
Here I sit, another sleepless night, so what better thing to do than blog a bit. What’s the subject this time? Who knows!!! Hold that thought and let me grab a Pepsi! Perhaps I shall talk about why I am not sleeping to give those that do not know me some insight on why I have these sleepless nights.
It all started on June 1, 1989, a very hot summer day and I was outside working. I remember picking up the mortar hoe as I saw the mortar was getting a little thick and it was time to add some water to it and stir it up, kind of like making a cake. I did about one good stir and I heard something “pop” in my back and I almost dropped to my knees. After visiting a doctor, I found out that I had a “bulging disk” and at that time, I did not need surgery unless it ruptured. Within six months, the disk ruptured.
My first surgery was a spinal laminectomy at L5-S1 in January 1990. This procedure is for treating spinal stenosis by relieving pressure on the spinal cord. A part of the lamina (a part of the vertebra) is removed or trimmed to widen the spinal canal and create more space for the spinal nerves. In June, 1996, I had another laminectomy at level L4-L5, but I still had lower back pain.
I lived with the pain as long as I could until March, 1997 when I had a posterior lumbar fusion at L5-S1. A posterior fusion surgery is typically performed through an incision in the lower back, with removal of the disc and placement of hardware (cages) and bone graft where the disc material has been removed. This approach may include a large amount of trauma to the muscles, a long hospital stay, and may at times be associated with a fair amount of blood loss. However, in cases where there is a lot of instability, a posterior fusion surgery can be necessary as it provides the greatest amount of stability. A few days later the pain came back.
I had test after test and saw doctor after doctor to try to find out what was wrong. It was in August of 2006, I found the answer. The disc at level L-4-L-5 has gas in it and it needs a fusion. The doctor that gave me this information stated it would be beneficial to put rods and screws in my back with a Posterolateral gutter fusion surgery. In a posterolateral gutter fusion, the surgical approach to the spine is from the back through a midline incision that is approximately three inches to six inches long. First, bone graft Most spineis obtained from the pelvis (the iliac crest). surgeons work through the same incision to obtain the bone graft and to perform the spinal fusion.
Next, the harvested bone graft is laid out in the posterolateral portion of the spine. This region lies on the outside of the spine and is a very vascular area, which is important because the fusion needs blood to supply the nutrients for it to grow. A small extension of the vertebral body in this area (transverse process) is a bone that serves as a muscle attachment site. The large back muscles that attach to the transverse processes are elevated up to create a bed to lay the bone graft on. The back muscles are then laid back over the bone graft, creating tension to hold the bone graft in place.
After spine fusion surgery, the body engages in a natural process to repair itself, which usually means growing bone. As the harvested bone graft grows and adheres to the transverse processes, such as between L4 and L5 (lumbar segment 4 and lumbar segment 5), the spinal fusion is achieved and motion at that segment is stopped. Spine surgery instrumentation (medical devices, such as pedicle screws or cages) is sometimes used as an adjunct to obtain a solid fusion.
At the present time, I am waiting to see a neurosurgeon, in hopes he will do what he can to help me. This will make my 4th surgery on my back. I am not looking forward to having another surgery, but I decided that I could not live on morphine for the rest of my life, so I opted for the surgery. I hope to achieve some pain relief, if not total pain relief. I shall keep the page updated as things progress along and if I do get a surgery date, it will be posted too.
Take care my friends,
Kyra