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Comments please on my spinal Xrays from June, fuzzy as it is...

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  • Comments please on my spinal Xrays from June, fuzzy as it is...

    I hope this works and also that it can be enlarged. It's a bad 2-D down-load from a CD - but if it works out, it's better than nothing.

    http://picasaweb.google.com/realityt...aM6_24nbjBgQE#

    Note the lumbar kyphosis and the flatback. In reference to my thread about surgery - this shows why I'm concerned about creating a strong lordosis. (It's REALLY flat now! ).

    Somehow, looking at these images, I can almost visualize that L kyphosis "popping up" (which it did, within the last few years) because of the flat back kind of "springing" it.

    Likewise, I feel like my lost 4" went mostly into that kyphosis,

    Does anyone have any words of wisdom about rotation? What about the kyphosis, flatback, DDD and any comments at all about them or anything else?

    I can't make heads or tails of anything but the Cobb . They've been measured as L 44* by the hospital that took this. (no T angle given) but as L 60* by HSS and two other NYC surgeons. All said T30* too.

    Many thanks for feedback!
    Last edited by Back-out; 08-29-2010, 10:41 PM.
    Not all diagnosed (still having tests and consults) but so far:
    Ehler-Danlos (hyper-mobility) syndrome, 69 - somehow,
    main curve L Cobb 60, compensating T curve ~ 30
    Flat back, marked lumbar kyphosis (grade?) Spondilolisthesis - everyone gives this a different grade too. Cervical stenosis op'd 3-07, minimally invasive

  • #2
    I think if you click on the image and then you click on the magnifying glass (zoom) icon upper right, you can enlarge them
    Not all diagnosed (still having tests and consults) but so far:
    Ehler-Danlos (hyper-mobility) syndrome, 69 - somehow,
    main curve L Cobb 60, compensating T curve ~ 30
    Flat back, marked lumbar kyphosis (grade?) Spondilolisthesis - everyone gives this a different grade too. Cervical stenosis op'd 3-07, minimally invasive

    Comment


    • #3
      Interesting to look at. Your kyphosis is a lot lower than I'd imagined. Mine (although in the early stages) was higher. As far as rotation goes, I don't know that much about it, but your ribs look spaced the same on both sides. I'm not sure if that's an indicator or not, but if you look at mine, they were spread apart on one side and close together on the other prior to my surgery, which I think indicates some degree of rotation too. Also, you're supposed to be able to tell by whether the pedicles are equidistant (they appear as two circles on each vertebrae) and the more they are off, the more rotated you are. If you have the David Wolpert book, there's a pic on p. 12 (2nd edition).

      Hopefully someone else can help you with the rest.
      71 and plugging along... but having some problems
      2007 52° w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
      5/4/07 posterior fusion T2-L4 w/ laminectomies and osteotomies @L2L3, L3L4
      Dr. Kim Hammerberg, Rush Univ. Medical Center in Chicago

      Corrected to 15°
      CMT (type 2) DX in 2014, progressing
      10/2018 x-rays - spondylolisthesis at L4/L5 - Dr. DeWald is monitoring

      Click to view my pics: pics of scoli x-rays digital x-rays, and pics of me

      Comment


      • #4
        Originally posted by Back-out View Post
        I think if you click on the image and then you click on the magnifying glass (zoom) icon upper right, you can enlarge them
        I clicked on the slide show icon and could see them fairly well, but not being a Doctor trained in reading x-rays, I can't tell you much. I could see some wedging of the vertebrae in your thoracic area, the kyphosis and the lack of lordosis in the lumbar. It is amazing how different everyone's x-rays look. I couldn't find a magnifying glass icon so I couldn't see a lot of detail. Did the Doctor sent you a report yet?
        Take care, Sally
        Diagnosed with severe lumbar scoliosis at age 65.
        Posterior Fusion L2-S1 on 12/4/2007. age 67
        Anterior Fusion L3-L4,L4-L5,L5-S1 on 12/19/2007
        Additional bone removed to decompress right side of L3-L4 & L4-L5 on 4/19/2010
        New England Baptist Hospital, Boston, MA
        Dr. Frank F. Rands735.photobucket.com/albums/ww360/butterflyfive/

        "In God We Trust" Happy moments, praise God. Difficult moments, seek God. Quiet moments, worship God. Painful moments, trust God. Every moment, thank God.

        Comment


        • #5
          Sally-- what worked for me was that once I clicked on the link, the four x-rays were there. When you click on them, they enlarge and the magnifying glass icon comes up-- plus the directions for moving around to view the x-rays. You're right-- if you click on the slide show it doesn't seem to let you do anything.
          71 and plugging along... but having some problems
          2007 52° w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
          5/4/07 posterior fusion T2-L4 w/ laminectomies and osteotomies @L2L3, L3L4
          Dr. Kim Hammerberg, Rush Univ. Medical Center in Chicago

          Corrected to 15°
          CMT (type 2) DX in 2014, progressing
          10/2018 x-rays - spondylolisthesis at L4/L5 - Dr. DeWald is monitoring

          Click to view my pics: pics of scoli x-rays digital x-rays, and pics of me

          Comment


          • #6
            Have you actually been diagnosed with flatback? It doesn't look very flat to me.

            --Linda
            Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
            ---------------------------------------------------------------------------------------------------------------------------------------------------
            Surgery 2/10/93 A/P fusion T4-L3
            Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

            Comment


            • #7
              Thanks Susie,
              I have been known to be blind reading computer screens before.
              Diagnosed with severe lumbar scoliosis at age 65.
              Posterior Fusion L2-S1 on 12/4/2007. age 67
              Anterior Fusion L3-L4,L4-L5,L5-S1 on 12/19/2007
              Additional bone removed to decompress right side of L3-L4 & L4-L5 on 4/19/2010
              New England Baptist Hospital, Boston, MA
              Dr. Frank F. Rands735.photobucket.com/albums/ww360/butterflyfive/

              "In God We Trust" Happy moments, praise God. Difficult moments, seek God. Quiet moments, worship God. Painful moments, trust God. Every moment, thank God.

              Comment


              • #8
                Hi, Amanda.
                I looked at your pictures with my professionally untrained eye, . It looks to me as though you actually do have a fairly decent lumbar lordosis. This, however, is masked by how low your kyphosis is. So from the "outside" you look as though you have flatback, but on the inside you don't. It looks to me as though if they would straighten up that kyphosis when they fix the obvious lumbar curve, your "flatback" appearance might just go away. Just thinking about the geometry of how it looks. Have you asked any doctor's what they think?
                Be happy!
                We don't know what tomorrow brings,
                but we are alive today!

                Comment


                • #9
                  Originally posted by rohrer01 View Post
                  Hi, Amanda.
                  I looked at your pictures with my professionally untrained eye, . It looks to me as though you actually do have a fairly decent lumbar lordosis. This, however, is masked by how low your kyphosis is. So from the "outside" you look as though you have flatback, but on the inside you don't. It looks to me as though if they would straighten up that kyphosis when they fix the obvious lumbar curve, your "flatback" appearance might just go away. Just thinking about the geometry of how it looks. Have you asked any doctor's what they think?
                  Hey, rohrer,

                  Yes, I've been diagnosed with flatback.

                  Even before I had the kyphosis (I didn't always), I had pain on hyper-extension and no retroflexed pelvic tilt.

                  I hate to admit this, however funny it sounds, but a "friend" in boarding school nicknamed me "the assless wonder'. This referred to the anti-Jennifer Lopez effect. Gives me a reference point in time, though (age 16-7), That was a LONG time ago!

                  For as long as I can remember, I've had saggy bottom pants. Straight up and down lower lumbar including the pelvic girdle (sacrum down too).

                  Kind of confused at your and Linda's comments. A little like "erasing a pregnancy" and imaging the great figure the pregnant lady might have, I guess. Unfortunately, it doesn't work that way with my spine.

                  However, I hope "they" will fix the lumbar kyphosis. Thus far it's sounding as if "they" hope it will unwind when the lumbar scoliosis is corrected. I sure hope so!
                  Not all diagnosed (still having tests and consults) but so far:
                  Ehler-Danlos (hyper-mobility) syndrome, 69 - somehow,
                  main curve L Cobb 60, compensating T curve ~ 30
                  Flat back, marked lumbar kyphosis (grade?) Spondilolisthesis - everyone gives this a different grade too. Cervical stenosis op'd 3-07, minimally invasive

                  Comment


                  • #10
                    Flatback is traditionally described as a loss of lumbar lordosis. Your lumbar lordosis looks fairly normal to me. As Rohrer said, your kyphosis is in your mid-back instead of your upper back. So you are hypo-kyphotic in the upper thoracic area and hyper-kyphotic in the lower thoracic area.
                    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
                    ---------------------------------------------------------------------------------------------------------------------------------------------------
                    Surgery 2/10/93 A/P fusion T4-L3
                    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

                    Comment

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