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jesscv
03-15-2010, 11:50 AM
I underwent a T2-L1 posterior fusion on March 25, 2009, so I'm almost a year out... but still have uneven ribs - mostly in the front. While my right-side "hump" in the back has been greatly diminished with the surgery, the bottom part of my left ribcage still protrudes a bit in the front, and I can also see that the muscles on my stomach are almost "slanted", which I assume is due to the torso rotation from my scoliosis. Does anyone else experience this so far out? Do the ribs eventually make their way into a "straight" position? I know with having had scoliosis and a pretty significant thoracic curve for 12+ years of my life, my ribs aren't just going to magically align themselves overnight, but I AM hoping they will become more even with time, now that my spine is straight.... thoughts?? Any exercises I can do to help move this process along? :) Any feedback would be appreciated! Thanks!

txmarinemom
03-15-2010, 01:35 PM
Jess,

It's my suspicion that all the visible physical changes have probably occurred by one year post-op. At least in my case, Hanson told me most of the "settling in" would happen in the first 3 months.

You might talk to your doctor about whether PT could help minimize the appearance if it bothers you that much: With a lot of ab/torso work, I was able to keep mine almost flat before surgery (when I needed to). It's worth checking into, anyway ...

Good luck!

Pam

lray
03-15-2010, 02:20 PM
Jess,

When I met with my surgeon, he said that he would not be able to correct my ribcage that, like you, sticks out on my left front. He said he would be able to significantly correct my right rib hump however. Just curious, did your surgeon say he could correct your front ribs?

Laurie

jesscv
03-15-2010, 02:45 PM
nope, my surgeon didn't say anything about correcting my front ribcage asymmetry, but i just figured it'd be better than before! and it is...just not even by any means. and it's also accentuated because i'm pretty thin, and b/c my muscles are defined as well, it makes my muscles look uneven...haha. my mom tells me just to put on some weight to hide my ribs. ;) but anyway, it's not that the physical appearance bothers me so much, but i just feel "crooked" and twisted still...and after all i went through with that surgery, i was hoping that wouldn't be the case! oh well.

jesscv
03-15-2010, 02:47 PM
Jess,

When I met with my surgeon, he said that he would not be able to correct my ribcage that, like you, sticks out on my left front. He said he would be able to significantly correct my right rib hump however. Just curious, did your surgeon say he could correct your front ribs?

Laurie

laurie,
just curious...did your surgeon say WHY he would not be able to significantly correct your front rib asymmetry? i am just wondering why they can usually correct the back rib hump to a great extent, but not the front?

txmarinemom
03-15-2010, 03:56 PM
Odd. Although my rib hump wasn't totally corrected, the ribs in front are flat now.

You'd think the two (back and front) would correlate more ...

jesscv
03-15-2010, 04:13 PM
I know! Very weird. Psh.

Doodles
03-15-2010, 05:57 PM
Jess--
I thought I was the only one. I can relate to all of your sentiments. I still have a fairly significant rib hump on right side and all those ribs top to bottom are prominent. Still better than before mostly because I was stretched out that it doesn't look so awful. More concave on bottom left. My front left ribs come out some but that isn't as bad for me. If you look at me from the left side that shoulder blade sticks up and then rest caves in. From right side it looks bowed. I also have a tilt to the left. I know I've posted about this before in various detail. Lately I've felt that it seemed worse many days. Sometimes the tilt is better then the hump is worse. Honestly, I think it changes with a little weight gain for me making it worse or if I've been carrying to much--little grandson, etc.
I've definitely gotten lots of pt exercises and do them a lot and do my regular work out also. I was concerned at my 3 month but the doctor seemed to think that was all they could do with mine. I'm afraid that is true but I sure wish I had the results most on here have after going through it all. As long as it gets no worse I guess I can live with it. Little choice I guess--ha! Janet

lray
03-15-2010, 06:34 PM
I didn't think to ask him why at the time - I was more interested in his description of how he was going to correct my back hump (thoracoplasty). I will ask him about my front ribs next time I see him.

LindaRacine
03-15-2010, 10:23 PM
Hi Jess...

In scoliosis, the rib cage becomes deformed. When the spine is corrected, the rib cage is moved into a more natural position, but the deformity remains. So, it's relatively common to see a prominent rib on one side.

Regards,
Linda

joyfull
03-15-2010, 10:36 PM
Janet, I'm assuming that because your curve was so large and rigid, the correction was more limited. I'm sure that will be the case with me as well. My C curve is 85 - 90 degrees, depending upon who is measuring, and Dr. Lonner said he could get me 50% correction. I'll be very happy if I have some improved lung function and it doesn't get worse anytime soon. I am assuming that it will progress somewhat with age. I suppose we have to make peace with out bodies and thank G-d for the correction we have achieved. With clothes it is not that noticeable, and how many 57 year olds look that great in a bathing suit anyway?! Have you kept the added height? All the best, Joy

joyfull
03-15-2010, 10:38 PM
Linda, Regarding your comment, how would you describe the cosmetic correction even thought the rib deformity remains? Thanks, Joy

jesscv
03-16-2010, 10:47 AM
yeah, I guess I shouldn't complain...my back looks great post-op; it's just the bottom part of my left ribcage in the front that bothers me a bit. and when I "suck in" you can definitely see that my ribcage is still a bit rotated. anyone else notice this?

Doodles
03-16-2010, 10:55 AM
Joyfull & Jess
Yes, it isn't too evident except at the beach--where I am now for 2 weeks. Yahoo. So I'm probably more focused on it. My tanning is a little ridiculous as I tried to get down on the sand and turn over--will this ever get easier?? I walk around just fine but I have not even come close to doing that well. I just can't do the stomach thing unless my head is in a hole. I need to dig deeper. I'll have a tan front not back.
Luckily my correction was very good--see signature. Good luck to us Jess as we hit our one year! Janet

dolores a
03-16-2010, 01:41 PM
Have not been on for awhile, just pop in from time to time to see how everyone is doing. Yes I do have the same rotation thing with my ribs, in front on my left side, the ribs are more prominent than on the right, but still with the surgery my waist is elongated, and the back bump is gone. It is only noticed if I where a form fitting shirt, I where it proudly!

jesscv
03-16-2010, 04:42 PM
yeah, i had a pretty good correction too. i had a thoracic curve of 57 degrees at the time of my surgery - also had compensatory cervical and lumbar curves of around 40 degrees. now, my cervical and lumbar curves are non-existent (about 2 degrees!) and my thoracic curve is 18 degrees.

LindaRacine
03-16-2010, 08:28 PM
Linda, Regarding your comment, how would you describe the cosmetic correction even thought the rib deformity remains? Thanks, Joy

Hi Joy...

Sorry, but I don't understand your question.

--Linda

joyfull
03-16-2010, 09:49 PM
Linda, If the rib deformity remains, what is actually corrected? How does the hump go down if it remains deformed? Does one seem taller, so that the deformity is less noticeable? I guess I'm asking what is real correction and what is perceived correction? I hope that is clearer. Thanks, Joy

LindaRacine
03-16-2010, 10:04 PM
Hi Joy...

When the spine is de-rotated, the rib cage goes along with it. Look at this picture:

http://www.pediatric-orthopedics.com/Treatments/Skeletal/Spine/Scoliosis/Example/Scapular_Winging/wing-5.png

When the spine and rib cage are de-rotated, the ribs that you see on the left (as you're looking at the picture), become less prominent in the back and more prominent in the front. The right side (as you're looking at it), gets less prominent in the front and more prominent in the back.

Does that answer your question?

--Linda

joyfull
03-16-2010, 10:07 PM
Thanks, Linda. It sounds better that what I have now!

txmarinemom
03-16-2010, 10:25 PM
Hi Joy...

When the spine is de-rotated, the rib cage goes along with it. Look at this picture:

http://www.pediatric-orthopedics.com/Treatments/Skeletal/Spine/Scoliosis/Example/Scapular_Winging/wing-5.png

When the spine and rib cage are de-rotated, the ribs that you see on the left (as you're looking at the picture), become less prominent in the back and more prominent in the front. The right side (as you're looking at it), gets less prominent in the front and more prominent in the back.

Does that answer your question?

--Linda

This wasn't at all the case with me: I wonder why?

jesscv
03-16-2010, 11:10 PM
why is that?? weird.

titaniumed
03-17-2010, 12:13 AM
Rotation of vertebrae has a profound effect on rib shape.

With some of our corked spines, our ribs grow and reshape accordingly. Actually its amazing how everything gets squeezed and reshaped through the years. (pre-surgery)

Straighten and counter rotate and sometimes our shapes might not be so perfect, but it is an improvement.

Everyone is different in their own ways. Its nice to be unique.... I wouldn’t have it any other way.
Im sure Sharon would agree even with twins. Individuality is the greatest virtue.

We are all very attractive in our own very special ways.....
Ed

txmarinemom
03-17-2010, 12:40 AM
Everyone is different in their own ways. Its nice to be unique.... I wouldn’t have it any other way.

I'm going to go out on a limb here: I think you're 100% secure in your uniqueness! :)

Vive la difference, my friend.

titaniumed
03-17-2010, 01:17 AM
Yup

Pam,

You know me so well, you didnt even look at my Kenny Rogers photo.

I know, its a repeat. LOL

Ed

txmarinemom
03-17-2010, 02:43 AM
What? You posted a photo? :)

leahdragonfly
03-17-2010, 07:46 AM
Hi Ed,

I always look at your photos (haha), but it looks like you've changed a bit since your last photo. But you are still dead sexy!

Thanks for giving me a smile.

LindaRacine
03-17-2010, 10:18 PM
Pam...

I think you may have misconstrued my statement of "more prominent." (Or, more likely, I wasn't clear.) I meant it in the way that the ribs are more prominent than they were previously (when they were actually behind the normal plane). In most cases, the ribs that are now forward from their previous position, don't actually break the normal plane. But, it's not terribly uncommon to see someone who has a prominent 12th rib on the left side after surgery.

--Linda

jesscv
03-18-2010, 10:26 AM
I'm a little confused by that statement... can you further explain?

LindaRacine
03-18-2010, 03:04 PM
Hi Jess...

I'm not sure I can explain further, but I'll try. If you think about your rib cage, and how the ribs are deformed. For example:

http://www.rad.washington.edu/staticpix/mskbook/RibHump.gif

When the spine deformity is corrected, the ribs don't change shape, but they are rotated into more of a normal position.

Does that help?

--Linda

richardis
01-02-2017, 01:16 AM
do you notice some improvement in ribs deformity in any plane ( coronal, axial or sagittal) as the years pass since surgery?

I mean, as scoliosis progresses the ribs become more deformed as a natural consequence of the development of the curve. Scoliosis surgery corrects the spine deformity, but should we expect any alteration in the shape of the ribs or ribcage as the years pass since we have surgery? It seems logical to me that the same factors than induce scoliosis progression could induce ribs to accomodate to new shape as forces act differently in our body due to the new biomechanics of the spine fused.

Plus, as this thread was started in 2010 I am wondering if there are any new developments in scoliosis surgery that aim to correct both spine alignment and ribs simmetry? Surgery for pectus excavatum or carinatum aims to correct the ribcage, right?

The ribcage shape has huge implications to the patient comfort has it dictates how the shoulders rest on it, etc, etc.