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View Full Version : Pedicle subtraction osteotomy option



sheila C
12-16-2014, 10:36 AM
I have the Harrington rod put in 1979, did great for a LONG time. till 3 yrs. ago. Now I have very painful flat back syndrome. First the PSO surgery was only option. Now a lesser of two evils surgery is offered. My bottom few vertibre's are gone. Thus the pain. They are saying go in and repair the bottom part only. All of the damage is below the rod. The recovery time is half. I work full time and Ill be honest if I have the PSO surgery with a year recovery time I will never return back to my job. My job will not be held. I am thinking hard what to do. My insurance is thru my job also. I will have to pay it on my own. The doctor has also said it is important to know that the PSO might still be needed later on if I do not get the pain relief. But they think I have a good chance. Anything you can tell me would ne helpful. Thanks.

sheila C
12-16-2014, 10:44 AM
They said make no mistake still a not a walk in the park. but so much less complicated than the PSO surgery, going in the front and back. Major blood loss they said.

Lizardacres
12-16-2014, 11:01 AM
Did they tell you that you would be off work a year? That seems like a really long time. What kind of work do you do? I'm having a T-4 to sacrum with pelvic fixation in January with both anterior and posterior surgery and my doc seems to think it would be reasonable for me to be back to work in 3-4 months, but I really don't think I'll be back in 3 months. I have a desk job and will probably take the bus for a while instead of driving, but I, too, really need to get back to work in a reasonable amount of time. While I have both short and long term disability, it makes me uneasy to stay away too long. My employer allows you to come back PT if desired and this would be a good option as if I work at least 20 hours, they pay for my insurance and at least I know my job is still mine.

Whatever you decide to do, I would go for the permanent rather than short term fix.

sheila C
12-16-2014, 11:19 AM
I have a desk job too. A small family ran business. I am not family ,but most are. No family leave or anything like that. They cover a portion of my insurance. My husband is on mine, and that is changing in Feb. I am taking him off. One less thing to worry about. Yes, they said a year recovery.

jackieg412
12-16-2014, 11:52 AM
Yes it a year recovery but you can do many things before the year. So you could return to work with certain restrictions for the first 6 months or so. I returned at 7 weeks but it was too soon.

sheila C
12-16-2014, 01:52 PM
Please tell me how it was? when could you drive? Did you have both the front and back incisions made? Can you feel the hardware in you as I have read others complain so much about?

sheila C
12-16-2014, 01:53 PM
Sorry. I just saw that you have not had the surgery yet.

sheila C
12-16-2014, 01:58 PM
Lizard: You have not had the surgery yet? Correct? Jackie, you have had the surgery already?

Lizard: Do you have flat back syndrome? Did you have the Harrington rod from before? What is leading you to surgery?

Jackie: What was your main pain from? Did you have success? Did you have both the anterior and posterior surgery? Please tell me about it.

Lizardacres
12-16-2014, 03:31 PM
Lizard: You have not had the surgery yet? Correct? Jackie, you have had the surgery already?

Lizard: Do you have flat back syndrome? Did you have the Harrington rod from before? What is leading you to surgery?

Jackie: What was your main pain from? Did you have success? Did you have both the anterior and posterior surgery? Please tell me about it.

I have not had the surgery yet, but very soon (Jan 13 & 15). Which doctor are you seeing? Since you are a revision, you want somebody with a lot of experience with revisions. Hopefully, the folks from the revision board will see your post and weigh in. From what I have read on that board, recovery from revisions is often not as difficult as they are fusing a shorter segment, but still, having anterior and posterior surgery is no picnic.

Liz

LindaRacine
12-16-2014, 11:13 PM
Everyone is different, but many return to work within 3 months, and I would say that most return to work within 6 months.

--Linda

green m&m
12-17-2014, 11:26 AM
It is year recovery -- as in most ppl take a full year for spine to fully fuse and to be cleared for all activities.

However most of us with a desk job start returning at 3, 4 months. I'm back at work and I hit the 3 month mark last Monday from day of surgery and it was my first day back at work. So far been able to stay at the office for full day without issues.

sheila C
12-17-2014, 12:14 PM
I am going to the Southeastern Spine Institute in Mount Pleasant , SC. Seeing a team which has Doctor Poletti and 3 others who will be involved.

Lizardacres
12-17-2014, 06:21 PM
It is year recovery -- as in most ppl take a full year for spine to fully fuse and to be cleared for all activities.

However most of us with a desk job start returning at 3, 4 months. I'm back at work and I hit the 3 month mark last Monday from day of surgery and it was my first day back at work. So far been able to stay at the office for full day without issues.

Just wanted to say that your after xray is amazing! Congratulations on a speedy recovery!

leahdragonfly
12-18-2014, 08:53 AM
Hi,

One comment made me pause…your surgeon said you "should" have enough less that pain that you should be able to stand up straighter…If you have bad enough flatback you need a PSO so that you can stand up straight---it is more a matter of alignment than a matter of willpower or conscious posture. If I was in that situation I would go for the PSO and hopefully just have to do it once.

I had a major revision about 2.5 years ago that included an osteotomy - I recovered very well and was back on seated duty at work in 14 weeks.

Please consider a few more opinions if you have any doubt at all…having a revision is no fun, and having two, well, you get the idea!

Good luck!

sheila C
12-18-2014, 09:13 AM
How long were in the hospital? I agree with what you are saying. I am just scared to be away from work cause I know that I will not return after anything more than 4 months. My position will be taken. And I have to go to rehab afterwards also. I asked if after a week could I come home, no they said rehab for another week. What was your degree of being bent over? Mine is 15 degrees. Hubby is very afraid the longer I wait the more worse it will get thus the success of the surgery goes down. I do not know how that works. Anything you can tell me to expect I would like to know.





Hi,

One comment made me pause…your surgeon said you "should" have enough less that pain that you should be able to stand up straighter…If you have bad enough flatback you need a PSO so that you can stand up straight---it is more a matter of alignment than a matter of willpower or conscious posture. If I was in that situation I would go for the PSO and hopefully just have to do it once.

I had a major revision about 2.5 years ago that included an osteotomy - I recovered very well and was back on seated duty at work in 14 weeks.

Please consider a few more opinions if you have any doubt at all…having a revision is no fun, and having two, well, you get the idea!

Good luck!

LindaRacine
12-18-2014, 10:41 PM
Tell your husband not to worry. It's actually the reverse. In general, the worse one's imbalance, the better the outcome. Anecdotally, it really seems that the vast majority of people who have a big imbalance are happier faster and longer than people who have no imbalance.

--Linda