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Mobee211
04-07-2008, 02:46 PM
My surgeon told me he does not reccomend this. He told me he has seen it go wrong and cause substantial pain for the patient. He said that so long as he is able to de-rotate the spine enough, that should reduce the rib hump quite a bit. The rub hump is what bothers me most (cosmetically) about the scoliosis. Has anyone had a rib hump reduction? What were your experiences like? Thanks!

Singer
04-07-2008, 04:01 PM
A thorocoplasty IS very painful, but I have to say I got an excellent cosmetic result with it.

CHRIS WBS
04-07-2008, 04:18 PM
Chris,

Why would you have required a thorocoplasty? I thought this is a procedure used to reduce the rib hump caused by a large thoracic curve.

Chris

briarrose
04-08-2008, 05:11 AM
I really wanted to get a thoracoplasty until my doctor said he didn't recommend it, especially since I have asthma. He said it could cause more long term breathing problems in my case.

Singer
04-08-2008, 06:31 AM
Chris -- I had a large rib hump that was visible when I bent over and a huge degree of rotation. Also, Boachie likes to use rib material for the fusion itself.

Brirarose, regarding breathing issues: I was told it would take up to two years for full pulmonary function to return, but I am just starting to have dramatic improvement with that after doing a LOT of breathing exercises.

Wishing
04-08-2008, 12:54 PM
Dear Mobee,

I had a 6-7 rib thoracoplasty in 1983 followed by a further 3 rib thoracoplasty in 1987 for severe scoliosis of probably over 100 degrees that resulted in a large right thoracic hump by the age of 16. While sharing my experiences, I would like to say that I am no medical expert, have limited knowledge, but can share my opinions and suggestions based on subjective experience, and the limited material that I've read. There are many major differences in our situations. While looking at your curve pattern in your signature, I see that in your teens your curve was quite mild and probably would not have resulted in a severe deformity at that time. Granted, it may not have seem mild to you, but in my mind, comparitively speaking, it was.
Your curve appears to have progressed gradually after full growth. I would think that your ribs are more displaced by the spinal curve rather that becoming deformed during the growth spurt period of adolescence. I have seen before and after pictures of several people who have had corrections without thoracoplasty on various surgeon's websites together with patient's testimonials. Many of these patient's state and their pictures show that the rib hump was significantly eliminated. Your surgeon is probably right that in correction your curve, the ribs may assume a more normal pattern. I think that with this medical condition that we have, surgery won't make us perfect but can normalize the spine and appearance as much as possible.
I had significant improvement in my rib hump after thoracoplasty, but still have significant deformity. I still have a severe curve of 90 degrees after correction. My thoracic curve is under my right shoulder blade causing it to stick out significantly. After menopause, (I'm 63) I developed breathing problems and my pulmonologist states that the thoracoplasty probably contributed to that. I also had to wear a molded fiberglass brace for 6 months after that surgery which I could not remove to protect my lungs etc. As far as pain goes, I had 14 vertebrae fused at the age of 16 and remember having severe pain at that time. That was when pain control measure are not like what they are today. With the thoracoplasty, I had a lot of pain but not as severe. However, I remember having pain for a longer period of time and when I moved my arms. I also had some numbness which eventually went away. Scoliosis surgeons have learned a lot over the years, and I would recommend seeking out the best scoliosis surgeon you can find and following his advice.
Good luck to you, Mobee, and I wish you the best as you make your decisions.

Mobee211
04-08-2008, 03:28 PM
Thanks everyone. I think my rib hump looks awful, but, by surgical standards my curve is on the lower end of the scale (41 degrees). Maybe just be derotating the spine they can provide a decent correction. Thanks again, you are all great! Wishing-how great was your curve before surgery?

Wishing
04-08-2008, 03:45 PM
Dear Mobee,

Believe it or not, I do not know my actual degree of curvature before my surgery at age 16. I was very naive in those days. It was also in 1962 and no instrumentation, rods etc. were used. I had a plaster cast for a year which crumbled, and I lost a lot of the beautiful correction that was originally obtained. Since then, there are more advanced rods, techniques, surgical equipment etc. Also, in 1983 when I had the 7 rib thoracoplasty, the surgeon attempted a revision of the previous fusion and had to abandon it due to risk.He had difficulty breaking down the old fusion, and refused the vertebra that he worked on. That also is probably why I had the fiberglass cast also to hold the fusion until it healed as there were no rods. I am scheduled to have a revision this June. Many advances have been made in scoliosis surgery since then which I just discovered a year ago.
Take care and the best to you.