Minimally invasive surgery options for lumbar spinal stenosis in 2025. MIS4LSS.

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  • Опубликовано: 29 дек 2024

Комментарии • 61

  • @marcyjankovich595
    @marcyjankovich595 День назад +3

    This is awesome. I am fused with instrumentation from T2 to L2 for idiopathic roto scoliosis and now experiencing issues with L5 and 4. Currently receive epidural that wears off in 2 months and I can only get them every 2 months. This video is very exciting to me and gives me information to talk with my doctor. It is a miracle that I found it!

  • @robertpeters9438
    @robertpeters9438 19 часов назад +2

    Very informative.

  • @cindycreateforlife
    @cindycreateforlife День назад +1

    Thank you for a very well presented video, full of information, pros and cons and your understanding of what it means to be freed from pain! Medicine cannot grow as it could because of so much litigation, risk aversion and politics and it is a shame! Who wants to be a cutting edge specialist to help people when you face extremely high insurance premiums and people are just waiting to sue! Bless you for your courage and your skills as well as desire to educate!💕🇨🇦

  • @dwayneemitchell
    @dwayneemitchell 28 дней назад +8

    This has been incredibly informative. Your approach and manner in which you describe the positives and potential negatives of each procedure is amazing. As someone dealing with L4/5 S1 issues in the last 5 years and never a day before, the dilemma as you posed it is spectacular. What is the cost of doing nothing compared to the potential benefits and risks of doing something. At 57 and 6'9" the stressors on my spine are I am assuming somewhat unique compared to someone of average height simply from the standpoint of stress placed on the spine. The consults I have had seemed too willing to move forward with surgery and the phrase "minimally-invasive" was not a term that was uttered. Having your eyes on an MRI would be invaluable or a consult. Thank you!

  • @EEP1215
    @EEP1215 2 дня назад +1

    best detailed video I've seen so far.

    • @716stewart
      @716stewart 20 часов назад

      I've had fusion from T10-ililum which equals many surgery's

  • @m0bob
    @m0bob 4 часа назад

    Thank you for a really interesting video, painting the picture as it really is.
    I just had a second MRI scan (the last one was three years ago) and my consultant is going to call me when he has the results. Depending on the MRI results, I will either be offered pain management or surgery. It's a tough decision, but I am finding it painful to walk long distances and it's sink or swim. Whatever option is suggested, it's a gamble.
    I can't get to sunny Florida, I am in the UK and I'm reliant on my local hospital.
    Also, this doctor produced an educational video. He can't help you, your mother, husband or pet dog. He gave generic info.

  • @markshepherd7367
    @markshepherd7367 4 дня назад +2

    What a fantastic video on back surgery, the best l have ever seen. By the way I’ve had a two level t/lift fusion last month.

  • @maryziegler8320
    @maryziegler8320 2 дня назад +3

    I have spondylolysis. I guess that means 2 small par fractures. They are going to operate on my l5 laminectomy/Gill body resection with l5 s1 fusion.I will have a nuro surgeon spine surgeon in the operating room.Im in severe pain with the nerve in my buttocks n half way down my leg. I am very scared .I went through 6 shots in my back along with PT for six weeks..I hope I am making right decision. Your video is awesome and so well explained. I also have ostoperious in my spine along with RA.

  • @denisedejesus4711
    @denisedejesus4711 2 дня назад

    Thanks for the video.I am 50 years old and suffering greatly from spine stenosis.

  • @56whs
    @56whs 7 дней назад

    Thank you so much. This is such great information - I'm crying. It helps me to understand what my next steps might be.

  • @brentshock3787
    @brentshock3787 День назад

    Amazing video! 😊

  • @andre7733
    @andre7733 8 дней назад +1

    Very Clear and Concise information, thanks for this, i needed t hear this.

  • @nofurtherwest3474
    @nofurtherwest3474 3 дня назад

    Great video. Very educational. Thank you

  • @janetandrews1306
    @janetandrews1306 3 дня назад

    Great information! I have a cervical and spinal stenosis plus a straight spine. I was told I needed spine surgery for pain relief. Also physical therapy & a chiropractor were suggested which I refused.

  • @swimfit57
    @swimfit57 12 дней назад +2

    Very Interesting I’ve just found out that I have Lumbar Stenosis and my L5 is causing some Nero. Problems like sciatica. So when I see a doctor I’ll have some clue what he or she is talking about. Thanks for the podcast! Steve

  • @christinelaw8606
    @christinelaw8606 28 дней назад

    Hello Dr. McRoberts 😘….it’s always so informative listening to you explain, in detail, what is going on from severe stenosis..Thank you. I need more help when I return from my vacation. Thank you for being here…♥️🌈🙏🤗😘👨🏼‍⚕️

  • @mikehardwicke23
    @mikehardwicke23 25 дней назад +1

    Masterful presentation and fully comprehendible to the layman.
    Reaching out from South East Asia (Malaysia) - what are the steps I take?
    (71 yr old - active, healthy and pretty fit. I want to play Squash again having been restricted by SS over the past 2 months. Extensive gym work, obviously, has not removed the lower back and right hip pain which is now destroying my lifestyle.).

    • @wportermcroberts
      @wportermcroberts  17 дней назад

      @@mikehardwicke23 have a virtual consult and if your condition is likely remediable come to the US to have the surgery.

    • @mikehardwicke23
      @mikehardwicke23 17 дней назад

      @@wportermcroberts That's what I was thinking. I'll get a new MRI first.

  • @FarmerGoat
    @FarmerGoat Месяц назад +1

    I would definitely like to connect with this Dr. more info please

  • @tomturnipseed2541
    @tomturnipseed2541 2 дня назад

    Very informative.......I have spinal stenosis, and doctors are talking to me about laminectomy. I'm not sure, but I need to do something.

  • @julies4664
    @julies4664 25 дней назад +1

    EXCELLENT VIDEO!! Thank you for ALL the information!!!

  • @elliottschwartz7
    @elliottschwartz7 Час назад

    I was told muy an orthopedic specialist there is no reason for me to have bCk surgery I do have a severe curvature of the spine surgery is a waste of time

  • @ronmcnulty2462
    @ronmcnulty2462 5 часов назад

    Does your office accept Medicare Insurance?

  • @okolemahu
    @okolemahu 17 часов назад

    For patients that have had a prior laminectomy and fusion it appears would forgo the use of these spinous process devices?

  • @dennymirante7439
    @dennymirante7439 День назад +1

    I need your help . I’ve been through all dr in my city in all categories. At least 3to4 dr in every areas of disciplines.

  • @MohamedNany-fi8qn
    @MohamedNany-fi8qn 21 день назад +2

    Hello doctor, please help me. My husband is sick. He was involved in an accident and became paralyzed from the waist down for a year and a half. The doctor said he needs physical therapy abroad, but I don’t have the money for treatment. He has been bedridden for a year and a half now. The doctor said his spinal cord is healthy, but there is a bruise, but vertebrae 11 and 12 are separated and he did a spinal stabilization. However, he has pain in the thumbs of both hands and he has no strength in his hands. Please help me. He also has small children. Please, in the name of what you like, help me. How can I reach you to treat my husband? Find someone to help me examine him, please.

  • @sg-mx4ii
    @sg-mx4ii 10 часов назад

    so you lock the ramge of motion with these devices? So how do you effect the disc that is crushed between the bones?

  • @janet5123
    @janet5123 23 часа назад

    L5-S1 disc degeneration to the point of bone on bone. Spinal stenosis and severe right leg sciatica resulting. Neurosurgeon options are spinal cord stimulator or ALIF. Would the L5-S1 device you’ve shown be an option?

  • @josephackeret7911
    @josephackeret7911 2 дня назад

    At the end of the video, I got the impression that not many doctors are doing this in the u s. If anyone knows if doctors are doing these at Vanderbilt in Nashville Tennessee? Please help . Thank you

  • @tammieprintz3975
    @tammieprintz3975 20 дней назад

    My Neurologist Says I May be a candidate for the MILD procedure- There is only a shaving, no apparatus correct? 61 year old Normal weight female. Spinal stenosis / they said it’s bad. I do not want a Metal apparatus In my back. I do not have osteoporosis / I am also a SLE pt. Lupus / thoughts? I do walk three times a day. Each walk is around a mile. I do at times have a leg go numb after sitting In the restroom.

  • @NA_Hemi
    @NA_Hemi 16 дней назад

    Very informative presentation. It gives me hope but then I remember that I also have Osteoporosis. Would that make these options a no-go, even the MILD ?

    • @wportermcroberts
      @wportermcroberts  15 дней назад +1

      osteoporosis is not a significant contraindication to MILD.

    • @NA_Hemi
      @NA_Hemi 15 дней назад

      @@wportermcroberts But the other too maybe not too good for it ?

  • @ralphlabrosse7195
    @ralphlabrosse7195 16 дней назад

    Hello. I have been diagnosed with moderate stenosis. The MRI of your patient with the pinched area looks like my MRI. I don't have the pain down the legs- I will get occasional pinching sensation and cramps. I have trouble with urination and constipation. Sitting is more comfortable than standing or walking. I have seen two nuerosurgeons who want to fuse 3 disc. I would like to know more about the approach you use with these 3 devices. Also, what can you tell me about a TOPS device? I live in Wisconsin, so coming to you may not be possible. If the insurance company would let me, I would. One last thing, I had a disectamy years ago. I am told that the disc now moves side to side. Would any of the devices you mentioned work for me?

  • @Scott-cu4ol
    @Scott-cu4ol 7 дней назад

    Very informative. would this help for a double Pars defect at S1-L5? i already had Ablation and also the intercept procedure. neither has relived the pain

  • @thelenny38
    @thelenny38 15 дней назад

    Doctor what's your opinion on intracept for disogenic back pain? And what's y opinion on a procedure called discseel fibrin sealant

  • @adminadmin-u4t
    @adminadmin-u4t 4 дня назад

    hi doctor, what would you recommened for a chronic case of low back pain that doesn't have pain below buttocks. I have moderate to severe DDD, bilateral stenosis, etc and a couple herniations but my pain is constant (all the time) and non radiating. I don't have sciatica. I only hav a lot of pain and no strength.

  • @cynthiamehall4609
    @cynthiamehall4609 Месяц назад +1

    Very informative. I'm having foraminal decompression (L3/4) next week. The pain has me in a wheelchair. Can the time lost from inactivity (walking primarily) be regained after surgery? Last year I was hiking up to 5 miles a day at least 7k + elevation. Would love to be back to that!

    • @portermcroberts412
      @portermcroberts412 Месяц назад

      You have to be. Diminished walking results in aging at an accelerated rate...

  • @heatherjowett5382
    @heatherjowett5382 6 дней назад

    Hi I am extremely interested in your approach. I have severe spinal stenosis and other issues in my spine. I can’t get to see you easily as I live in Perth Western Australia do you know of anyone here who approaches these issues like you? Regards Heather

  • @716stewart
    @716stewart 20 часов назад

    Has anyone ever heard of getting injections in L3-L4 and should make you HURT and that's a sign you need surgery

  • @mahmoodjuma2779
    @mahmoodjuma2779 Месяц назад +2

    Where this doctor please

  • @carolkrzykwa158
    @carolkrzykwa158 17 дней назад

    What hospital do you perform these procedures? Thanks so much! Excellent video.

  • @zie9171
    @zie9171 2 дня назад

    Folks dont jump onto dpinsl surgeries. Just DONT.
    Once sepsis sets in then you barely stand a chance.

  • @jmc2269
    @jmc2269 27 дней назад +1

    If you're an interventional spine Doctor then why are you doing surgeries?

    • @wportermcroberts
      @wportermcroberts  26 дней назад +2

      We do minimally invasive surgery as well.

    • @bobby1md
      @bobby1md 25 дней назад

      As with any surgery, always get multiple opinions from different types of providers. Don’t just be sold on minimally invasive… You also want it to actually work.

    • @jw4321
      @jw4321 17 дней назад +1

      Massively informative.

    • @wportermcroberts
      @wportermcroberts  17 дней назад

      @ glad it was helpful

    • @thelenny38
      @thelenny38 15 дней назад

      So is minutemen a fusion