Back & Neck Community
Spinal Fusion and Osteopenia
About This Community:

This patient support community is for discussions relating to back and neck problems, exercise, pain, sleeping, and physical therapy.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Spinal Fusion and Osteopenia

I am a 60 year old woman facing spinal fusion surgery.  Over the last two weeks an orthopedic surgeon and a neurosurgeon have both recommended L4-L5 fusion with instrumentation for my Grade I spondylolisthesis (9mm) and severe foraminal stenosis at L4 on L5 with mild impingement of the left L4 nerve with almost complete loss of disc and moderate foraminal stenosis with mild neural impingement on the left at the L5-S1 level.  A bone density scan conducted nine months ago showed AP spine (L1-L4) results of BMD (g/cm2) 0.790, T-Score of -2.3, and Z-Score of -0.9.  

I am writing because I am confused since the neurosurgeon said that he would use instrumentation on both sides of my spine to support the fusion since my bone density numbers showed that I was very close to osteoporosis and therefore needed the extra support.  The orthopedic surgeon said that extra support wasn't necessary and that he would perform the surgery in the usual way with support on one side of my spine.  So which is better?

I am also considering addressing my bone density issues by having a Reclast IV infusion but I am wondering if it is okay to do that just prior to having surgery or should I wait until after surgery or should I get the infusion and then wait a while for the surgery??  I mentioned to the orthopedic surgeon that maybe I should have the infusion and wait a year and he said that Reclast won't replace bone, just halt bone loss, so it didn't matter but when I read the information about it it said that after 36 months that Lumbar BMD increased 6.3% in the clinical trial.  

Thanks!
Related Discussions
446049_tn?1290296512
Have you seen a chart of your bloodwork recently. The vitamin D defiency numbers might be helpful to check how close to osteoporosis you are. Many friends have had fusions and it seems to be about a 50/50 shot at the success rate. I'm not trying to scare you, but rather just telling what I've been seeing. Best wishes!
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Back & Neck Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Pain Answerers
7721494_tn?1431631564
Blank
philnoir
Four Corners
547368_tn?1440545385
Blank
Tuckamore
On the Beaches of Paradise, FL
Avatar_f_tn
Blank
remar
st. louis, MO
4851940_tn?1385441629
Blank
jemma116
United Kingdom
954005_tn?1304630205
Blank
optimus22mac
Windsor, ON