Conversation: The conversation between human and AI assistant.
[|Human|] i HAD AN alif in 2006 and after 3 month check up the L5S1 was loose. They did a screw removal anterior and posterially did percutanious screwed metal on either side of s1. I have had pain and now neuropathy in my feet and left leg. Would it help to remove the metal and screws now?
[|AI|]  Dear patient first I would like to know the reason for fusion surgery. Was It done for spondylolisthesis at l5s1 or for the disc prolapse surgery? If it was done for spondylolisthesis the reason for pain may be delayed fusion at l5s1 or non fusion. The reason for lower limb pain may be radiculopathy due to nerve compression by hardware. Detailed examination by expert spine surgeon is recommended.  I would like to confirm diagnosis by doing X-ray of lumbosacral spine anteroposterior and lateral views. This will give me idea about progress of fusion and position of hardware. If possible MRI of lumbosacral spine is also advisable if not contraindicated by presence of hardware. Meanwhile, start tab regain x 75 mg one at bedtime. Removal of screws and metal can be decided only after both investigation.