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Spinal Fusion: Separating Myths from Facts w/ Dr. Eamonn Mahoney | Northern Arizona Orthopaedics
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- čas přidán 18. 08. 2024
- In this live virtual seminar Dr. Eamonn Mahoney discusses spinal fusion surgery and separates myths from facts. Dr. Mahoney is an Orthopedic Spine Surgeon specializing in the care and treatment of back and neck pain. After the presentation, there is also a live Q&A session with Dr. Mahoney.
For more information visit: northazortho.com/
Worked for me. All my low back and leg pain gone since this surgery. In my case the surgery was necessary and gave me back some quality of life. I am concerned about possible future adjacent disc disease, but I’ll cross that bridge if I get it. I did do all exercises and lots of walking that helped with my recovery, which is essential after spinal fusion surgery.
Just had L4-5 fusion and had immediate relief. No more sciatica in both legs. No more pain in my back from simply standing. I plan to be careful to prevent the adjacent vertebrae from getting damaged. This was a great relief!
Thank you for this presentation. After a year of dealing with spinal stenosis in lumbar spine and being hardly able to walk because of neurogenic claudication, and after doing more than 75 session of PT and having several spinal injections, I am ready to get my life back. Your explanation was so calm and clear and gives me a more positive outlook about the surgery I will have. New MRI scheduled in two weeks and then the surgeon will give me specifics on what he recommends. No one wants to have surgery.... but if this can give me the ability to walk again I am ready. I'm 71 years young, otherwise healthy, and I want to enjoy my retirement years!!
God bless you. Did u do it? I’m in the same boat.
@@marsidanajdeni YES!!!!! I had a 4-level laminectomy on November 16. The next morning when they got me up from bed..... NO LEG PAIN!!! AMAZING!!! Only spent one night in the hospital, and the recovery was SO much easier than I had expected. I'm now trying to walk a mile or two each day to regain strength in my legs. I a glad I had the surgery. The results are amazing.
@@mikeh7935 O my gosh Mike, this lifted my spirit. Its so good to hear good news from other folks. I have a significant fracture on L4/L5 and herniated disc. I have been so scared to do it, but now I am mostly stuck at home since I cannot walk more than a few feet. I need spine fusion with 4 screws and 4 rods, but I only read bad comments. Good luck.
If you stop this video at exactly 10:25, that left picture is exactly how my MRI looks.
@@marsidanajdeni I did not need fusion, but if you feel confident in your doctor, I would have the procedure. Sure, you may have a few days of pain, but they have good drugs to help. You will be so happy to be able to walk again! I wish you all the best. If you do have surgery, please give me an update afterwards! You can DO this!!
Great video. I wish my mother would have had this info as I headed under the knife. Idiopathic Scoliosis, 55 degree curve, T2-T11 fusion, Harrington Rod with Milwaukee Brace. I feel blessed to not have body cast but sure wish the advancements would have come earlier for me. Perfect fusion, no issues 32 years later. I am incredibly thankful for the work you and your peers provide scoliosis patients.
Just want to thank you for taking the time to provide this presentation. I am readying for a fusion and feel much more relaxed with the additional information.
Hi, have you had your fusion? How was it?
My daughter had spinal surgery yesterday and I want trying to get an understand of what shes going though. I appreciate your video and talking about it. When i understand what’s happening i feel better and hope to help her heal.
The biggest mistake I ever made. Works for some people. L5 S1. Loss the use of my left leg. Pain is worse. Plus other issues. Please be careful.. God Bless... Amen
Had h
L5s1 done 6 years ago had continued back and foot pain every since.now I have a whole slue of new issues much worse then originally, they just got done looking at the new MRIs and said I know have a bad disk in L4L5. That's being pinched. I don't know if I can go thru it again
@@johnmitchell8925 look up dr Stuart mcgill the book the back mechanic
..follow his exact advice to a tee DAILY .it saved me having spinal fusion or surgery and got me out of horrific pain in days . Now 18 months later my back feels like a non issue .I'm back in gym training however I want and I'm in my late 50s
Is yoga a lot of twisting
I had L1-L6 fused with a spacer. Which took over 8 hours.
I developed blood clots in my lungs and left leg. Very painful. It has set me back a bit. I can walk but not for very long, because my left foot and ankle swell up really bad. Each day is a bit better. Hopefully I can recover and return to a normal life
I hope you are doing better!
Thank you for this video. I am presently recovering from MIS L5-S1 PLIF surgery.
So far I feel great. Radiculopathy pain is gone. Your video was very informative and encouraging.
Thank you for creating an informative video that answered so many questions about spinal fusion. *Best wishes in your practice* .
Had my l4 l5 fusion 4/19/21......1 month out.....doing well😁
me too. soo happy
Thank you, great presentation. As an engineer, I was hoping to see info/data on new instrumentation. Tools like 😊vertiflex , Zip, and Tops. and further info on such? Thank you, you educated me on some info I didn’t have and your presentation was very helpful. Chet
Outstanding, informative, simple to understand---thank you Doctor.
Thanks for the in depth explanation we need more of these
Well, that was a great video. I was very worried about needing a fusion, but now I'm not. Thank you very much.
Thank you for this video....I'm having L3 thru 5 fusion. I have DDD and spondylolitethus. Also Facet arthritis with osteophytes and stenosis. am terrified! I'm having it at the end of Nov. 2022. After listening to your video and am feeling a little better. Thanks again! I'm going to go for it!
I have the exact same issues. Scheduled for Jan 9th 2023. How did your surgery go? I am so scared.
I was also scheduled for that exact date. How did it go?
it helps 80 per cent of all patients
Thankyou Dr Mahoney for this information. I am currently awaiting spinal fusion on my lower Lumbar at the Austin Hospital with Mr Gerald Quan here in Melbourne Australia. No date has been set as yet .But I have had my preliminary hospital tests these past few weeks.....Yes I am anxious ,less so now after listening to you..Looking forward to getting back to my 30 klm walks eventually .I am 67 years young...Got alot of living to do..All the best.Jane Jefferies.
I was in surgery for 4 hours, s1,l5 and l4, my incision is 4 inches long, I also had bone spurs removed, I am in my 60's and had lived with damage to my lumbar spine since I was 13, I was thrown from a horse, I am trying hard, I recovered from a radical hysterectomy due to cancer less than two years ago and it was no where as bad as the pain I have had from this surgery, I am still less than a month out so I am hopeful it will get better, I want to be able to get outside next spring, cut grass, plant a garden but right now I have to say it has been the worst pain ever and I hate to rely on others for help.
Interesting and thorough. I just had surgery for adjacent segment. I chose to take a chance on laminectomy without fusion. Surgeon said it might not work and a fusion could be required. I had significant issues post fusion which were uncommon problems. The laminectomy alone has been an easier recovery but no piece of cake.
Thank you Dr. Mahoney!!! This information has been a God send! My surgeon is at Raleigh Durham Duke Hospital. I will be having a TLIF on April 10th. Do you have any information on the TLIF?
Again thank you for the informative video. Your patients are very luck to have you!
God Bless you !
Thank you, Dr;
My case;
I have an ADR in S1-L5 (2005) and two ADR’s in L5-L4 & L4-L3 (2016).
After the first surgery, I was fine for some years until 2016. After the second surgery, I was fine for 4 years and now the pain is unbearable. My facet joints are ruined.
The doctor has suggested to leave the ADR’s and fuse the 3 levels from a posterior approach.
Would like to have your opinion. I thank you in advance. I’m 58 y.o.
Cheers from Barcelona.
Thank you for your post on Spinal fusion! I’m having L4,L5 Aug 7, 2023. My surgeon said he’s using a spacer and metal rod. Why is only one side getting the rod? Pain worse on Rt but have pain in Lt also. Is it stable doing one side with rod?
Hi, I have the same planned, how did yours go? By now after six months, its said to have been fully healed?
Excellent presentation by the way I'm a RN working post op
Is fusion the ONLY way to ( cure) a spondylolisthesis? Not just treat symptoms? Can it be pulled back into place? Or is fusion the ONLY way to restore proper positioning?
I had a rare injury where the spondylolisthesis was caused by a direct impact on my coxyx 😦. I figure if it can be slammed out of shape, maybe it can be pulled back into position via traction/decompression machines.🤷
So, i’m no closer to figuring out what I want to have done. I’m 61 but very active, I participate and coach judo, which (fusion or disk replacement) is going to let me continue doing what I love.
let the surgeon decide. i can not tell what was best for me. they did
@@LucasHendrickx I had disc replacement, hardly any pain, doing PT now, Arm and shoulder pain completely gone the morning after surgery. Ask questions, take an active part in decisions. After all you have to live with them. Good luck.
For anyone with Spondylolisthesis , Don't even think of doing surgery if yours is lower than level 3.
Obviously you haven't read all the negative comments from thousands of people that have been fused including mine
Single fusion does affect spine mobility
I have DDD, r&l leg radicuopathy L4-5,L5-S1 ruptured. Add radio, frequency, ablation along with some epidurals and what not avoiding surgery on the back I just had an MG test done shows bilateral chronic radiculopathy as well bilateral peripheral neuropathy is there a difference between the two??
L5 S1 fusion, laminectomy and formenotomy within 2. Months. 9-10 level radiculopathy pain every night. Enough PT to get a PhD.
I have searched high and low for information on thoracic fusion. I have to have discectomy between T11-12 fusion T11-L1 and something else on top of having a compression fracture of T4 (1-20-24) I have nerve damage at T11-12 and a 6mm disc bulge at T11-12. Im 65 and weigh 280lbs. In your opinion, is it warranted to have surgery? I am in bad pain everyday.
All the negative comments on fusion have helped my decision for minimally invasive endoscopic laminectomy on L2 and L3. We are leaving L4 and L5 alone where some docs have recommended fusion. We will see if this easier procedure will work.
@@MacchiatoSwirlGirl well I ended up having the fusion 2 weeks ago. I'm feeling great and I'm hoping this will help!
i had fusion L3-L4, 2 weeks ago and relieve of internal and sidewards nerves. 4 screws and 2 bars and for the moment i feel my feet and hips again. . i am suere my live wil be better then before. good luck
are you talking small anterior incisions for lumber spine surgery or is this all upper spine posterior surgery?
Mostly true to someone who’s never had it. I can touch my toes too and the whole whole suffering uncontrollably.. worst thing I EVER DID! 49 years old and disabled
hi michelle, could you tell me more? which operation did you had done?
@@LucasHendrickx I had a spinal fusion. When I woke up from a surgery that I was supposed to have one little cut in my stomach but instead, I had a cut on my stomach and three cuts on my back, I have never gotten relief after long periods of physical therapy.
@@michellegillick1293 did they make it worse then you were before you were operated?
Dr Mahoney, I live in Florida. I wish you could do my surgery. I have very good insurance. I have been dealing with pain for too long.
I’m scheduled for L4 L5 fusion because I exhausted multiple cortisone injections. I’m 57 and afraid of the operation. I severe lumbar spinal stenosis. And I have arthritis. Standing in one spot or walking not that far hurts the bottom of my back sometimes down my right leg. Do you have any suggestions for me?
Strengthen Yr core daily ....do daily brisk walks not slow....3 walks a day and buy dr Stuart mcgills book the back mechanic .it will guide u .it saved me and my recovery is now 99.9999999%....I only have minor stiffness first thing in morning for 10 mins .Then I feel like I was in my 20s...I'm 57
I have degenerative disc at level
l3/l4 its mild to moderate. I have to give up my job because I do manual labor and my pain comes and goes. I just feel like it's inevitable that I'm gonna need some type of surgery. My job gives me great insurance and if I stop I'll be left without insurance. Should I just continue and destroy the rest of the disc so I have insurance and then hopefully get a fusion or what. You say it can't heal am I just avoiding the inevitable. Should I just continue to work and just finish the job of the disc. Then hope for the fusion. I'm only 29 and idk what to do. I feel my life is pretty much ruined. I've always been very athletic and now I do very little physical activity. Pt has helped my back but I just feel it's avoiding the inevitable. Thankfully I'm in a union so the job will always be there but just I feel like im in limbo just waiting. At this point I don't see a bright future like I once did. I just see a future fusion. Right now I just plan to hopefully wait till the technology gets better. Have you ever heard of discgenics? My pain isn't bad but I just can't be who I wanna be anymore.
Im in the same boat my friend also same age, i dont know man i was offered coflex surgery but i feel we wre tp young to have that
@@gurota1786 wats coflex surgery? I was thinking of trying spinal decompression therapy. But I tried once from a place and it was really painful at night and seemed like it made it worse for a while. My dad had 5 vertebrae fusion in the 80s at 19 and he did great. So he's all for it.
@@juicegeneral5082 its like they put a bracket in between the vertebraes, but hey man u got someone close who told you its good so that in a sense in a relief i guess
@@juicegeneral5082 just because it worked for your dad don't mean it will work for you.if your not in pain or loosing the use of a limb I wouldn't do it
With your confidence and calmness in the video it gives someone who is considering fusion ( me at the l5-s1 level at age 67 with sciatica pain ) hope for a positive outcome .
Thanks for all the information
Just checking to see if you ended up getting the surgery? And if so, how did it go?
@@devicefuldb5097 yes I did , alif @ the L5-S1 level.. the surgery itself was not bad but didn't help the nerve symptoms ( possibly because the wrong nerve was addressed L5 ) my symptoms are with the L4 .. so I'm now 14 weeks post-OP from having fusion at the L4-L5 level with screws and rods
@@RG-gl6sm Thank you so much for the follow up. So sorry to hear the first go didn't resolve the nerve pain, I know that is a very difficult pain. Is the new surgery helping with that?
@@devicefuldb5097 the short answer is no and I'm losing confidence that it will.. so the doctor threw a prednisone pack at it , but no help .. then the doctor threw gabapentin at it , again no help..
I haven't totally given up maybe the muscles need more time to heal and further reduce inflammation .. I've been walking around 3 miles a day since the first week after surgery..
@@RG-gl6smso what is the latest status? They want to do a L5-S1 surgery on me. Im saying no until all other means are exhausted. So please let me know what your experience is/was?
What should I do if a screw came loose from fusion surgery
I have the same problem.
When I was younger I was diagnosed with minor scheurmanns disease but I was very active and had a normal life. You could barely see the curve. In 2017 I was introduced to Dr Lenke in New York through a friend from business school. I met with Dr Lenke twice before the surgery, he said "everything I could do before I could do after." The sirgery didnt seem like a big deal and I had another friend who got the surgery and said he was fine. I was very busy and was living alone at the time so I just trusted Dr Lenke and agreed to the surgery. In the end they put 26 screws in my spine and fused 13 levels from the base of my back to where my neck starts. When I woke up from the surgery I felt actually positive because I noticed I could breathe a bit better. However as time went on I realized more what they had done. I remember trying to get in a uber after the surgery and not being able too because I could not bend my torso at all, I started to cry and panic is this really what its going to be like? I tried to stay positive for the first little bit, my first two years post surgery were actually ok but I found I felt weaker and weaker, life just took too much energy to get through a day with a caged torso. I found everything hard, dating, work, relationships. I started declining until the depression of being fused really set in. I stayed in bed for longer and longer until I was basically bedridden. I became scared ofeverything because it always seemed to end badly. If i went to a meeting people would comment on my strange posture, if i played golf i would get tired and have to leave early, if i went on a date she would want to cuddle but the angle would be uncomfortable. I have essentially at the point resigned to a life of seclusion. Its really a shame because I was doing so well up until then. I hope someone out there reads this and decides that their body is beautiful just the way it is and does not do this surgery. If you have pain please try and seek alternative solutions. Perhaps fusion is ok if its on one or two levels, but on 13 levels it essentially removes most of your biomechanics.
May I ask what specific levels were fused?
Had a fusion surgery a screw is loose
Thank you from 🇦🇺 I had MVA end up fractured 4 ribs and spinal surgery and received 10 Screws and rods still painful after 9 weeks post operation ( T11 L 4) Can Dr advice how long painful does it last! Thank you 🙏 04/12/2022
Has Covid interupted supplies of instruments , prosthesis etc. I live in New Zealand & have 2 Level ALIF next month
and how did the ALIF go?
what About ADR ?
Posterior lumbar?
FRAUD FRAUD FRAUD FRAUD FRAUD
Run from fusion, don't listen to this man
It would be good if you could learn to speak slowly and clearly doc!
Gabbling does not work!