First of all, keep in mind that I am unable to diagnose you because I am unable to examine you, this forum is for educational purposes.
The success of back surgies depends on the way that you define it. In the surgical literature a successful PLIF (Posterior Lumbar Interbody Fusion) is defined by a fusion (successful growth of bone graft) confirmed by xray. PLIF has a 90-95% fusion rate in most studies (the spine is fused by a bone graft to stabilize the spine). However patients are more likely to define success by an absence of pain (or other symptoms) after the procedure. Since back pain is multi-factorial, there is often not just one thing wrong when a patients presents with back pain. An MRI can identify a problem in the spine stability and a PLIF can fix that one problem, but if that was not the cause of your pain then a successful PLIF will be viewed as a "failure". The key is to determine if there are any other factors that are contributing to your pain, so back surgery if needed will have the best chance of improving your condition. Rarely the bone graft or 'cage' can press on the nerves in the lumbar canal if fusion is not achieved and cause back/leg pain, and may require additonal surgery. Things patients can do to reduce the risk of incomplete fusion is stop smoking (if you smoke)and allow time for recooperation/rehab. I would suggest that you take your repeat MRI to a neurologist and have him examine you. Your neurologist will be able to determine if the symptoms/exam are consistent with the pain comaing from a spinal stability problem (it seems likely in your case) and/or if there is progression in your spinal instability. You can then return to your surgeon armed with this information.
I hope this has been helpful.
I had a 2 level cervical fusion C5-C7 11 weeks ago. Since my surgery I have more pain than before. Prior to surgery I had numbness in my right arm and hand and some neck pain. Now the pain on my right side is worse and my left arm and hand are also numb. I have constant headaches and burning across my shoulders. I am taking percicet 7.5 and muscles relaxers every 4 to 6 hours just to be able to tolerate the pain. My surgeon says that everything looks great. But I'm worse now than before I had surgery. I did alot of research on this surgery before I had it done and it seemed that the success rate was very good. I have been reading alot of the post on this site and have found that their are several people that are experiencing the same problems that I am. I don't want to discourage you but I would have never thought I would have ended up in this shape. I have two small children, ages 3 and 6, I can't tie their shoes or even turn the pages in a book for them because I have no control of my hands. Good luck.
Can anyone help?
Quick run down. Feb 2004 fell on ice. Tore rotator cuff left shoulder. Surgery june 2004 to repair. Still had severe pain that should have been gone after the repair. 2 1/2 yrs after the fall, after many diagnosis found that there was a herniated disc pressing on my spinal cord. I had been put through PT and told to wrok past the pain. Surgeon stated that the herniated disc was so severe that he said I could have been paralyzed with one wrong move. Physical therapy had me lifting weights and all sorts of things. Surgeon said that surgery was needed to fuse the neck at C6-7. Donor bone not of my own was used. Surgeon was amazed at how quickly I recovered. I was back to work 3 wks after surgery. Surgery was done through a 4 in insision in the front of my neck. Spine surgery Feb 2006 Instant relief since day of surgery until about 2 months ago. Now there are things that have me concerned. The left side was the effected side before surgery concerning pain and motor skills. Now I am experiencing neck pain, headaches, left hip pain, and left arm and hand pain. Left thumb seems to contract to the point that I am unable to straighten it all the way. I tend to drop things and memory seems to fail often. Has anyone experienced this before. Everyday I seem to have more symptoms and the pain gets increasingly worse. Headaches are constant meaning all day just about everyday. Any suggestions would be greatly appreciated. I am 1yr post op. Thanks!
Dear Traditional,
I have a similar diagnosis but not as close to needing surgery. My Orthoepedic Surgeon wants to avoid surgery until or unless I arrive at the agony stage.
I had pain into my buttocks and could not stand in a line, or walk a beach.
then I had two epidural shots in my lower back. the second one has totally eliminated my pain and I can both walk normally and stand in a line although not forever, without some discomfort.
You may want to ask about those shots, they are not painfull and may work for you.
oberlyus
Dear Traditionall,
I know how reluctant you are to venture into a spinal fusion, for several reasons. I know I was in your shoes a while ago. Unlike you, I did have pain going down my hip and leg. Still, I put off the spinal fusion, until it got to the point where the Vicodin wasn't working anymore for the pain. At that point, I was ready to try just about anything, so I went back into my neurosurgeon's office and signed the necessary papers to have the fusion done. It turned out to be a very successful surgery and the pain going down my hip and leg were gone, as soon as the surgery was over. Of course I had a lot of post surgical pain, for awhile, but that is to be expected. If you are like me, you will know when the time has come to agree to surgery, when you can not stand the pain anymore. I wish you all the luck in the world, with the decision you make. By the way, I had the same diagnosis as you have.