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cyborg2be
06-04-2010, 12:44 PM
Hi everyone. I'm very excitied to finally be able to login and pose the following questions. My position is this. I am 33, have a 74 degree right thoracic curve. I was scheduled for a fusion (T1 or 2 to L1)with Dr. Bridwell in St Louis on June 15th, but my insurance won't cover the BMP. We decided to check one last idea out and met Dr Durrani - who does minimally invasive surgeries. The minimally invasive approach and promised results almost sound too good to be true. And now I am confused.:( Please advise if you can...

1. Has anyone had minimally invasive surgery to correct a thoracic curve?

2. Has anyone heard of Dr. Atiq Durrani - Cincinnati -- good/bad?

3. Anyone know of any studies with results from minimally invasive corrections?

4. Anybody been fused traditionally by Dr. Bridwell of St Louis? What was the experience like?

Thank you - I look forward to hearing from any of you...

Marissa

jrnyc
06-04-2010, 01:23 PM
dont know your doctor...as far as i know, minimally invasive for thoracic has been around for quite a while! it is minimally invasive for lumbar that is new...and exciting for those of us who need low fusion, like to the sacrum or pelvis!

jess

CHRIS WBS
06-04-2010, 03:23 PM
You may want to read this thread. http://scoliosis.org/forum/showthread.php?t=10423
Personally, I would not want to gamble with my health on something that sounds too good to be true. Sorry to hear your insurance will not cover BMP as I believe it is widely used in scoliosis surgeries.

jrnyc
06-04-2010, 06:51 PM
it is not laser surgery, of course...it is rods and screws......sometimes cleaning of discs and placement of "spacers" (cages) as i need for lumbar...it is how they get in that changes...how "open" the body is...and how much cutting of muscles and blood loss...but is not anything like laser surgery...
there are top surgeons starting to do minimally invasive for lumbar...ones that have always done it for thoracic...it is no walk in the park...just a little less trauma to the body...and thoracic minimally invasive came first...

jess

cyborg2be
06-04-2010, 07:08 PM
Thanks for your input. This is such a huge decision for me. Once I hit 70 degrees a couple years back it stopped being "if I have surgery" and became "when". It is very helpful to read your comments. I just wish one procedure seemed more right than the other.

Marissa

naptown78
06-04-2010, 07:56 PM
I have heard very good things about Dr Bridwelll. My surgeon has worked with him and I had great results on my revision surgery. Can he use a different graft material? I had allograft in my second surgery.

Confusedmom
06-04-2010, 10:20 PM
Dr. Bridwell is Dr. Lenke's partner. Both have excellent reputations on this forum and my local surgeons speak very highly of them.

As for the minimally invasive approach, search the PubMed website. There are some recent studies on it. Basically they say it looks promising but there have been some complications and it is too early to judge whether it will ultimately be viewed as superior to traditional surgery. But I agree that what I've read says more positive things about minimally invasive for thoracic than for lower curves.

Good luck!

Evelyn

LindaRacine
06-04-2010, 11:05 PM
Hi Marissa...

May I ask your age? BMP is not routine in scoliosis surgery, but is often used in patients who have a high risk of not fusing using more conventional methods. It can add $50,000 to $100,000 to the cost of surgery.

I truly would not even consider a surgeon who promised specific results. That sounds really desperate. No one can guarantee an outcome.

Regards,
Linda

jrnyc
06-05-2010, 12:30 AM
ditto about promising results! i have had doctors, or their staff, promise pain free results after scoli surgery...i do not believe honest surgeons do that...cant do that, as no one can guarantee pain free afterwards!
i stay away from surgeons who make those kinds of promises!

jess

cyborg2be
06-06-2010, 08:25 PM
Hi Marissa...

May I ask your age? BMP is not routine in scoliosis surgery, but is often used in patients who have a high risk of not fusing using more conventional methods. It can add $50,000 to $100,000 to the cost of surgery.

I truly would not even consider a surgeon who promised specific results. That sounds really desperate. No one can guarantee an outcome.

Regards,
Linda
Sorry - I don't get on the pc much on weekends.
To answer your question...
I am 33 and I didn't know BMP wasn't routine. I know Dr. Bridwell uses it because it has better fusion results and less morbidity than harvesting from the hip. The BMP they estimated for me was 100,000-200,000, and I completely understand the insurance company not wanting to pay that. And the min. inv. dr didn't promise me specific results, but he showed a picture of a patient stretching down toward her toes at her 2 wk followup, and he says I'll be out of bed on the 2nd day, and only be in the hospital for a max of 5 days.

Again, I'm throwing the question out there...does anyone know anybody who has had a thoracic fusion done with minimal invasion?

joyfull
06-06-2010, 10:59 PM
Hi. I am having a minimally invasive thoracic procedure done on Tuesday with Dr. Lonner at NYU/Joint Diseases. The "anterior" part is done with a small side incision and a fluoroscope to remove the discs. Then a posterior procedure will be done to insert the hardware. I will be on my stomach the whole time. Is this what you are talking about? Joy

cyborg2be
06-07-2010, 08:27 AM
Joy,

I am thrilled to hear from you, and you will be in my thoughts and prayers tomorrow.

Your procedure is the EXACT same procedure I'm scheduled to have in Sept. My hubby is pretty worried about the disc-replacing, but I think my non-flexible curve w some degenerated discs won't really miss the old ones.

How long is your expected hospital stay? Which vertebrate are you having fused? Mine are expected to be T1-L1

Again, glad to meet you. :)

Marissa