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Posted By : Sunny13 - 4/30/2017 8:06 AM
My best friend is going to be having a 4 level ACDF fusion soon. She insists that her spine orthopedic doc is the best choice for doing the surgery. I'm very concerned as I have heard that a neurosurgeon is really the one who should be doing this surgery.

What are your opinions?

If a neurosurgeon is best, any advice on what to say to her to convince her to go see one to at least consider having a neurosurgeon do her surgery?

Thanks for your help,

There's always HOPE.

Many challenges & lot to be thankful for.

Spina Bifida dx age 20; chronic back pain (tethered cord release, CSF leak), spinal cord re-tethered
neurogenic bladder (augment, urostomy, sling)
neurogenic bowel (colostomy)
chronic migraine, TMD
bulging discs etc. C3-C6
bipolar 2, anxiety
chronic nausea
total hysterectomy/surgical menopause @37

& more.

I'll be ok.

Posted By : straydog - 4/30/2017 8:43 AM
Hi Sunny, so very sorry to read about your friend. Although a 4 level is considered common now, it is still a lot of spine surgery & a big one. Personally I prefer a neurosurgeon with any spine surgery. My theory is with their expertise in dealing with nerve issues involving the spine I would want the very best set of hands I could find, including one that board certified. There are board certified neurosurgeons out there & I am sure she could find one that takes her insurance. Many of us here over the years feel this way.

However, it seems as if your friend is very happy with her surgeon & your odds of convincing her to get a consult are slim. A person has to have some trust & faith in their dr. What I do suggest is that you ask her to get a second opinion with a neuro. No one should ever have spine surgery without a 2nd opinion & sometimes even a 3rd opinion. We have seen it n the past here when members have decided to get a 2nd opinion & that dr sat the patient down & said you don't need surgery on all of those levels & here is why. Obviously, they changed drs immediately & after surgery very grateful they got that 2nd opinion.

By the way how are you doing these days? Take care.
Moderator in Chronic Pain & Psoriasis Forums

Posted By : Abilene - 5/1/2017 1:03 PM
Hi Sunny,

I did not join this site and see all those suggestions until after I'd already had my surgery with an Orthopedic dr. He was very well trained, board certified, and even later I found out he was called on to help with very difficult spinal surgeries by neurosurgeons. There can be lots of differences. A Second opinion can always be helpful, I hope your friend will accept that advice. Also remember all our information in Chronic Pain 101 and share with her. I certainly hope she does very well. 4 level is a big surgery that requires a long recovery to reach the new normal.
Posterior C3 - C7 laminectomy and fusion 2 rods and 10 screws, local bone graft from surgery site-lamina and other bony tissue 12/17/2013; Hyperthyroidism; Sleep Apnea;
Thankful for my husband of over 40 years

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