Hello Keano16,
Thank you for your answer.
My diagnostic now: In fact I have for the moment only one level involved. I have a bilateral spondylolysis L5-S1 with very small spondylolysthesis on L5 (level1 0,1 or 0,2 mm), with a dimorphism of L5. Small discal protrusion of posterior projection in L5-S1. They suggest that the spondylolysis causes a dynamic foraminal stenosis with bilateral compression of both L5 nerves. I have low back pain and bilateral lower extremities pain with a L5 distribution since November 2010, and with neurological claudication when walking, standing, or doing an effort, and it is getting little better if I sit for a while.
Before that: I had back pain all my live but it was supportable and intermittent. We knew that I had spondylolysys on the right side, discovered in Spain in 2006, but nobody has given importance to that in Canada. From 2006 I have been had pain in both arms also , on the elbows until have been finished in permanent pain burning sensations. The investigation have done as result that I have a sensitive axonal polyneuropathy, but they didn't find the origin, even in Canada and in Spain. So that has been the problem between the opinions of specialists, most of them cannot say if my symptoms came from my back or from the polyneuropathy, even if the neurologist said that where different thinks. After doing all kind of conservative treatments all have concluded that is needed the surgery, and the two best have suggested and artrodesis, fusion L5-S1 by opening and doing also autograft.
Question: at this moment my principal questions are:
- The neurologic claudication can be provoqued by spondylolysis because when moving the foramen is retrecing?
- In fact, I have discuss the question of less invasive surgery (endoscoppic) with neruosurgeons. Two of three surgeons have suggested the fusion, the both more experimented. The reason give me is that endoscopic dont allows the autograft, wich stabilises better and has btter results at long term than endoscopic one. This was recommended by the younger surgeon.
- For the moment I am not considering ADR because all the doctors said that my disc are very well. But your advice on it will be considered
I thank you for your advice
Sariera
|