My name is Mark. On 4/7/97 my L4/5 disc exploded into my spinal canal crushing all the peripheral nerves that make up the cauda equina resulting in a cauda equina syndrome. Recovery has not been optimal, possibly due to the fact that the initial surgery was performed at the wrong level (L5/S1) which was not discovered/corrected until 4/10/97. Residuals include numbness to all L4/5 dermatomes and below bilat., as well as neurogenic bowell/bladder, sexual dysfunction and partial paralysis of both legs, hips, buttocks, ankles & feet. I suffer neuropathic pain for which I am on Rx. I have read in Dr. Young's recent updates about advancements in surgical procedures dealing with the compression on the spinal cord (or in my case the cauda equina) specifically the detethering of the cord. I have had numerous post surgical MRI's, the last one being in January of 2001. The MRI's note "clumping of the cauda equina". Can this detethering surgery help me? Is it accepted surgery at this point or still in a discovery mode? How would I find doctors qualified in this specialized area who perform this surgery? As anxious as I am to better my condition, I am not a "cowboy" and want to make an educated decision with regards to risks/benefits, but can't get to that point until I can get to a doctor who is involved in this area. Any comments/thoughts would be appreciated.