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  • I am dissappointed

    I am 2 months post op. and am still not walking very good. At least without pain and bending over. I was fused from Pelvic to T8 abnd some other stuff was done down in the L3/4 L4/5 AREA. The xrays look good according to the Dr. I live in So.Dak. and a Dr. Haft did my surgery. He was suppose to specialize in spinal deformities. I was bent over pretty bad . But don't know the numbers. I live 200 mi. from my Dr. And accually have seen a Dr. (surgeon) here that helped Dr. Haft. but won't see Dr. Haft till my 3rd month for some reason. The other surgeon is an orthapedic surgeon and is in an outreach program and comes to my home town. Has anyone got any ideas why this is taking so long to walk right? When the xrays look good? I was thinking saggital imbalance -until they said the xrays were good. OK I will be waiting for a response or just some support. As I need it. Thanks--boomer
    Linda Brozik~~60 yrs. old at time of Lenke's first surgery. 62 now!
    Surgery 2006 L3/4 L4/5 double fusion/ instumentation/ With 2 cages
    This started adult onset scoliosis
    July 1st, 2010/ surgery ~~fused T10 to pelvis (long rods/ screws)
    Oct.20th 2010, extended rods to T4 / did osteotomy at L3
    Oct. 29th 2012 Dr. Lenke St. Louis Mo. T4 to sacrum osteotomy anterior cage L3/4 titanium rods
    May 30th 2013 revision
    May 8th cervicle surgery 2016
    May 31st Dr. Gupta revision 2017

  • #2
    Hi Boomer...

    If you're bent over at 2 months postop, that is definitely not a good thing, but I'm not sure what you can do about it. If the xrays that were taken are digital, I'd be happy to get them to someone for another opinion.

    --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


    • #3
      Originally posted by LindaRacine View Post
      Hi Boomer...

      If you're bent over at 2 months postop, that is definitely not a good thing, but I'm not sure what you can do about it. If the xrays that were taken are digital, I'd be happy to get them to someone for another opinion.

      --Linda
      I don't think they're digital-but I'm not sure what you mean by digital. Probably not the besy quality, as they were taken at a very small home town hospital. And I know that that same surgeon has complained about the quality of the xrays. I am not bent clear over- but I lean when I walk. And the further I walk the worse it is. I am 58yrs. old female. I am hoping this is a muscle problem,and physical therapy will clear it up. I can't do physical therapy till 6 mo. But its frustrating as heck. I can't take anymore surgeries. What would they do if its saggital imbalance ? I have had so many surgries in the past twenty yrs. that my body has been through too much I think. And pain managment is a hard thing with me because of tolerance. Ohmy-I am just going to try and be patient and say lots of prayers. Thanks- boomer
      Linda Brozik~~60 yrs. old at time of Lenke's first surgery. 62 now!
      Surgery 2006 L3/4 L4/5 double fusion/ instumentation/ With 2 cages
      This started adult onset scoliosis
      July 1st, 2010/ surgery ~~fused T10 to pelvis (long rods/ screws)
      Oct.20th 2010, extended rods to T4 / did osteotomy at L3
      Oct. 29th 2012 Dr. Lenke St. Louis Mo. T4 to sacrum osteotomy anterior cage L3/4 titanium rods
      May 30th 2013 revision
      May 8th cervicle surgery 2016
      May 31st Dr. Gupta revision 2017

      Comment


      • #4
        Hi Boomer...

        Was it your surgeon who told you no PT until 6 months postop? I'm not a medical professional, but it seems to me that if PT has a chance of working to get you standing up straight again, it would have to happen before the fusion hardens.

        --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


        • #5
          Originally posted by LindaRacine View Post
          Hi Boomer...

          Was it your surgeon who told you no PT until 6 months postop? I'm not a medical professional, but it seems to me that if PT has a chance of working to get you standing up straight again, it would have to happen before the fusion hardens.

          --Linda
          Linda,
          Is it possible that boomer's problem is tightness in the quads rather than a problem with her back? PT for stretching the quads I think would be helpful.
          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


          • #6
            Originally posted by loves to skate View Post
            Linda,
            Is it possible that boomer's problem is tightness in the quads rather than a problem with her back? PT for stretching the quads I think would be helpful.
            Sally
            Definitely possible.

            Boomer, were you leaning forward before your surgery?
            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
              Accually, before surgery I was leaning off to the right quite a bit and then a little bit forward. My scoliosis was pushing me to the right--like my right ribs hitting my right hip bone. But then as I said a little forward also. Now I really want to lean forward the longer I am up and around walking. It may be a muscle thing. But why can;t I start some therapy then. Perhaps when I see the surgeon in two weeks that comes to my town.(the one that helped the specialist), I can find out more. I just know that the last xrays Aug. 18th said all was alright. But it was done with xrays in a small hospital and pretty dated machine.
              Linda Brozik~~60 yrs. old at time of Lenke's first surgery. 62 now!
              Surgery 2006 L3/4 L4/5 double fusion/ instumentation/ With 2 cages
              This started adult onset scoliosis
              July 1st, 2010/ surgery ~~fused T10 to pelvis (long rods/ screws)
              Oct.20th 2010, extended rods to T4 / did osteotomy at L3
              Oct. 29th 2012 Dr. Lenke St. Louis Mo. T4 to sacrum osteotomy anterior cage L3/4 titanium rods
              May 30th 2013 revision
              May 8th cervicle surgery 2016
              May 31st Dr. Gupta revision 2017

              Comment


              • #8
                Just something to think about. My orig surgeon told me my xrays were okay, in fact, PERFECT, each visit after my first surgery. I was leaning forward and in terrible pain. I ended up changing surgeons after a year and was diagnosed with a sagittal imbalance. Ask your surgeon to show you your C7 plumb line. There should be a straight line from C7 to just in front of the sacrum. Mine was 14cm forward and I ended up having to have a revision. If your surgeon won't show you, or help you don't feel bad about getting another opinion. I did, and it was the best thing I ever did. :-))
                May 2008 Fusion T4 - S1, Pre-op Curves T45, L70 (age 48). Unsuccessful surgery.

                March 18, 2010 (age 50). Revision with L3 Osteotomy, Replacement of hardware T11 - S1 , addition of bilateral pelvic fixation. Correction of sagittal imbalance and kyphosis.

                January 24, 2012 (age 52) Revision to repair pseudoarthrosis and 2 broken rods at L3/L4.

                Comment


                • #9
                  Sounds so much alike!

                  naptown78.....this sounds just exactly what I have going on. But my main surgeon is always out of town when I call. I talk to his nurse and that's all. But of course I will see him in Oct. Untill then I see an outreach surgeon that travels to my home town. He assisted with the surgery. I have seen him twice since the surgery. He said he was going to talk to my other surgeon(the spine deformity specialist) that acually preformed the surgery, but can't get hold of him either. I would think they would be more concerned than they are. I am 12 weeks out. And I am sruggling bad. Thanks for the info. I am going to ask about it the 17th when I see the sugeon that comes here . I hope I didn't confuse you all about the surgeons. We live about 250 mi. from where I had this done. But the surgeon that assisted comes here once a month with an outreach program. I don't think I have done anything that would cause this. babyboomer16
                  Linda Brozik~~60 yrs. old at time of Lenke's first surgery. 62 now!
                  Surgery 2006 L3/4 L4/5 double fusion/ instumentation/ With 2 cages
                  This started adult onset scoliosis
                  July 1st, 2010/ surgery ~~fused T10 to pelvis (long rods/ screws)
                  Oct.20th 2010, extended rods to T4 / did osteotomy at L3
                  Oct. 29th 2012 Dr. Lenke St. Louis Mo. T4 to sacrum osteotomy anterior cage L3/4 titanium rods
                  May 30th 2013 revision
                  May 8th cervicle surgery 2016
                  May 31st Dr. Gupta revision 2017

                  Comment


                  • #10
                    I hope you can get the help you need...I know how frustrating it is when your doctors aren't as helpful as they could be. Good luck :-))
                    May 2008 Fusion T4 - S1, Pre-op Curves T45, L70 (age 48). Unsuccessful surgery.

                    March 18, 2010 (age 50). Revision with L3 Osteotomy, Replacement of hardware T11 - S1 , addition of bilateral pelvic fixation. Correction of sagittal imbalance and kyphosis.

                    January 24, 2012 (age 52) Revision to repair pseudoarthrosis and 2 broken rods at L3/L4.

                    Comment


                    • #11
                      Hi,
                      I am 3 months post op and am bending forward when I walk. My X-Rays look great too.I can push myself to stand up and walk straight but it is VERY difficult and causes my shoulders to tighten up badly and causes pain. My Dr wants me to do hip flexor streching. I have been in PT since 6 weeks. In fact my insurance may be cutting me off. I would definately ask if you can start. I have improved since therapy but not completely. I bend over more when in pain. I can take a pain pill then stand up straighter. I am back at work and it hurts pretty bad in my shoulders today. I am very concerned Linda thinks this is so terrible. I had a long fusion and figure that my body needs time to adjust??????? Good luck and send some my way too.
                      Janet
                      PS I am 13 weeks out.
                      Last edited by jsully; 09-13-2010, 12:25 PM.
                      36 year young cardiac RN
                      old curve C 29, T 70, L 50
                      new curve C 7, T 23, L 20
                      Surgery June 11, UCH, Dr. Cronen T2-L5, posterior
                      Revision December 20 L5-S1 with pelvic fixation
                      and Osteotomy to L3 at Tampa General Hospital

                      Comment


                      • #12
                        I am exteremely worried too now. Do you all think we will be "stuck" like this forever?? Thinking I made a BIG mistake.
                        36 year young cardiac RN
                        old curve C 29, T 70, L 50
                        new curve C 7, T 23, L 20
                        Surgery June 11, UCH, Dr. Cronen T2-L5, posterior
                        Revision December 20 L5-S1 with pelvic fixation
                        and Osteotomy to L3 at Tampa General Hospital

                        Comment


                        • #13
                          One thing that's really standing out to me, is the fact that surgeons of dissatisfied patients almost uniformly defend themselves by pointing to their "perfect" Xrays. Makes it seem like the patients are imagining their pain! As if to say, "Hey, how COULD you be uncomfortable with such great results"?

                          I guess it shows that within limits, Xrays can show almost what one wants - with this sagittal imbalance business, anyhow.

                          One very bright surgeon I saw looked at my Xrays which apparently showed a pretty nice sagittal line. Before I could even explain that I'd "Cheated" on my posture (standing up straighter than was natural, by supporting myself in various ways - not really meaning to cheat so much as to be comfortable).

                          "I can see, this isn't your natural stance", he said wincing slightly. When he had me submit to yet another set of Xrays at his facility, he specified that I was to stand with my knees together.

                          Wow, did that hurt! And those Xrays came out showing MUCH more imbalance, with a marked forward pitch. The earlier ones had me compensating by bending my knees a lot - one way of allowing myself to walk and stand with less pain.

                          If the "inaccurate" Xrays had been done by a surgeon showing his handiwork, my natural (bad) sagittal curve would have looked much straighter - significantly camouflaging my CONGENITAL flat back.
                          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


                          • #14
                            to Boomer and Janet...
                            i am so sorry that you are both suffering! and hoping that it is just early...with healing...and that things will get better...for both of you!

                            jess

                            Comment


                            • #15
                              I was making myself stand up straight. Maybe I should stand "natural" next time. However, my Dr is not unconcerned, he is very concerned. That is whay he has kept continuing my PT so long. He also said I can call him at any time. I have his personal number. He is aware of the problem and has suggested exercises for me. I saw him 2 weeks ago and don't think I should bother him yet because I am over emotional. I don't know, what do you all think?
                              Janet
                              36 year young cardiac RN
                              old curve C 29, T 70, L 50
                              new curve C 7, T 23, L 20
                              Surgery June 11, UCH, Dr. Cronen T2-L5, posterior
                              Revision December 20 L5-S1 with pelvic fixation
                              and Osteotomy to L3 at Tampa General Hospital

                              Comment

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