L5-S1 Microdisectomy, should a neurosurgeon or othro perform?

[Betty8]

To keep my story short, I have L5-S1 herniation.  I have been through every conservative method of treatment, and have failed.

I was most recently referred to a neurosurgeon that states the next step is surgery.  I agree.  

My question is my orthopedic doctor mentioned the same thing, surgery for a L5-S1 microdisectomy.  Who should be performing the surgery? and why?

The neurosurgeon I was referred to is out of network, and the entire operation will cost me, out of pocket close to $6000 just for the doctor/assistant.  I cant imagine what the hospital and anesthesiologist will cost.....  This of course, is a factor as well, cost.  In the network, I dont have the figures yet, just the out of network.

TYVM for you help in advance.

[jennyla1980]

I am having a microdiscetomy at L5-S1 tommorrow, by a Neurosurgeon. To my understanding they have more surgical spine training than any other doctor...

[Senia]

I am happy to hear that they found a good neurosurgeon, who is covered by your insurance.  Good luck with your office visit and keep us posted on what is going on and how you are doing.  I just had my last spinal fusion in April, so I definitely know how you are feeling. Will be waiting to hear how you made out.

[Betty8]

I have been referred to another covered neurosurgeon, wish me luck!

[Betty8]

Thanks for the replies.  My pain management doctor is working very hard for me to find a neurosurgeon that is good and covered.  I hope to find out something soon.

[Senia]

I am sorry to hear about your problem, as well as the insurance dilemma.  It's really a shame to have to worry about insurances instead of your medical problem. I have had many problems with my back through the years with discs, spinal stenosis and spondolythesis.  I have been very fortunate to have an excellent neurosurgeon who has done all the surgeries. Therefore I would really recommend a neuro. Now back to your insurance-I don't know what part of the country you live in, but if you are in Ohio, I could recommend my neuro, if he would be in your network.
As well as being an excellent surgeon, he is also a very pleasant and caring physician.  Let me know if you want his name.

[janedough]

save your money on the doctors health report.  A doctors true success rate wont be there. patients that have surgery problems seldom can file suit, so accrate information isnt available.

[brokennana]

I had the same surgery a year ago, by a neurosurgeon. Even though they are the most experienced < i too have continued problems. Please go on line a do a report card on both MD"S, look at there sucess rate before you deicide, this might help.

[lpn123]

Had the same surgery done by orthopedic.  Messed up cut 1/2 way through nerve bundle = i now take 500+ pills per month to manage consequences.  Wish I would've gone to a neurosurgeon - very basic surgery for them - they do it in residency.  Good luck.