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Old 07-22-2009, 02:37 AM
 
4 posts, read 18,228 times
Reputation: 11

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I have multi level disc herniation and Spondylolisthesis grade 1. My Neurosurgeon is recommending a five level L1-L5 spine fusion. From my research, doing 5 levels all at once is very invasive and the recovery time could be 6-18 months. Obviously I want a 2nd opinion, and I want to make sure I have a caring Surgeon that is not only going to do a great job with the surgeory, but will also support me paperwork wise getting the insurance companies what they need to stay on long term disability (I have LTD insurance through work) So I can focus on recovery without losing my house. I also dont want to be rushed back to work before I am ready. Could anyone recommend a good, caring Surgeon.

Thanks
Pallison74
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Old 07-22-2009, 04:37 AM
 
137 posts, read 526,323 times
Reputation: 110
Allan H. Friedman, MD -- Chief, Division of Neurosurgery in the Department of Surgery
Co-Director, Neuro-Oncology Program
DUMC 3807
Durham, NC 27710

Last edited by Green Irish Eyes; 07-22-2009 at 03:49 PM.. Reason: No photos, please, unless you have taken them yourself.
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Old 07-22-2009, 04:40 AM
 
22,769 posts, read 28,474,186 times
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Someone close to me toured some of the North Carolina neurosurgery residencies a few years ago. His opinion was that Wake Forest had the most advanced department. Hope this helps.
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Old 07-22-2009, 07:18 AM
 
137 posts, read 526,323 times
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I have had two family experiences with Dr. Friedman. I was then not surprised in the least that Senator Kennedy sought him out. He is excellent and a real gentleman. I am sure there are other good Dr.s around, but my experience with him was so good it is hard for me not to recommend him to someone in need.
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Old 10-12-2014, 07:07 PM
 
Location: S.E. US
13,169 posts, read 563,908 times
Reputation: 5117
Default Reviving this for current info please - need spinal surgeon

We are looking for an orthopedic or neurosurgeon specializing in the spine. I could not find any recent thread about this subject, but read through this and several medical care and hospital threads a few years old. They were helpful, but things change, new people come on board here, and more recent experiences would be most helpful.

Diagnosis is herniated lumbar disc with resulting spinal stenosis (due to displacement of the disc and some age-related changes.) Recommendations include removal of the disc and placement of a 'plastic' spacer, a bone graft and spinal fusion which involves screws on both sides of the spine to stabilize.

We are trying to decide:

1. between neurosurgeon amd orthopedic specialist for surgery. Which would be best? Do you have a name in either specialty that you could personally recommend for spinal surgery?

2. What might be the least invasive procedures whereby the condition can be alleviated or corrected

3. Has anyone had success finding relief through decompression by chiropractic means, or is this beyond the ability of chiropractic to treat effectively in the long term?

Thanks in advance!
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Old 10-12-2014, 07:15 PM
 
Location: Raleigh NC
23,141 posts, read 12,453,486 times
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I'm not a doc, but that diagnoses sounds well beyond allowing any chiropractor to touch you.

I will say this, based upon my very limited knowledge of back/spine surgery -- there is no guarantee. I know people personally who have expected complete success and found you can really only hope for 90%. Is "99%" possible? I'm sure it is. But it is nowhere near a given.
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Old 10-13-2014, 01:50 AM
 
9,680 posts, read 25,670,781 times
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Be sure it's the only solution.

My daughter had 2 fusions and has only small decrease in pain.
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Old 10-13-2014, 07:27 AM
 
120 posts, read 237,893 times
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Spine surgery is not a 100% fix, it is an adjustment to make pain more tolerable. Dr. Friedman does not do any spine work. You will have to make a decision if you would rather have someone that is an expert on nerve repair or an expert in bone healing. The goal of the operation is the create bone between your disc space and stop the motion that is causing the pain while opening up the closed area restricting the nerve pathway. Do your homework, there are many great surgeons in the area and there are many not so good. At the end of the day, my recommendation is to find a surgeon that does this operation day in and day out (not someone that does joints as well or vascular neurosurgery as well) and that you are really comfortable with.
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Old 10-13-2014, 08:24 AM
 
Location: Phoenix, AZ > Raleigh, NC
17,517 posts, read 23,213,714 times
Reputation: 29979
Quote:
Originally Posted by BoSoxFanNC View Post
Spine surgery is not a 100% fix, it is an adjustment to make pain more tolerable. Dr. Friedman does not do any spine work. You will have to make a decision if you would rather have someone that is an expert on nerve repair or an expert in bone healing. The goal of the operation is the create bone between your disc space and stop the motion that is causing the pain while opening up the closed area restricting the nerve pathway. Do your homework, there are many great surgeons in the area and there are many not so good. At the end of the day, my recommendation is to find a surgeon that does this operation day in and day out (not someone that does joints as well or vascular neurosurgery as well) and that you are really comfortable with.
100% agree. DH has spinal stenosis and four disk fusion last year. HOWEVER, he did NOT have back pain prior to surgery. His back problems were discovered when they were trying to diagnose leg pain that might have been related to spinal problems (especially common with spinal stenosis).

After consultation with ortho and neuro spine surgery specialists, we believe either speciality was well qualifued to perform this surgery. The surgery was performed with tge hooe that it would solve his leg pain, but with no guantees of that. The main reason for going thru with the surgery was preventative: the arthritis in his back would have eventually gotten worse and caused nerve damage.

Surgery and recovery went VERY smoothly and was surprisingly easy. As we were warned, it dud not have any effect on his leg pain (which was later resolved with surgery on his femoral artery). Nevertheless, the back surgery was necessary to prevent future serious problems and we are relieved they discovered the deterioration in his spine.

Surgeon was Dr Oren Gottfried at Duke. Absolutely recommended. Technically very skilled, does this type of surgery at least daily. Very accessible pre and post surgery by email (returned emails. with 1-2 hours on Sunday afternoons!).
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Old 10-13-2014, 02:33 PM
 
9,680 posts, read 25,670,781 times
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My daughter had both an orthopedic surgeon and a neurosurgeon work together on her second fusion.

I'd avoid Wakemed New Bern Ave. Lots of issues.
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