Видео

Patient here: I'm living proof (unfortunately) that this is all very real. You explain good. Thanks Also might be doing xlif next.

What do you fo for LSTV bilateral ..left processcont growing to fuse to sacrum and right process cont growing forming pseudoarthrosis joint to ilium... Have eds and si joint disfuncution..already had disc out and l4)5 fusion thirty years before i found out about lstv birth defect...un agony Back pelvis stiffness ..spine under pressure misalignment splaying sensation. Now buzzing in pubis ..hip pain leg pains criplled feet ..what can i have dobe .do you treat tye birth defect or treT tye side effects ie s i joint pain svoliosis facet pain etc ???

Hey everybody, im booked for this Surgery 9th May 2024. Im so nervous.

Thank you for this. Fusion has been recommended for me -- I can't do it -- I know my body and it would be a disaster.

I am sorry but I can't get past his Pink nail polish.

Ty. Very well explained. QQ - Does the risk percent of 1% increase if the patient is over 80 years ? 83 to be exact.

Seems like the nucleus alway going out towards the nerve not the other direction. Wonder why?

1 week out of “open” L4 for a far lateral inter and extra foraminal herniation from downhill mtn biking and 30+ years of sports. Misdiagnosed so was doing yoga 3 months later when disc exploded…worse pain in my life worse than childbirth and worse than kidney stones. Waited 7 months for the surgery leg pain is gone but yup my back hurts. Nothing like the nerve pain however. Focused now on losing weight and healing. No more downhill mtn biking but at age 47 I’ve decided to accept that as well as no more snowboarding. Again, willing to accept to not be walking without a cane.

Dr. you left out the important part. What do you do with the herniated disk? Do you shave off part of the disk? What happens with the left over disk? Are you going to saw it up to stop the leaking or what happens to it?

So you have to break out part of the vertebra to able to excess the herniated disk. Is that bone breaking will not be an issue after surgery? Also I still don't understand that what happens with the disk , heal itself it's not going to herniate again ?

😭 👍🏼

12 yrs ago would make this video, 2011-2012. I'm sure things have changed in 12 yrs. I have an appt on the 14th to see what treatments are available to me regarding issues at the L5- S1. hopefully this is an option. But 10-12 yrs. of disk herniation may restrict my options but fusions is definitely not one. I'm looking for the least amount of hardware. It all depends on my film etc.

I HAVE BEEN TOLD I NEED THIS.....YOUR VIDEO HELPED CALM. ME DOWN ..THANK YOU SO MUCH

درود اردوان ... U should not mess with back structure ... Do surgery through belly and this is the real and true min invasive treatment ... Forget digging from back ... Do the job from belly

MULȚUMIM PENTRU INFORMAȚI😮😮👍🙏♥️

What are your thoughts on “failed back surgery syndrome”? I have SCS that’s not as effective anymore for ortho pain. Now being offered pain pump despite stenosis and nerve impingement that causes intractable pain. Experts tell me unless I have serious leg symptoms bladder or bowl problems they no longer operate. I’ve been in excruciating pain for too long SCS helps but constant problems. I want a real solution not masking pain.

I had a 2 level fusion can't remember exactly but was S1 to L5. Very traumatic experience. I see you like to use cars as an example. An engine mounting will be great, flexible but ridget.

What do you think of coflex steel implant 🤔

Jan 2023 Had Spondylolisthesis unstable grade 3/4. Apparently it’s a 2/4 post surgery. Spine crushed into pelvis. Procedure to fix was ALIF one cage, S1/L5 Pedicle screws & rods (4 total). Felt amazing for 6 weeks post op. Suddenly had debilitating pain. MRI shows 2 loosened Pedicle screws on both sides (1/2 is debilitating more than I was prior to surgery). Surgeon keeps stating “bone fused successful”, overseeing L4 is still junked up & screws are failing. I can feel my Rod on the side that hurts the most. It’s ruining my life. I am trying to do all the research I can

Wouldn’t the bone have to heal if you are drilling bone in this surgery? How long does it take to recover from destabilization of the back of it occurs?

Im curious what you think about laser surgery to help with disc herniation or protrusion?

why cant they invent better screws or something?

Thank you. Very informative. Very clear.

Right. I have 1 femur longer from traction , 2 herniated l,4l5 , s1. And my fascia around my low back muscles have been destroyed. Finding a surgeon won't be easy.

Excellent!! Thank you!!

Thank you. My D12 is damaged. Now screws will be implanted soon. Is there any special video for surgery of D12 of spine.

My Spine L4 L5 diffuse disc bulge problem 2023

Good explanation, How much does it cost for a multi lumbar laminectomy

I had a L1/L2 lumbar laminectomy and discectomy done just yesterday due to foot drop. Though they fixed the herniation/extrusion, because it took about a month between the development of foot drop and when I had my surgery, there is some doubt about whether my foot drop will improve.

Dear Dr., I know you are a very busy surgeon and I understand if you cannot answer. I am a 32 y/o female who has 7 year old twins and a widdow. I hurt my back lifting some medical equipment at work. I am a rep in the OR. ( I do not work in spine). I work in general sx and Batiatrics. I have had a EMG, and a MRI. They both show moderate disk bulge central posterior left greater than right L5 and SI. The pain was holding steady for the past year at about a 4/10 with 800 mg ibuprofen 1-2 times a week. Over the 4th of July I went for a light jog and the next day I was in so much pain I had to go to the ER. I cannot to a SLR on the left past 30 deg hip flexion and cannot do a bridge or sit up on my own in bed without 9/10 pain. I cannot sleep or drive. I do not know what to do. I’m wondering what your thoughts are. It has been over a year since my date of injury.

Camera man was distracted at the end)

1 year of horrible leg pain so far. Surgery scheduled for July 14th. Man I hope it helps. Been working everyday and not sleeping at night because of the severe leg pain. Fingers crossed 🤞

F your profession. I am in so much pain.

Good video to proof my speculation. I got my spine fused because of trauma but my family members almost all have degenerative disc problem and they warn me about revisit surgery in the future

Just don’t do it

You got right into the point instead of blaming patients.

Update: Watching this really scared me before I decided to do a lumbar hybrid: L5-S1 alif and 4-5 adr (active L artificial disc). I was worried about the scar tissue, iliac veins, not being able to revise etc. But 2.5 years post op all has worked out well for me. I did have a synovial cyst which surgeon did leave behind at L5-s1 (as it was embedded in my spinal cord). That cyst was a major problem for over a decade (couldn't stand or walk very long) and for two years post op it was causing even more pain, until it finally ruptured a few months ago in feb and at that point I had a new back. 42 now, surgery at 39, after two microdiscectomys in my late 20s early 30s. I'm glad I did this hybrid alif/adr surgery. It was a long road to recovery, but I feel i've been given a new life. I can carry a hand basket in the grocery store, I might actually be able to pick up a grand child someday. For 16 years of my life i endured and was limited by significant back pain that left me physically impaired, which perhaps inadvertently preserved the uninjured portion of my back for this new chapter. I waited to do a fusion out of fear and also I wanted the science to develop as much as possible with adr in mind. I would do it again, but if it were now, I might wait for the Axiomed lumbar adr to be fda approved which seems imminent - it has a spongy nucleus, more shock absorbing. Guess I will do that at 3-4 if I ever need to. Still feel good going with Active L over prodisc at l4-5. My l5-s1 alif is a spineart Scarlet

Once we have done surgery of laminectomy.can we respected to put a screw plz

I had to listen to it a few times to understand it but if I did you are saying that disk replacement works best in patients that had a traumatic type of episode that “punctured” their “tire”, correct? And the other tires are fine and will continue to be fine, correct?

Tengo esa cirugia pendiente que porciento es segura????

Dr Asley,thank you for this. After I had a 'radio frequency facet joint denervation' procedure on my spine nearly five weeks ago the 'sciatica' type pain has become much worse so I'm unable to do anything remotely strenuous, including my beloved tennis. Like you I was hoping that RFA would solve my problems, however this 'non invasive' intervention seems to have widely different results on different individuals and I for one, regret having proceeded with it. Here in the UK, a glowing 85% success rate is quoted for RFA but down side of this procedure is not even mentioned.

That model, with the herniation showing through the vertebrae, really helps one visualize the mechanics of how the pain is created in the spine. Thanks!

thank you Doctor. thank you very much.

I have degenerative disc disease, and 2 discs that I'm supposed to have replaced. The l4 l5 and l3 l4, they are bone-on-bone and the disks are pressing on the root nerve causing pain down the back of my legs and side of my legs. I've been in bed for about two years because I can barely walk. Now I'm afraid because I don't know what I should do with my situation. I'm in pain 24/7. I've been in a few car accidents back when I was 17 and a couple of 21 and one at 43. I'm 54 now. I am terrified because I don't know what to do.

Saw a video on this procedure. Didn’t care for the procedure. All those screws in the back bothered me. Now I understand why!

Brilliant engineering explanation of TOGGLE: toggle mechanism, a combination of solid, usually metallic links (bars), connected by pin (hinge) joints that are so arranged that a small force applied at one point can create a much larger force at another point. I am a retired Architect that has had a Laminectomy from L3-5 which is causing some uncomfortable quad muscle tightness/pain symptoms. I have received some transforaminal epidural injections at L3-4 with 85% relief. The surgeons have recommended an ALIF and posterior hardware procedures L3 - S1. THANK YOU, THANK YOU!!! I WILL NOT CONSIDER ANY SURGICAL PROCEDURE UNLESS IT IS LIFE-SAVING!!! I will continue to do the injections every 4-6 months and carry on!!!

I have 2 pedicle screws(L5-S1) that are loose

How does removing 20mm of the laminar not destabilise the spine? Does that bone grow back?

I did have surgery 3 years ago and I have disc replacement surgery on L3-L4. And I have to say I have genetic issues because my mom have problems with spinal and my sister have 1 year ago surgery and she have in the same place replacement of the disc . Thank you for explaining me the difference now I have to be really careful about my spine .

NOTHING about ANY spine surgery is "non-invasive!"