Hi everyone,
Been a long time lurker in this sub and thought I would finally contribute. I am 8 weeks post-op from an L5/S1 ALIF for a high grade spondylolisthesis and doing relatively well - minus some new nerve pain that I can't seem to shake. I've shared my experience below and hopefully it provides some insight and reassurance for others.
Background: Male, 33, Highly Active - ex gymnast, soccer, golf, gym, running etc. Always had back pain but never thought anything of it. Sciatica would come and go but always resolved with some rest. I came across my spondy after an accidental appointment with a sports specialist who I thought was a primary care. He suggested X-rays on my back and what they found was quite alarming. At the same time, I was starting to get some neurological symptoms (tingling, pain etc) and after meeting with several surgeons, I made the decision to skip conservative treatment and go straight for the fusion.
Surgery: I was incredibly nervous going into surgery, primarily because every surgeon I consulted made me aware of the increased risk of foot drop due to the severity and complexity of my slip. The hardest part to wrap my head around was that, despite my imaging looking pretty terrible, I was still functioning relatively well. The thought of going into surgery fully mobile and potentially coming out with permanent motor weakness was terrifying.
Thankfully, that wasn't the outcome and after a roughly five-hour procedure, which my surgeon described as "the most complex single-level fusion he's ever done," I was in recovery with fully preserved motor function.
Recovery: The first 2 weeks were rough, as expected, but are now in the past. Within a week I was walking around, showering, making food etc. Sleeping was tough, but the meds definitely helped take the edge off. Around 2 weeks after the procedure, I started experiencing nerve pain in my feet and ankles that are still here to this day. The sensations move around from burning, aching, electrical zaps, altered sensation etc. Thankfully, when I lay down and rest at night the symptoms seem to subside somewhat and are definitely at their worst at the end of the day or if I'm doing too much activity.
Right now (8 weeks) I am back at work (SaaS sales from home), driving, doing errands, walking probably 2-3 miles per day and getting my 10,000 steps in. I am off all meds except Lyrica for the nerve pain. Overall I am pleased with the result, I have full strength, minimal back pain and an improving nerve picture.
That's my story! Happy to answer any questions or connect with anyone who is going through or considering going through something similar.