This is cut & pasted from a previous post: I had my first fusion in 2001 (I was 22 years old). L5-S1 was fused; had 4 pedicle screws placed with vertical rods connecting them. They did take a block of bone from my iliac crest (back of pelvic bone) as a bone graft - that was the worst part of the recovery. The back felt better long before the pelvis did.
My second fusion was in 2004. This time they fused L4-L5. The S1 pedicle screws were removed as that fusion was solid and they weren’t needed. They used the existing L5 pedicle screws, added screws to L4 and placed vertical rods and a horizontal crosspiece connecting the center of the rods. This time they removed the L4-L5 disc and placed a block of cadaver bone in it’s place.
Recovery from the second surgery was much quicker. I’ve had no problems since, I have excellent mobility (can still touch my toes while keeping my knees straight!), and I can ride without any problems. I do mostly dressage work with my OTTB who is prone to “Thoroughbred Moments” when he thinks something will jump out of the trees and eat him.
I do not ride with a back brace. Both surgeons said it would not help and if anything, would hurt me in the long run as the muscles would become dependent on the brace. Strong core muscles (esp. abdominal muscles) will protect your discs above & below the fusion, not a brace. I did not have a brace or corset after either surgery.
I do a lot of routine work around the house; gardening, bending over, waxing the cars, stacking firewood… I might be a little sore after waxing 2 cars in a day, but who wouldn’t?
I do have a patch of permanent numbness on the outside of my thigh; that’s been there since the first surgery. And I do get goosebumps in odd patches on both legs…both were chalked up to nerve damage.
One more thing: My first surgery was done by an orthopaedic surgeon who specialized in spines. My second was done by a neurosurgeon. If possible, use a neurosurgeon. My second surgery was 8.5 hours long compared to the first (3 hours) and I really feel like the neurosurgeon was very thorough and meticulous where the ortho was just concerned with finishing the surgery. You need to find a doctor (ortho or neurosurgeon) who does a LOT of fusions.
Full recovery was about 6 months for me, but I am a very active person. If you have a desk job, I’d say 3-4 months, MAYBE two.
Both my surgeries were done posterior (through the back). The surgery and recovery is TOUGH. I spent 5 days in the hospital each time. It was about 2 or 3 months before I was cleared to drive as I lost all the reflexes in my right leg.
Best to you, please feel free to PM if you have any questions…
Currently, I am waiting for a surgery date as one of the screws broke off a bit of bone that is impinging on the central spinal canal. But - it’s been 8.5 years since the last fusion - and to look at me and the work I did until recently (caring for 4 horses daily, riding up to 10-12 miles), you would never know I ever had back problems.
I do not think getting back to yoga would be a problem. Just don’t do it until your doc says it’s ok.
Feel free to PM with any questions, etc…
Taryn