Minimally-invasive lumbar-fusion

How is a minimally-invasive lumbar fusion surgery done? Let's find out.

www.MustafaKhanMD.com

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[SpineSurgeonSpeaks]

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[AlphaPoe]

Had this done a year ago, and it was a tough recovery but very successful. My back and leg pain are completely gone. It was definitely worth it.

[ElectronicMusic]

Hi, I have Grade I spondylolisthesis L5 on S1 with associated straightening of the lumbar.

L5/S1 disc dehydration with reduced disc height, there is diffuse disc bulge causing pressure on the nerve root at the left neuroforamina.

My symptoms is Numbness, Heat and Tingling in my both legs, I dont have a back pain at all. I went to 5 doctors and each one of them has a different opinion! one of them says that I need to do a minimally invasive spinal fixation, the other one said that I only need to remove the herniated disk and replace the desk with a cage, the other two put me on standby for possible surgery and the last one said i dont have to do any kind of surgery.

I am 32 years old today and I really dont want to do a surgery but with my current symptoms I am feeling down to do the surgery day by day :(

My last MRI report shows this:

Grade I spondylolisthesis L5 on S1 with associated straightening of the lumbar lordosis.
L5/S1 disc dehydration with reduced disc height, there is diffuse disc bulge causing pressure on the nerve root at the left neuroforamina .
No significant changes at other levels.
No facet arthrosis. No spinal canal stenosis .
No SOL or abnormal signal in the distal cord, or spinal canal .
Normal paravertebral soft tissues.

I am planning to go to physiotherapist and hopefully see a good results.

Will keep you posted..

[sabbirahmed]

Hi, great explanation. In TLIF surgery, it is not possible to achieve proper disc height and lordosis angle, beside it also can not guarantee the reduction of spondylolisthesis, meaning the proper alignment of L5/S1 vertebra. Whereas in ALIF procedure makes sure the disc height, ensuring the proper alignment, reducing the long term ASD. Then why the surgeons prefer the TLIF surgery more, and which is pretty much everywhere nowadays. The most important thing is that in TLIF surgery the patient still feels pain, as it is not fully possible to achieve a great disc height.
*** Then why the surgeons are accepting more & more this MIS TLIF surgery. It is true that in MIS ALIF surgery the surgeons have to be extra careful as their are blood vessels when you cut through the abdomen, but isn't it the main issue to be careful for a surgeon. Then, i think the surgeons are being more commercial nowadays, they are not looking for the patients long term output, rather than they are just doing the surgery within a short period in the easiest way, without ensuring the best output.

[eddiehinson]

thanks for the information, having a TLIF in April on L3, L4, and L5. Looking forward to being able to walk normally again, I miss my mobility

[Velez]

These are very helpful to understand what is being done, thank you for them.

Is this type of fusion called a tlif? Also, does the spinous process remain intact and undisturbed?

[adamcristantello]

How do outcomes compare to a ALIF? Specifically for pars defects in active populations? Thanks fir the videos and info🙏

[kalubalu]

Hello Doctor, I am now 50 yrs of age. Five years back I had gone through Surgery at C5-6-7 due to cervical Myelopathy. My Symptoms initiated in Starting of January 2018. Due to compression at C-5-6-7 I felt pain in neck & radiating pain in shoulders. Then after @ 15 days my GAIT got affected. I felt imbalance while walking and poor grip in both the legs and feet. In between I was trying with treatments like neurotherepy, physiotherapy. However after one month means in Mid of February 2018 Tingling started in the neck region which were going till feet if I stretched neck to backward…. By End of February 2018 I started numbness in RIGHT Hand only & then in a week time I lost power / grip of my fingers. Additionally the legs also started jerk while walking and more imbalances. Hence in SOS situation I went for Surgery as advised by doctor in Mid of March 2018 to avoid further loss.
Now after surgery my Heavy pain in Neck, Shoulders, tingling and the jerk in walking all are completely removed. The grip in my right hand /fingers slowly recovered and in next 6-7 month means by October 2018 @ 85-90% Power gained in Hand/Fingers. Rarely some cramp develops if there is any abnormal movement in hand but I am happy with the improvement.
HOWEVER legs still not recover as that of my hand. My both legs are not weak since I can do trade mill, lift the weights by legs. ONLY I still feel stress/stiffness /spasticity in my both legs, feel numbness in legs, no firm grip. Feels stress in dorsal side of neck, thoracic region, lumber region, legs. …I am doing my regular activities but not as that earlier natural. Say I am living life with my 70% efficiency. Can't seat/walk longer causes lumber pain, numbness in legs. Can’t lean forward more causes stress/pain in lumber. Means now I am shifted in Stage 2 symptoms from Stage 3 of Cervical Myelopathy. Hope u understand my situation. Now is there is any hope to get rid of from this? It's now 5 years of surgery. I tried advance physiotherapy for lumber, legs, Ayurvedic treatment medicines, doing daily yoga, etc however no improvement. Whether this could be recovered by any means? Looking to surgery at cervical is it advised to opt for Chiropractic, neurotherepy, physiotherapy etc. Please advise suitably. Thanks!

[Eliana]

I was diagnosed with osteoporosis 25 years ago. I am 79 and have had multiple falls including being bucked off a horse several times. Would a surgeon do this operation and is there any way to tell if my bones are brittle.

[wojteku]

in this video "Failed spinal fusion: How I fixed it" where laminectomy & fusion was performed bony arch was removed. Here similar procedure but facet joint was removed. What decides which part is removed?

[mahmoudfarag]

لازم نشيل جزء من الصفائح العظميه ام لا ‏‪

[lintakhan]

How i get rid of from spine fusion without surgery can you recommend me any exercise please

[StjepanSarkotic]

For the L5S1 is it better ALIF or TLIF?