38 year old teacher, level 9 gymnast as a teen. Presented this morning with disabling low back pain and left sided dorsiflexion weakness and dysesthetic pain of the L5 nerve root. Some calf spasms.
BMI of 43, because of failure of conservative measure over four years with pre Diabetic medical treatment as a delayed health consequence.
Recovery goals for her were simple at consultation. Resume a preventative health and fitness lifestyle, reverse the pre-diabetes, lose 60 to 80 pounds( 5’4, 250 ).
We did this outpatient with a simple posterior midline iMAS approach. Spine health management sometimes requires surgical treatment for holistic goals.
As a three decade spine surgeon, with massive experience, and minimally invasive surgery legacy, my goals are health and wellness, when I counsel my patients towards spine surgery.
