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Linda G
07-28-2006, 01:58 PM
For those who have already been through the surgery where do they get the bone graft material? Dr. Shelokov's PA told me that they do not use cadaver bone because your own bone fuses quicker. I forgot to ask him tho where he gets it from. And does that require a different surgery (incision) and is it as painful? He told me they would go thru the abdomen, under my right rib and my back. Just wondering if any of those incisions allow for access to graft material.

Linda G.

bbest
07-28-2006, 04:38 PM
They usually get it from the back of your pelvis. Sometimes, if you are having a thoracoplasty, they take it from a rib. I'm sure if you ask your surgeon, he will tell you exactly what he plans to do in your case.

Marcia
07-28-2006, 04:55 PM
Linda,
I am having surgery with Dr. Shelokov in October. I was told they would use all bone from cadaver on me because my surgery is already going to be 12-14 hours and it will save time. That bothers me because I read that your own bone is more likely to fuse better. I wish they were using at least part from me.

Linda G
07-28-2006, 05:11 PM
When I saw Eric last month he told me that they were no longer using cadaver so .you might ask him again. He told me they would use my bone along with a compound that grows bone. I just didn't think as to where and how that surgery would be. He didn't tell me the length of time it might take --just that it would be about 1 1/2 hours on my stomach and same on my side but didn't mention the back. Another thing I forgot to ask. I should be getting a call within the next couple of weeks about the mylogram as all my other tests now are done.

Linda G.

sweetness514
07-28-2006, 06:16 PM
Mine was taken from my hip(actually iliac crest to be precise)-wich is usually the best place but I had a non union. So I suggest walking a lot and eating well afterwards, it helps the fusion process. I did both but didn't move enough b/c I wasn't given pain meds for more than a month, and so I was in a lot of pain. I know there are no studies that can say what exactly causes non unions for sure but I would say it doesn't hurt to know what could help.

dawney
07-28-2006, 10:10 PM
My surgeries are scheduled 9/6 and 9/8. My surgeon said he will be using bone from my hip.

LindaRacine
07-29-2006, 01:15 AM
Hi...

Bone graft material is not really taken from the hip. It's taken from the iliac crest, which as bbest noted, is the top of the back part of the pelvis. If an anterior approach is used, or if a thoracoplasty is performed, they can also get bone from the ribs that are cut.

--Linda

CurvySAT05
07-29-2006, 01:38 AM
Graft for my first surgery was used from my thorocoplasty (ribs) and for my second surgery they used donor bone. I had a different surgeon than you all. I would ask the surgeon where he specifically is planning on taking it from.
Mandy

Marcia
07-29-2006, 07:38 AM
I'm going to ask again. But they told me that because my surgery goes down into the sacrum and I am assuming because I have some osteoporosis, plus the length of my surgery they can't compromise my hip area by using my own bone. I'll ask again, but they seemed pretty clear on that when they were telling me about my surgery.

Theresa
07-29-2006, 11:37 PM
Marcia & Linda G,

My fusion goes to the sacrum and they used bone from the illiac crest and also from the rib they removed. The incision to get the bone from the illiac crest was about 4 inches to the right of the spine and the upper right buttock. I haven't had any problems from that incision.

Shari
07-30-2006, 12:41 AM
Hi Linda G.,

For me, it was a combination of rib, hip and cadaver bone. It is amazing how different each one of our situations are. Through my ant. surgery they removed 5 discs and a rib as orignally planned, but I woke up with an additional incision at the top of my pelvis. They told me they needed some more bone.

Shari

bbest
07-31-2006, 10:26 AM
I am also fused to my sacrum. My surgeon used a combination of iliac crest bone and cadaver bone. Each case is truly different.

flowerpower
08-01-2006, 09:27 AM
My son's surgeon used bone from his vertebrae. He was fused to L-4 and I think the bone was taken from the larger vertebrae. The scar is a little larger/thicker in that area but there was no additional incision and it didn't seem to add to the pain of the surgery itself.

Renee

HGD24
08-01-2006, 09:48 AM
My surgeon used a rib and took bone from my hip for my graft.

LindaRacine
08-01-2006, 01:32 PM
My son's surgeon used bone from his vertebrae. He was fused to L-4 and I think the bone was taken from the larger vertebrae. The scar is a little larger/thicker in that area but there was no additional incision and it didn't seem to add to the pain of the surgery itself.

Renee
Hi Renee...

Some surgeons remove the spinous processes and use them for fusion. I don't think there is enough bone to facilitate fusion, however, so I'm thinking that he got bone from elsewhere, or used some donor bone.

--Linda

flowerpower
08-01-2006, 01:58 PM
Hi Renee...

Some surgeons remove the spinous processes and use them for fusion. I don't think there is enough bone to facilitate fusion, however, so I'm thinking that he got bone from elsewhere, or used some donor bone.

--Linda



Hmmmm......my understanding was, nothing would be removed and no donor bone would be used, only Joe's.....the way he explained it, he would chip bone directly from the vertebrae. What do you mean by "spinous processes" - (discs?). Perhaps I should ask him for clarification on this. (Even though) the surgery is done with I still would like to know exactly what was done.

Thanks, Linda. I always appreciate your input :)

Renee

LindaRacine
08-01-2006, 05:01 PM
Hmmmm......my understanding was, nothing would be removed and no donor bone would be used, only Joe's.....the way he explained it, he would chip bone directly from the vertebrae. What do you mean by "spinous processes" - (discs?). Perhaps I should ask him for clarification on this. (Even though) the surgery is done with I still would like to know exactly what was done.

Thanks, Linda. I always appreciate your input :)

Renee

It's the most prominent part of the posterior elements of the spine:

http://www.uhn.ca/programs/spine/images/vertebra_labelled.gif

--Linda

flowerpower
08-02-2006, 12:11 PM
Linda,

Thanks for the link. It could be that the spinous processes were what was used, and I misunderstood the explanation and assumed it was bone that was used. I do know the surgeon said no other fusion material would be used other then what came from Joe. I do notice that starting about an inch or so below the top of the fusion, the spine feels "smoother". In other words, the vertebrae feel less defined. Could this be a reason, or could that just be from the scar?

Renee

LindaRacine
08-02-2006, 12:20 PM
Linda,

Thanks for the link. It could be that the spinous processes were what was used, and I misunderstood the explanation and assumed it was bone that was used.
The spinous processes are bone.


I do notice that starting about an inch or so below the top of the fusion, the spine feels "smoother". In other words, the vertebrae feel less defined. Could this be a reason, or could that just be from the scar?

Sorry, I don't know.

--Linda