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View Full Version : 50 degrees kyphosis any ideas out there



caliber
12-31-2008, 06:43 PM
I just talked to someone that just had surgery 11 mos ago. He says I should do a signature but I do not know how to do. I tried. I am a 52 female scheduled for surgery 2/11. I do not have any comparison films so I can't see if I am progressing.I have known of my scholisosis since 13, it is congenital. I had films at 21 but no record of them. The ones in Dec. that say 50 degrees kyphosis is all I have. I only have a back ache every 3 wks and I wake up with one daily that a hot shower eliminates. All I take is Aleve and a heating pad on backache night once every 3 wks. I do have to get up to go to the bathroom 5 hrs into my sleep. Am I severe enough for surgery? Will it get worse? Any kyphosis people out there?Do I wait for comparison films in a year or 2 or is it inevitable?

Cherie
scheduled for 2/11
Barnes,Lenke
50 degrees kyphosis
Fusion frontal C7-L1

LindaRacine
12-31-2008, 11:00 PM
Hi Cherie...

50 degrees is on the high end of normal, according to Michael Neuwirth's book, "The Scoliosis Sourcebook. If Dr. Lenke is planning to do an instrumented fusion, I'd certainly want to discuss the pros and cons of it.

Regards,
Linda

Snoopy
01-01-2009, 07:48 AM
Hi Cherie,

Have you gotten a second opinion? I would get at least a second opinion before having surgery.

By the way, I responded to your other post explaining that my then 13 y.o. daughter had surgery to correct her Scoliosis which was about 46* and her Kyphosis which was about 71*. She is now 4 years post-op and doing great!

Mary Lou

lelc2002@yahoo
01-01-2009, 09:00 AM
Hi Cherie,
I believe my kyphosis was about 85 degrees. I had a very big hump, mid section of my back. Since surgery, the hump is gone and now 21/2 yrs out, I am very happy with the outcome. Ly:)

titaniumed
01-02-2009, 10:45 AM
Guys

I was just wondering, 50 degrees is on the high end of normal, what is the normal kyphotic curve?

Lets say. if the normal kyphotic curve is 35 degrees. and you are 50 degrees then your out 15 degrees from normal.

In a coronal view with scoliosis, a 15 degree sounds pretty good to me, especially with 2 70 degree curves.

If the normal scoliotic curve is 10 degrees, 15 degrees would only be out 5 degrees from normal.

Thanx
Ed

leahdragonfly
01-02-2009, 03:22 PM
Hi,

I think you got some good advice above about at least one second opinion. In regards to Ed's post, I believe normal kyphosis is considered to be 20-45 degrees or so. So it is unclear from your post what prompted you to consider surgery, since you say the pain/discomfort is pretty mild usually.

If it were me considering a huge surgery like this, I would keep in mind that many surgeons will offer surgery based simply on abnormal x-ray findings. It seems like they leave it up to you to determine if you are ready for surgery or really need surgery at the present time. If you didn't know about the abnormal x-ray, and had only the relatively mild-sounding back pain, would you consider surgery? In the absence of documented progression, only you can decide what your goal for the surgery is, and decide if it's time or not. It doesn't sound to me like an urgent situation based on the info you gave in your post, especially since you are now expressing doubts. Perhaps you will consider postponing surgery until you can give it some more thought, decide what you expect to accomplish from having surgery now, and explore at least one second opinion from a very experienced spinal deformity surgeon. And this might give you time to determine if there is progression or not.

Take care and good luck,

LindaRacine
01-02-2009, 10:21 PM
Guys

I was just wondering, 50 degrees is on the high end of normal, what is the normal kyphotic curve?

Lets say. if the normal kyphotic curve is 35 degrees. and you are 50 degrees then your out 15 degrees from normal.

In a coronal view with scoliosis, a 15 degree sounds pretty good to me, especially with 2 70 degree curves.

If the normal scoliotic curve is 10 degrees, 15 degrees would only be out 5 degrees from normal.

Thanx
Ed
According to Michael Neuwirth, "kyphosis ... should range from 20 to 50 degrees."

titaniumed
01-03-2009, 12:28 AM
Thx Linda

20-50 degrees is quite a range. 30 degrees total deviation.

And what are the stats on lordosis?

Thx
Ed