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Neurosurgeon recs?
Posted on 1/31/25 at 9:24 am
Posted on 1/31/25 at 9:24 am
Wife had a discectomy about 8 years ago, things have clicked along fine with a gradual worsening of symptoms over the last year...much worse in December with some weakening of right lower extremity. She has seen two well referenced neurosurgeons and has gotten two pretty different opinions. Both recommended fusion of l5 s1 with an anterior approach, but one has indicated it is urgent, one was like meh...just wait as long as you choose. Given her motor loss we are siding with the more urgent thoughts, Any experience with this on the board? Thanks in advance.
3
Posted on 1/31/25 at 11:17 am to tigerfoot
Did either of the ones y'all have seen do the previous surgery? My dad is a neuro, but in Alabama, and is about to have his second disc surgery next month. He dealt with the previous one for way too long and should have had it corrected earlier, but with other things going on and him knowing the recovery time, he needed to find a good time to have it done and just kept putting it off. The first one was successful, and I honestly never thought I would see him standing up straight and walking straight again before he had it done. This second surgery is the disc below the one that was previously corrected, and he said he's just going to do it as fast as he can and not prolong the wait.
But yeah, if she is having the weakness in her legs, get it done. Dad mentioned that his symptoms this time weren't as much pain, but needing assistance standing up from a seated position. His legs feel weak and there is some numbness and tingling. Opening up that collapsed space and freeing up the nerves is the idea, and the procedures now are really good.
But yeah, if she is having the weakness in her legs, get it done. Dad mentioned that his symptoms this time weren't as much pain, but needing assistance standing up from a seated position. His legs feel weak and there is some numbness and tingling. Opening up that collapsed space and freeing up the nerves is the idea, and the procedures now are really good.
Posted on 1/31/25 at 12:50 pm to TU Rob
Thanks for the input. No, these are both new MDs, she lost faith in the prior MD....I think he did a fine job, and she recovered well. I think it was just bedside manner and a pretty abrupt office soured her on him. She is definitely leaning toward the more aggressive plan given the progression. The more aggressive MD wants to do a foraminotomy (sp?), and that will require a posterior approach after he completes the anterior approach for the fusion and she is concerned in part because the first MD did not mention anything like that. Like your Dad, she has been advised that this is a 8-12 year deal before she will need another level done as things progress. That was a little shock to both of us. She is an active lady and is in great physical shape, so hopefully that aids her in her recovery.
Posted on 2/1/25 at 3:59 am to tigerfoot
Dr. Kelly Scrantz in Baton Rouge at the Neuromedical Center.
Dr. Najeeb Thomas at Southern Brain and Spine in New Orleans.
Dr. Najeeb Thomas at Southern Brain and Spine in New Orleans.
Posted on 2/2/25 at 9:56 am to tigerfoot
I am both a doctor AND exactly 1 year out from my back surgery.
If she is having weakness (especially if it is relatively sudden onset) then that is indeed urgent.
Where are you located? The best in my area is Justin Owen at Avala in Mandeville.
If she is having weakness (especially if it is relatively sudden onset) then that is indeed urgent.
Where are you located? The best in my area is Justin Owen at Avala in Mandeville.
Posted on 2/3/25 at 9:30 am to TigerReich
quote:
Dr. Kelly Scrantz in Baton Rouge at the Neuromedical Center.
Posted on 2/10/25 at 9:14 am to tigerfoot
Dr Culicchia at West Jefferson medical center.
Posted on 2/10/25 at 10:54 am to pdubya76
This guy ^ (or rather his ego) botched an aneurysm surgery on a close friend of mine’s mom in 2001, and she has been paralyzed on her left side of her body now for almost a quarter of a century. That’s what happens when a coil gets sucked into one’s bloodstream.
Posted on 2/10/25 at 8:30 pm to Honest Tune
quote:
This guy ^ (or rather his ego) botched an aneurysm surgery on a close friend of mine’s mom in 2001, and she has been paralyzed on her left side of her body now for almost a quarter of a century. That’s what happens when a coil gets sucked into one’s bloodstream.
I’m sorry for your friend . We had a different experience. My wife had a brain aneurysm on her anterior communicating artery in 2013. We were referred to him .His team found that the neck of her aneurysm was too big for a coil to work. He did a craniotomy and clip. She’s had some short term memory issues at first but she’s been good since. Dr Wilson did the attempted coil and they both did the open surgery.
Posted on 2/10/25 at 9:24 pm to pdubya76
Sounds like similar circumstances for my friend. Hers was in her brain. I believe it was agreed upon before the surgery that once he was in there, and I’m speaking 100% in layman’s, if he found a certain set of “conditions” he was going to back out of the coil procedure. Well, he got in there, FOUND the conditions they spoke about, and still proceeded with the method anyway. It went SOUTH quickly and she threw a stroke once it hit her blood stream. She’s alive, but as I mentioned, completely different life experiences from that day forward. Truly a magnificent woman to survive and live as fully as possible after. I’m talking learning how to see out of one eye and play the piano in church every Sunday with a single hand because that was your duty before you went under the knife.
This post was edited on 2/10/25 at 9:25 pm
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