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Chronic degenerative Spondylolisthesis grade II, Large posterior disc Herniation, Severe Facet o.a., Severe Lumbar Spinal Stenosis of the spinal canal and Right foraminal stenosis.

Started by Ralph Sorensen on 02/24/2017 9:16am

Dear Panel.
My dear wife, who is now 68 years old has been suffering from Sciatica for the past few years (partly after a fall), and this has become worse during the past 12 months. She has had MR and X-rays done, and her diagnosis is as follows in the area of L4 on L5 (S1 and cushion is as a 19 year old):
Chronic degenerative Spondylolisthesis grade II, Large posterior disc Herniation, Severe Facet o.a., Severe Lumbar Spinal Stenosis of the spinal canal and Right foraminal stenosis.

Two years ago our Medical Aid insisted that she go to a Pain Clinic and there she had an appointment three times a week for about six weeks for specialized exercises, after which the pain actually became worse. Apparently these exercises are something relatively new that has been invented by a Sorensen in Scandinavia. It was not the normal Chiropractor exercises.

A month ago my wife had MR done and the Neuro Surgeon suggested minimally invasive Decompression surgery in order to relieve the pain and allow more space for the nerves. As we were concerned as to whether this surgery would only be a temporary relief until and if the slipped disc would slip further, we decided to get a second opinion from a “Bone Doctor”, an Orthopedic Surgeon

When meeting with an Orthopedic Surgeon and when seeing the MR and X-Ray results, he stated that my wife would need Stabilization/Spinal fusion or Instrumentation/bone graft surgery. This would need steel frame and screws etc.

However, when we told the Surgeon that my wife does not have a Colon, which was removed (in bits and pieces over a 20 year period) and only has about two inches at the rectum, as well as the fact that she had an embolism 10 years ago which reduced her one lung by 50% and has given her an unregularly heartbeat, which at times can suddenly increase her blood pressure from her normal 100/60 to 180/90, he immediately seemed alarmed and stated that without a Colon there was a great chance of infection or rejection by the body of the steel components in the back. He stated that she could be certain that there would be one or other complication. This alarmed us.

He then recanted on his original statement that she would need Stabilization/Spinal fusion or Instrumentation/bone graft surgery, and then suggested that the route to follow would be for us to ask the Neuro Surgeon, who he knew and in whom he had great confidence, to do decompression minimally invasive surgery which we understood to be that some bone is cut away in order to make more space for the nerve to protrude. In this case there would be no steel frame and screws or lamination of the Vertebrae

We need advice.
Is it possible for Chronic degenerative Spondylolisthesis grade II to be rectified by a Chiropractitioner or would this only be a temporary solution and that some sort of Surgery would eventually be required, either by a Neuro Surgeon of an Orthopedic Surgeon?

Bearing in mind that the problem is not only Chronic degenerative Spondylolisthesis grade II, but also: Large posterior disc Herniation, Severe Facet o.a., Severe Lumbar Spinal Stenosis of the spinal canal as well as Right foraminal stenosis, could minimally invasive surgery by a Neuro Surgeon solve the problem of the Sciatica pain, or would this also be a short lived relief of pain, and eventually need a Surgery by an Orthopedic Surgeon which would involve a laminectomy or Stabilization/Spinal fusion or Instrumentation/bone graft with the screws and Cradle?

As these are difficult decisions to make, would it make any sense in the meantime to ask for an Epidural Steroid Injection until we are convinced as to what route to take?

Your kind response would be greatly appreciated as well as possible side-affects to such surgery
Kind regards
Ralph

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