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Conditions and Diseases > Back Pain Forum > Fusion Hardware Removal
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Q: Fusion Hardware Removal
asked by: Mary C on February 10th, 2008
New User
My neurosurgeon has recommeded tha I remove the hardware from my fusion at L5S1. I had this fusion 14 years ago and am worried about the complications possible from removal. I am also not sure if I will benefit in tems of reduced pain. Suffering from severe lower back pain & sciatic in right leg.
Can anyone share their experience or thoughts?

Mary C
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algosdoc
replied on February 11th, 2008
Experienced User
Consider an injection of the hardware as it goes into the bone. If you get reduction in pain, one study shows there is at least a 2/3 chance you will receive long term pain relief after hardware removal.
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Mary C
replied on February 11th, 2008
New User
Removal of Fusion Hardware, 14 years old
Thanks so much for the reply. What type of injection are you referring to. This is all new to me!

Mary C
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algosdoc
replied on February 11th, 2008
Experienced User
Usually a local anesthetic injection placed through a small diameter needle (usually 22 or 25 gauge) under fluoroscopic (x-ray) guidance..... Pain physicians can do this kind of injection.
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Mary C
replied on February 12th, 2008
New User
Removal of Fusion Hardware, 14 years old
Thanks so much. I'll look into this for sure.
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lonestarguy
replied on February 12th, 2008
Active User, very eHealthy
Mary C:

I'm getting a facet joint injection tomorrow (my 14th injection since 2000). The procedure is non-invasive and it can relieve pain for up to six months. The fluoroscopic guidance helps the doctor to find the correct location. There are several different types of injections, so check it out.
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expatient
replied on February 13th, 2008
Experienced User
The reason for pains may not be in spine...
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algosdoc
replied on February 13th, 2008
Experienced User
Facet blocks are typically not useful at the level of a fusion because there is very little motion about that segment. Above and below the fusion, injections into the facets may be useful. Facet injections are invasive...they involve placement of a needle 2-3 inches below the skin, but they are minimally invasive.

There may indeed be other causes other than spinal...
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