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mbeckoff
06-08-2010, 11:59 AM
I do not know if this is a silly question But can you not fuse?

Is that a possibility? Is so what happens? I have my first post -op opportment

tomorrow with my surgeon and it is on my mind. I keep worrying about it and I

want to know if this is something that I need to worry about

Thanks

Melissa

Doodles
06-08-2010, 12:56 PM
Melissa--Yes, that is possible. That's why everyone has so many restrictions. Also why they want you to walk. I believe that promotes fusing & healing. Also restrictions on tylenol, etc. etc. It can happen but thankfully most fuse! Janet

txmarinemom
06-08-2010, 01:25 PM
Also restrictions on tylenol, etc. etc. It can happen but thankfully most fuse! Janet

Sorry, Janet, but I just wanted to correct this before anyone freaks out ...

It's not Tylenol (acetaminophen) that's restricted after surgery.

Ibuprofen (Advil, Motrin, etc.) - and other NSAIDs like naproxen sodium (Aleve) and aspirin are restricted by some surgeons because they feel it increases the chance of pseudoarthrosis.

mbeckoff
06-08-2010, 01:36 PM
when does your body start fusing after surgery? Will it show at the first X-ray?

Melissa

txmarinemom
06-08-2010, 01:51 PM
when does your body start fusing after surgery? Will it show at the first X-ray?

I guess in a literal sense, the inflammatory response kick starts fusion immediately (or very soon after) surgery. It's somewhat debatable when it can actually be seen.

In my case, evidence of fusion was visible on my 8 weeks post-op x-ray (compared to my 3 weeks one) in the form of a distinct softening of the severe angles on the hardware. Each subsequent x-ray showed more of the same.

Pseudoarthrosis *does* happen, but it's not extremely (or even "very") common. Try not to worry yourself over it - especially if you haven't been identified in the patients most at risk.

Pam

debbei
06-08-2010, 01:52 PM
At my 6 week checkup/appointment, the Dr. said it was too soon too see any fusion. At my 9 month appointment, there were good signs of fusion on the Xrays.

mbeckoff
06-08-2010, 01:57 PM
What makes a patient at risk for not fusing?

Back-out
06-08-2010, 02:19 PM
txmarinemom

I guess in a literal sense, the inflammatory response kick starts fusion immediately (or very soon after) surgery.

Fascinating! That must be why NSAIDs are forbidden.

txmarinemom
06-08-2010, 02:20 PM
What makes a patient at risk for not fusing?

Here's what the SRS (http://www.srs.org/patients/adult/pseudarthrosis/)says ...

txmarinemom
06-08-2010, 02:23 PM
Fascinating! That must be why NSAIDs are forbidden.

No idea on that. :) Personally, I wasn't told to avoid NSAIDs - but a lot of people are.

Back-out
06-08-2010, 02:34 PM
If the inflammatory response after surgery triggers fusion (and by extrapolation, continues it?), then blocking inflammation must block fusion - at least, the initiaton of it.

Shame as inflammation also accompanies pain (and I have found, exacerbates it). WHen my back hurts the most, I seem to always have a low fever. Really need my sed rate checked again as well as tests for RF and ANA. Sure hope I don't have a collagen disease complicating things! Was once so dxed.

txmarinemom
06-08-2010, 03:04 PM
If the inflammatory response after surgery triggers fusion (and by extrapolation, continues it?), then blocking inflammation must block fusion - at least, the initiaton of it.

Yes, I agree it makes sense in the early stages of fusion.

That said, the inflammatory response is the first phase of fusion (of healing *any* injury), and I'm not sure how long that phase lasts for this surgery. Fairly early on it would seem, the work has to shift to the reparative and remodeling stages - and I don't know how NSAIDs would affect fusion by reducing inflammation that no longer exists.

(I hope that was clear enough - LOL ... in re-reading it, it may not even be clear to me! ;-)

Doodles
06-08-2010, 10:26 PM
Pam--Thanks for correcting me! I knew I wrote that too fast. I'd have been in bad shape with all that Tylenol in my hydrocodone for months. Janet

Shari
06-09-2010, 02:12 AM
I think this is an important thread that everyone should read. Great questions, bring great answers. I've always known that this forum is a huge source of intelligent information, from very informed and intelligent people.

Proud to be here,
Shari

Vali
06-09-2010, 03:27 AM
Hi all, i just logged on and now i have to quickly go out again, but thought you may be interested in this site, where it talks about some of the things on this site. I was not allowed NSAIDS either after surgery and my surgeon did state that the inflammatory process was needed initially for fusion to commence.

Site is: www.nsg-online.com

Catchya soon:)