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Facet Joint Arthritis
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| iSpine Discuss Facet Joint Arthritis in the Main forums forums; Greetings! Over the years, my husband has had a full lumbar fusion but still has extreme low back pain. After ... |
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07-03-2013, 02:08 AM
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Facet Joint Arthritis
Greetings! Over the years, my husband has had a full lumbar fusion but still has extreme low back pain. After yet another round of X-rays, MRI, mylogram and bone scan, the Dr. tells him that all is good and solid with the fusions. His next idea is to have my hubby take on a round of Facet Joint injections come December. So, here's my question, is it conceivable that after a total lumbar fusion my hubby can still have enough movement in his spine that facet joint arthritis is an issue? And, if so, could he have a facet joint replacement done after a full lumbar fusion? Any help, tips search hints, greatly appreciated.
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07-20-2013, 05:05 PM
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Could your hubby have adjacent levels that are bad. I would assume the doctor ruled that out as well. I really don't know the answer to your question. I only know from my experience my neck is fused from C4-C7 and does give me trouble and my spine surgeon told me i can have injections any time i want. Actually my spine is fused from C4 thru L4. With the lumbar actually failing in fusing so i do get epidurals there. why if he is in so much pain does he have to wait until December is my question. That seems like a long time in the future when you are living with back pain every day
judy
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2007 ACDF 4-7 2008 hip , knee scope, hip replacement 2009 thoracic T-5 thru T-11fusion 2009 VATS T7-8, posterior only T11-12. removal of thoracic hard wear 2010 lung surgery 2010 T2-L2 kyphosis correction 2010 Kyphoplasty T-3, T-4 2011 Cervical osteotomy ,revision C4-T5 2011 Foot surgery 2011 Revision fusion T7 thru L4/laminectomy 2012 Hammertoe correction left foot 2012 Revision fusion T-12 thru L5 2012 Revision fusion L4-L5
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07-26-2013, 12:40 AM
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Kinjano... I hope you don't mind, but I moved this thread to the main forum where it will get more traffic.
How did they decide which levels to fuse? Did they have a 'smoking gun' diagnosis, or did they simply operate on the levels that looked the worst. It is possible that the pain generator is not from the areas targeted with the surgery. I believe the premise of the question is good... if it's fused and immobile, why would there be pain coming from the immobile facets. What type of fusion did they do? If they only went anterior and left the posterior elements alone, I suppose that there could still be some instability or fracture that is not entirely immobilized??? Mark
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1997 MVA 2000 L4-5 Microdiscectomy/laminotomy 2001 L5-S1 Micro-d/lami 2002 L4-S1 Charite' ADR - SUCCESS! 2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova Summer 2009, more bad thoracic discs! Life After Surgery Website President: Global Patient Network, Inc. Founder: www.iSpine.org
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