View Full Version : Combined anterior posterior?

05-22-2012, 11:31 AM
Hi everyone,

I joined a little while back and then tried to forget about surgery so I disappeared...

I'm back now and, after seeing Mr Tucker at the Wellington in London, seriously considering surgery if my private health insurance will pay.

Mr Tucker has suggested combined anterior and posterior surgery (in one session) and fusion from T4 to L4. Just wondering if anyone else has had this done? My initial consultation with another surgeon was for anterior lumbar fusion T11 to L4 but Mr Tucker doesn't think this will be stable enough as my curves are 47 upper and 62 lower and I am 32 years old.

It just seems like a lot to go through and, like everyone else who faces this, I'm getting scared.

Wondering about other people's experiences and looking for some words of encouragement!


05-22-2012, 12:42 PM
Someone gave me the following advice when I was thinking about this stuff: Find the surgeon that you completely trust, and then do whatever s/he says. I did that and don't regret it. I had recommendations all the way from "hold off on surgery for a while" to "fuse T10-L5" to "fuse T4-sacrum." The last and largest surgery was recommended by Dr Lenke. I decided to go with it because the man knows what he's doing, and hopefully this will be a "one and done" thing for me. Good luck! These are extremely difficult decisions.

05-22-2012, 08:25 PM
Best of luck with your decisions. Finding the best surgeon possible is crucial. I doubt that there are many of us who were not totally scared of taking the plunge to have this surgery.

05-22-2012, 10:47 PM
Hi Kaybee

I had an A/P, 4 years ago. T2-Pelvis. I think that this was the best route since I came out so well. I also had a procedure called “partial corpectomy” and PEEK spacers inserted from the front from L1-Sacrum. This is the heavy duty version of fusing.....they fuse the front and the back, it balances it out. After all the nerves were cleared out, all the old nerve pain quit. It was quite a relief.

I consider my surgeries a total success and never thought that it would work out as well as it did. Now, I do really dumb things like lift super heavy television sets.....(smiley face) I guess you could call it “the test”. Testing out my million dollar spine.....I do have permission to lift 100# or 45 kilo’s.

The first few weeks will hurt....It was an experience that I could have lived without, but now that its in the past, I’m super glad that I did it. You have to have a positive attitude and always look ahead. Always think about how well you will be doing down the road.....

Welcome back

05-23-2012, 06:23 AM
I also had anterior/posterior performed in one surgery. Many surgeons are now using a posterior-only approach, but I did get a fantastic correction that's holding up great. It was a challenging recovery but well worth it. From what I've seen and heard, it looks to me as though surgical procedures are constantly evolving and recovery times seem to be getting quicker for many people. Good luck to you!

05-23-2012, 10:08 AM
I was fused T4-L3 20 years ago, and had A/P surgery all in one day. It's a lot to go through, but it's nice to get it done all at once.