Think my 2 best options are.... Any Advice?
L5/S1
1. Microdiscetomy - With possible Anulex X-Close sutures
2. Unilateral TLIF (Right Side)
Before leg right symptoms, I had a grade 5 annular tear at L5/S1 but the MRI now shows a 8mm large disc extrusion. (actually a 4mm annular disc protruision but with a superimposed 8 mm right disc extrusion, whatever that means).
The microdiscetomy might get rid of the back pain but it might not. It is difficult to tell which pain is greater. Would almost rate the back/leg pain at 50/50 and would like them both to disappear.
Any opinions would be much appreciated....
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2008 Back pain stared (M, 37, 185#, 5'11")
2009 MRI, Bilateral SI Joint Injection, PT, L4/5 Bi Lateral Facet Injection
2010 Acupuncture, Discogram, L4/5 and L5/S1 Bi Lateral Facet Injection, PT, L3/4, L4/5, L5/S1 Fibrin Sealant Injections
2011 ?
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