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LLB
05-19-2005, 04:42 PM
My 13 yr old son has a 53 degree right thoracic curve and is scheduled for surgery on June 29th. I realize the purpose of the surgery is to stop the curve from progressing and to get some correction but the Dr. has told us to only expect about a 40% correction due to lack of flexibility from looking at previous x-rays (bending sideways). Is that a normal correction expectation? From what I've read on other posts some children who have had 55 degree or higher curves have been getting correction to under 15 degrees. Is the Dr. just being conservative or are some curves just not able to be corrected much? Any information/input would be appreciated.

Thanks!

Marc H
05-19-2005, 04:51 PM
Hi

I have many posts around, but one question. Has your Dr. ever asked your son to bend forward to try to touch his toes, as your dr. should be asking him to bend sideways and forward.


Marc

Alison
05-20-2005, 03:11 AM
Hi

Spine's are funny things, aren't they; no two behave in exactly the same way. I can't give the scientific/medical reasons why; but some curves can get very little correction, whereas some can get lots.

You doc's not being conservative, some curves are very stiff, inflexible and aren't able to be manipulated to get lots of correction out of.

It's always difficult to give a "normal amount of correction" estimate, 'cause each spine's a very individual thing and behaves in different ways. I think most doctors hope for 50 percent or greater, but sometimes it's simply not possible to get. Sometimes, they can't even be 100 percent sure until you're on the table.

Just anaecdotedadly, before my spinal fusion, I had curvatures of high fifties and low to mid sixties. From the bending x-rays they weren't sure they were even going to get any correction, as my spine was extremley stiff, and very inflexible. The doctor was able to gain a few degrees of correction, and even that suprised him. .

Has the doctor done a full set of bending x-rays on your son?, ie each side, bending forwards, bending backwards (can't remember which other ways they get you to bend but from memory their are others)

I'm just wondering, are they doing a posterior only, anterior only or an A-P on your son.

Regards and best wishes
Alison

Mary Lou
05-20-2005, 06:23 AM
LLB,

The amount of correction varies from child to child. I think even if they only get a 40% correction with your son, you should still see a noticable improvement in his appearance.

Mary Lou

ProudParents
05-20-2005, 07:20 AM
Our daughter has a similar right thoracic curve and we have been told to expect a 70 to 80% correction using pedicle screws on a posterior surgery, but a patient's flexibility does matter. Are you confident that the child was bending properly for the x-rays and do your second or third doctor's opinions agree? In addition to the films, the doctor's judgement on flexibility is also based on clinically examining the child.

LLB
05-26-2005, 01:29 PM
Hello,

My son can touch his toes and put his hands on the floor. He has only had standing straight and bending to the right x-rays (can't be for sure he was bending as far as he could), cervical, thoracic and lumbar MRI's, they found a syrinx around T7 so they were checking for any others. The dr said the surgery would be posterior only. I know any correction would be an improvement, just want him to be perfect :) (proud mom :D )

susannajon
06-01-2005, 11:33 PM
Hi LLB,

Our daughter's curve was pretty flexible, and we were able to get a correcion from 70 degrees to 20 degrees. We know we were lucky! My suggestion is to get as many opinions as you can afford from nationally recognized spine surgeons, and take it from there. Let us all know where you live in the US, and maybe we can give you somes names for additional opinions.

Erika1988
06-04-2005, 11:04 AM
Hi

I have many posts around, but one question. Has your Dr. ever asked your son to bend forward to try to touch his toes, as your dr. should be asking him to bend sideways and forward.


Marc


Yes every time I go in I've had the surgery and still have to it's normal and it's just to see what the spine looks like it sounds weird but it's true

Erika1988
06-04-2005, 11:12 AM
My 13 yr old son has a 53 degree right thoracic curve and is scheduled for surgery on June 29th. I realize the purpose of the surgery is to stop the curve from progressing and to get some correction but the Dr. has told us to only expect about a 40% correction due to lack of flexibility from looking at previous x-rays (bending sideways). Is that a normal correction expectation? From what I've read on other posts some children who have had 55 degree or higher curves have been getting correction to under 15 degrees. Is the Dr. just being conservative or are some curves just not able to be corrected much? Any information/input would be appreciated.

Thanks!

Many curves are different and it all depends on the person having the surger I was extremly flexable before my surgery ( I did ballet and gymnastics) and I had a 57 degree cuve brout down to a 22 degree curve so it just depends on him as long as it doesn't continue to curve after the surgery, Physical therapy and or a back brace would be something you should look into because it won't be corrected by a lot

brittany
06-05-2005, 10:41 PM
My 13 yr old son has a 53 degree right thoracic curve and is scheduled for surgery on June 29th. I realize the purpose of the surgery is to stop the curve from progressing and to get some correction but the Dr. has told us to only expect about a 40% correction due to lack of flexibility from looking at previous x-rays (bending sideways). Is that a normal correction expectation? From what I've read on other posts some children who have had 55 degree or higher curves have been getting correction to under 15 degrees. Is the Dr. just being conservative or are some curves just not able to be corrected much? Any information/input would be appreciated.

Thanks!
I have about the same correction as your child is expecting. Recently, I believe doctors are being more conservative and don't go for the super straight correction. I know one girl that went perfectly straight and they had to go back in and "undo" some of the work to let the curve come back. My doctor said that it would be best for my situation and I have listened to him. I have had two surgeries (posterior and anterior) and I have absolutely no pain and I still dance. Let me know if I can answer any more of your questions. I know what you are going through.

brittany
06-05-2005, 10:44 PM
I have about the same correction as your child is expecting. Recently, I believe doctors are being more conservative and don't go for the super straight correction. I know one girl that went perfectly straight and they had to go back in and "undo" some of the work to let the curve come back. My doctor said that it would be best for my situation and I have listened to him. I have had two surgeries (posterior and anterior) and I have absolutely no pain and I still dance. Let me know if I can answer any more of your questions. I know what you are going through.


Please e-mail me if I can do anything to help you or offer any support