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  • harrington rods still in use?

    i just spoke to a friend of mine who some major back issues and after 6 failed surgeries they ended up putting harrington rods in in order to stabilize her spine. she said none of the other methods would fuse with her spine. i thought they stopped using them so it was a big surprise to me. can anyone enlighten me about it?
    avis
    1987 Lumbar Laminectomy (forget which levels)
    2005 A/P fusion, L2 - L5, 2/2005
    2009 2 Posterior fusions, T6 - Pelvis, 2/10 & 2/18,
    Dr. Frank Rand, NEBH

  • #2
    I think some people (incorrectly) use the term "Harrington rods" to mean rods, period. It makes it confusing. Maybe someone else knows more about it though...
    71 and plugging along... but having some problems
    2007 52° w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
    5/4/07 posterior fusion T2-L4 w/ laminectomies and osteotomies @L2L3, L3L4
    Dr. Kim Hammerberg, Rush Univ. Medical Center in Chicago

    Corrected to 15°
    CMT (type 2) DX in 2014, progressing
    10/2018 x-rays - spondylolisthesis at L4/L5 - Dr. DeWald is monitoring

    Click to view my pics: pics of scoli x-rays digital x-rays, and pics of me

    Comment


    • #3
      Originally posted by Susie*Bee View Post
      I think some people (incorrectly) use the term "Harrington rods" to mean rods, period. It makes it confusing. Maybe someone else knows more about it though...
      I don't believe "Harrington" rods (from here in Houston, BTW ... by Paul Harrington and Jesse Dickson -the latter, my surgeons's ex partner before retirement) are used *anywhere* but 3rd world countries.

      If anyone offers them to you in a developed country? RUN.
      Fusion is NOT the end of the world.
      AIDS Walk Houston 2008 5K @ 33 days post op!


      41, dx'd JIS & Boston braced @ 10
      Pre-op ±53°, Post-op < 20°
      Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


      VIEW MY X-RAYS
      EMAIL ME

      Comment


      • #4
        So what type of rods do they use now? Do they still use Luque rods like mine? Or are those gone the way of the dodo too?

        Brad
        Surgeries July 26th & August 3rd 1983 (12 years old)
        Still have 57 degree curve
        2 Harrington rods
        Luque method used
        Dr David Bradford
        Twin Cities Scoliosis Center
        Preop xray (with brace on)
        Postop xray

        Comment


        • #5
          I have Isola rods secured in place with pedicle screws. I am pain free.
          Original scoliosis surgery 1956 T-4 to L-2 ~100 degree thoracic (triple)curves at age 14. NO hardware-lost correction.
          Anterior/posterior revision T-4 to Sacrum in 2002, age 60, by Dr. Boachie-Adjei @Hospital for Special Surgery, NY = 50% correction

          Comment


          • #6
            Hi...

            The vast majority of posterior implants systems used for scoliosis are termed as "universal" implants. They all act pretty much the same way, with the differences being in the screws and/or hooks that attach the rods to the spine.

            I've been told that, while Harrington rods aren't normally used for scoliosis surgeries in the U.S., there are actually times when they are the appropriate choice. They are in wide use in India, where they're being manufactured very inexpensively (yikes!).

            --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


            • #7
              thanks everyone for the replies. i just know that if they told me they were going to use harrington rods on me, i would probably bolt.
              avis
              Last edited by theizzard; 11-12-2008, 06:06 AM.
              1987 Lumbar Laminectomy (forget which levels)
              2005 A/P fusion, L2 - L5, 2/2005
              2009 2 Posterior fusions, T6 - Pelvis, 2/10 & 2/18,
              Dr. Frank Rand, NEBH

              Comment


              • #8
                Originally posted by LindaRacine View Post
                ... I've been told that, while Harrington rods aren't normally used for scoliosis surgeries in the U.S., there are actually times when they are the appropriate choice. They are in wide use in India, where they're being manufactured very inexpensively (yikes!).
                Linda, out of curiousity, under what circumstances would they ever be the appropriate choice? With the availability and success of modern segmental hardware, and the propensity of Harrington instrumentation to cause flatback,(even with the addition of Luque wires to assist in maintaining lordosis - which didn't help all that much) the option just seems sort of medieval, you know?

                My curiousity really IS piqued now ... I'm going to have to do some reading.

                Not like they weren't bad enough before (although the best option available - vs. NO hardware - when they debuted in the 50's), but can you imagine the QA on them now under the current manufacturing conditions?? Yikes, indeed!

                I'd be very concerned to have a doctor offer them ...

                Regards,
                Pam
                Fusion is NOT the end of the world.
                AIDS Walk Houston 2008 5K @ 33 days post op!


                41, dx'd JIS & Boston braced @ 10
                Pre-op ±53°, Post-op < 20°
                Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


                VIEW MY X-RAYS
                EMAIL ME

                Comment


                • #9
                  Originally posted by txmarinemom View Post
                  and the propensity of Harrington instrumentation to cause flatback,(even with the addition of Luque wires to assist in maintaining lordosis - which didn't help all that much) the option just seems sort of medieval, you know?

                  My curiousity really IS piqued now ... I'm going to have to do some reading.
                  Ok, now my curiousity is REALLY piqued now...

                  I've always been told I have Luque rods, so is luque just the using of wires, or is it also the type of rods? I have the wires, but are the rods luque or harrington or what?

                  I'm so confused...

                  Brad
                  Surgeries July 26th & August 3rd 1983 (12 years old)
                  Still have 57 degree curve
                  2 Harrington rods
                  Luque method used
                  Dr David Bradford
                  Twin Cities Scoliosis Center
                  Preop xray (with brace on)
                  Postop xray

                  Comment


                  • #10
                    Brad...

                    Luque rods are Harrington rods that are attached to the spine with wires instead of hooks.

                    Pam, I don't really have a clue about when Harrington rods might be appropriate, but if you want to check, I think it was John Pierre Farcy who mentioned it to me.

                    --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


                    • #11
                      It wasn't Farcy, it was Francis Denis (mixed up the French names).

                      He states "I may still occasionally use a combination of Harrington rod and Luque wires to correct the most severe thoracic lordosis deformities where the bendability of the third generation rods does not allow as much correction as the combination of Harrington and Luque wire."

                      --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


                      • #12
                        here is a link, scroll down


                        http://images.google.com/imgres?imgu...%3Den%26sa%3DN
                        49 yr old male, now 63, the new 64...
                        Pre surgery curves T70,L70
                        ALIF/PSA T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
                        Dr Brett Menmuir St Marys Hospital Reno,Nevada

                        Bending and twisting pics after full fusion
                        http://www.scoliosis.org/forum/showt...on.&highlight=

                        My x-rays
                        http://www.scoliosis.org/forum/attac...2&d=1228779214

                        http://www.scoliosis.org/forum/attac...3&d=1228779258

                        Comment


                        • #13
                          Dr harrington and drawings

                          http://images.google.com/imgres?imgu...%3Den%26sa%3DN
                          49 yr old male, now 63, the new 64...
                          Pre surgery curves T70,L70
                          ALIF/PSA T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
                          Dr Brett Menmuir St Marys Hospital Reno,Nevada

                          Bending and twisting pics after full fusion
                          http://www.scoliosis.org/forum/showt...on.&highlight=

                          My x-rays
                          http://www.scoliosis.org/forum/attac...2&d=1228779214

                          http://www.scoliosis.org/forum/attac...3&d=1228779258

                          Comment


                          • #14
                            dr nuzzos site

                            This is a great site. Look at everything!!!!!!!
                            He would have been my Dr back in the late 70s but I chickened out.
                            Tons of info here, quite the man!






                            http://images.google.com/imgres?imgu...US266%26sa%3DN
                            Last edited by titaniumed; 11-13-2008, 12:00 AM.
                            49 yr old male, now 63, the new 64...
                            Pre surgery curves T70,L70
                            ALIF/PSA T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
                            Dr Brett Menmuir St Marys Hospital Reno,Nevada

                            Bending and twisting pics after full fusion
                            http://www.scoliosis.org/forum/showt...on.&highlight=

                            My x-rays
                            http://www.scoliosis.org/forum/attac...2&d=1228779214

                            http://www.scoliosis.org/forum/attac...3&d=1228779258

                            Comment


                            • #15
                              Thanks Linda and Ed for the info. I understand what happened to me a bit more now.

                              Wow. After 25 years I am starting to see the light.

                              Brad
                              Surgeries July 26th & August 3rd 1983 (12 years old)
                              Still have 57 degree curve
                              2 Harrington rods
                              Luque method used
                              Dr David Bradford
                              Twin Cities Scoliosis Center
                              Preop xray (with brace on)
                              Postop xray

                              Comment

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