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Thread: R L5 screw pressing on nerve

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  1. #1
    Join Date
    Jan 2012
    Location
    Yacolt, WA
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    1,550

    R L5 screw pressing on nerve

    She's b-a-c-k! I have surgery scheduled on Feb 27th with Dr. Bob Hart at Swedish Hospital in Seattle. My R leg burning pain started over a year ago. Initially, I thought that I had a sunburn on my leg. Then my R foot and lateral thigh started to burn. I use lidocaine 5% patches on burning areas. I saw my Physiatrist who ordered a lumbar CT and an anesthetic/steroid inj along the R L5. Instant temporary pain relief. Repeat inj 4 months later also temporarily relieved the burning pain. The burning pain follows the L5 dermatome.
    Dr. Hart said that it would be a one hour surgery and that I would be in the hospital for a couple of days. My R foot is numb by the end of the day, so I hope that symptom goes away with surgery.
    Susan
    As an update, I use crutches for shorter distances and a wheelchair for longer distances.
    Adult Onset Degenerative Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Severe disc degen T & L stenosis

    2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
    2014: Hernia @ ALIF repaired; Emergency screw removal Spinal Cord Injury T4,5 sec to PJK
    2015: Revision Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
    2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
    2018: Removal L4,5 screw

  2. #2
    Join Date
    May 2008
    Location
    reno,nevada
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    3,677
    Quote Originally Posted by susancook View Post
    She's b-a-c-k!
    I hate it when you come back this way Susan. The good news is that its one screw.

    Pretty soon you can ditch the crutches and the wheelchair when we get our personal drones....

    We can fly back home after our surgeries....


    Ed
    49 yr old male, now 59, the new 55...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  3. #3
    Join Date
    Jan 2012
    Location
    Yacolt, WA
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    Quote Originally Posted by titaniumed View Post
    I hate it when you come back this way Susan. The good news is that its one screw.

    Pretty soon you can ditch the crutches and the wheelchair when we get our personal drones....

    We can fly back home after our surgeries....


    Ed
    You are so-o-o funny Ed! What's one L5 screw among friends? I have worked hard to progress from total paraplegic to walking partial para. I am excited at the possibility that I might decrease my R leg pain, but nervous about the possibility of a bad outcome.
    Susan
    Adult Onset Degenerative Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Severe disc degen T & L stenosis

    2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
    2014: Hernia @ ALIF repaired; Emergency screw removal Spinal Cord Injury T4,5 sec to PJK
    2015: Revision Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
    2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
    2018: Removal L4,5 screw

  4. #4
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    3,677
    Quote Originally Posted by susancook View Post
    I have worked hard to progress from total paraplegic to walking partial para.
    Susan, I was wondering about this, and I didn't want to ask, but knew. Your situation is something that every scoliosis patient thinks about at some point or another....I can imagine your strength in having to deal with all of this. Many people have no idea what it takes mentally to forge paths of this magnitude.....its commendable.


    I think things will be ok.....you have been through the ringer with major major spine surgeries, this one will be an easy one.


    If you feel up to it, ask Dr Hart about "cortical screws or cortical trajectory".....(vs pedicle screws). I was reading about this a few months ago, its an option in the osteoporotic spine. They drive these screws in from a different point, and they don't cross them in a triangle shape. It offers hope for scolis with osteoporotic bone..... I wanted to mention this someplace since people do get rejected for surgery due to osteoporosis.


    Check out the Medicare financials near the end....OMG! Shots and Chiro are expensive......don't let the Donald find out about this, he will flip out. (smiley face)

    Management of Degenerative Adult Scoliosis and the Osteoporotic Spine.... Dr Sansur
    https://www.youtube.com/watch?v=b34A_E_CgX4

    Ed
    Last edited by titaniumed; 01-22-2018 at 08:11 PM.
    49 yr old male, now 59, the new 55...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  5. #5
    Join Date
    May 2010
    Posts
    347
    Hi Susan,
    Sorry to hear of yet another problem and the pain that youíre having!! I can understand why youíre a little apprehensive about yet another surgery, even though itís only an hour long. Iím sure all will be fine. I was glad to hear youíve come so far with your paralysis. You are an amazing lady!! Keep us posted and know Iím thinking of you!! Warmly, Linda
    Linda Brozik~~60 yrs. old at time of Lenke's first surgery. 62 now!
    Surgery 2006 L3/4 L4/5 double fusion/ instumentation/ With 2 cages
    This started adult onset scoliosis
    July 1st, 2010/ surgery ~~fused T10 to pelvis (long rods/ screws)
    Oct.20th 2010, extended rods to T4 / did osteotomy at L3
    Oct. 29th 2012 Dr. Lenke St. Louis Mo. T4 to sacrum osteotomy anterior cage L3/4 titanium rods
    May 30th 2013 revision
    May 8th cervicle surgery 2016
    May 31st Dr. Gupta revision 2017

  6. #6
    Join Date
    Jan 2012
    Location
    Yacolt, WA
    Posts
    1,550
    Thanks Linda and Ed for your comments. Revision surgery is a slippery slope. The more surgery that you have, the more adhesions or nerve damage are possibilities. Also, the degeneration in my thoracic and lumbar vertebrae are now affecting my cervical vertebrae. Yikes! I am hoping that I can continue without more surgery. I had numerous cervical injections with Xylocaine and steroid and have a medial branch block scheduled. I have a great physiatrist who can see the relationship of bone, nerves, and muscles and has ideas on what might help. The last 2 physiatrists that I went to basically said, "Live with it, we don't know what is causing your problem".
    I am the poster woman for post-op problems: total ventral/incisional hernia, spinal cord injury, instrumentation infection, and pulmonary embolism. Since I broke 4 rods, my surgeon rigged 5 rods that support each other.
    Despite all that has happened and my subsequent disability ( I use crutches and a wheelchair) I am happy that I have a great spine surgeon who has "put Susan back together again".
    Life is a balancing of risk and benefit. I am in a better place than I was before my first surgery.
    Susan
    Adult Onset Degenerative Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Severe disc degen T & L stenosis

    2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
    2014: Hernia @ ALIF repaired; Emergency screw removal Spinal Cord Injury T4,5 sec to PJK
    2015: Revision Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
    2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
    2018: Removal L4,5 screw

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