hello, if you had a good quality thin-sliced CT scan, you can definitely tell whether or not fusion has occurred, so your doctors should know the answer to the question.
@@douglasgillarddcprofessoro5285 I have no idea what type of CT Scan they ordered,
CT of lower back without dye. I would assume my surgeon did the standard CT after Fusion. He said he saw no halos, and the CT looked good, but keeps thinking it did not fuse for some reason. I had the fusion April of 2020 so its been 1 year and 4 months. I keep saying I think my pain is from L5/S1 and he even did a diagnostic injection at L5/S1 with Anesthetic Injection, non steroid, to see if that would give me relief for about 4 to 5 hours. It actually was the closest I have felt to normal since surgery but he still thinks L4/L5 was not fused and his plan was to do surgery in mid August and check the fusion at L4/L5 and redo it if he felt movement, then to fuse L5/S1? He was worried about fusing L5/S1 saying what I have now is a floating fusion and if the does L5/S1 it could cause other problems? What is bad is he left the practice last week so now I am scrambling to appointments with other surgeons now.
I’m from the uk in 1980 I had a laminectomy in the John Radcliff in Oxford after the op still in pain with sciatica numbness 2015 I had a fusion the next day I went to surgery opened up again as I had a clot should of been in hospital 5days in the end it was 3wks 5days since my op my pain has gradually got worse sciatica is back also my legs are numb and excruciating pain like electric shocks in my legs constant pain been on Fentanyl for yrs and awful in the soles of my feet I went to have treatment with Michael Durtnall a chiropractor from London after 5 yrs of coccyx pain which I was told after having mri x rays by Drs that nothing was wrong.
Michael did a xray which showed it was dislocated which has improved so much after treatment he did more x rays of my back which he said one screw didn’t look correct I was still seeing the surgeon at that time so I showed him my X-ray he dismissed it said nothing is wrong
Just recently I saw a GP who said a screw looked suspect I’ve been referred to go back to the pain clinic which over the yrs I’ve lost count of all the treatments I’ve had over the yrs.
Listening to you with your knowledge I just thought I’d share my experiences with you.
How you getting on mate? I’m in the UK. Similar symptoms as you, and considering what options I have. These surgical horror stories are quite scary especially considering it’s £8000 for private surgery...
In 2 last years i did 3 spine surgery,1st one Orthopedic surgery and he make me worse ,i saw couple other doctor & they recommend i should see neurosurgeon,i find one & 11 months ago i did my surgery all the way from L1 to L5 & he install 5 screw to my spine,after couple months all the screws loosing & my pain killing me,he recommend to another surger for changing the hardware, sep 2018 i did my 3rd surgery & this time he install 4 bigger screws,now after 4 months again screws loosing & i dont know what i have to do ? my pain get worse & worse,can some body tell me what i have to do ?
Shapour Shamss praying for you
Where are you at