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  1. Looks like he's a pediatric surgeon. "Dr....

    Looks like he's a pediatric surgeon.

    "Dr. Asghar spent eight years at Nicklaus Children’s Hospital (formerly, Miami Children’s Hospital). Dr. Asghar completed a fellowship in Pediatric Spine...
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    Huh? I'm totally confused. Not sure what...

    Huh? I'm totally confused.

    Not sure what radiculopathy has to do with the subject, but radiculopathy simply implies a pinched nerve. It can occur before, after, or have nothing to do with...
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    It's all dependent on which vertebra is the...

    It's all dependent on which vertebra is the highest fused level and which vertebra is the lowest fused level, as well as the health of the discs above and below, and how level the vertebra are. Some...
  4. Susan... There are 3D images:...

    Susan...

    There are 3D images:
    https://www.alamy.com/stock-photo-arthritis-of-the-spine-frontal-coloured-3d-computed-tomography-ct-21202567.html

    And, there are 3D printed reconstructions:...
  5. No doubt that 3D models are helpful, especially...

    No doubt that 3D models are helpful, especially in really complex cases. However, I'm betting the vast majority of scoliosis surgeons don't have this technology easily available to them.
  6. Very well said Susan.

    Very well said Susan.
  7. It might also mean that lumbar curves aren't...

    It might also mean that lumbar curves aren't detected until they become painful.
  8. MAY 3D print the spine.

    MAY 3D print the spine.
  9. It makes me sad that anyone thinks that most...

    It makes me sad that anyone thinks that most surgeons aren't open and honest. While I've heard some horror stories about surgeons, I have found that most surgeons are honest.

    As far as spelling...
  10. Not sure why it makes a difference, but I would...

    Not sure why it makes a difference, but I would assume its Chinese patients. For the most part, if you want to know what might happen in your child's case, you're going to have to wait until her...
  11. I totally agree with Pooka. If you want to...

    I totally agree with Pooka. If you want to research surgical outcomes, you should absolutely stay away from chiropractic sites.

    Also, because your child has congenital scoliosis, you should try...
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    Thanks for your note on getting off of narcotics....

    Thanks for your note on getting off of narcotics. I frequently take a lot of crap for my view on being on long-term opiates, but I saw SO many cases of people who were certain that they needed...
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    It was probably more common to see people 10-20...

    It was probably more common to see people 10-20 years post-op than 30-50 years post-op.

    Your question about operating on kids to avoid operations as adults is a good one. However, a very large...
  14. For the record, I am also single, and actually...

    For the record, I am also single, and actually older than Ed. After my 2011 revision surgery, I spent one post-hospital night with a friend, but was too uncomfortable to stay there. I went home,...
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    There are a few very long-term studies that have...

    There are a few very long-term studies that have been published, but the implants and techniques studied are not those in use today, so I'm not sure how appropriate they are in terms of making an...
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    This thread has gotten a bit confusing, as both...

    This thread has gotten a bit confusing, as both pediatric and adult surgery are being discussed.
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    Where did you get that number? I don't think...

    Where did you get that number? I don't think anywhere near 50% of kids fused go on to need revision.

    --Linda
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    I think it is absolutely essential for patients...

    I think it is absolutely essential for patients to be as informed as possible, and I hope most surgeons agree with that. I hope most surgeons aren't quoting revision rates because they're trying to...
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    There are already insurance provider programs...

    There are already insurance provider programs that reward centers with higher reimbursement for tracking follow-up using standardized spine questionnaires. Unfortunately, follow-up is something that...
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    Totally agree that it's a flawed treatment. I...

    Totally agree that it's a flawed treatment. I think we'll eventually find that most kids who have spinal fusion surgery, do not require revision surgery. This is something that's been hard to...
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    Agreed. Studies are great in terms of making a...

    Agreed. Studies are great in terms of making a decision about whether or not to do something. But, it's always important to remember that statistics don't really mean anything in terms of what...
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    Ed... I'm fairly certainly that's almost...

    Ed...

    I'm fairly certainly that's almost exactly opposite of what most, if not all, of the best surgeons would say. For purposes of multi-center studies, infections are never considered a...
  23. Tina... be sure to find out whether each...

    Tina... be sure to find out whether each individual who answers, is fused to the sacrum, and whether or not they have pelvic fixation. Those are far more significant components in terms of function,...
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    That's one of those Catch-22 questions, right? ...

    That's one of those Catch-22 questions, right?

    There's no question that spinal fusion surgery is risky in terms of the necessity for additional surgery. You may hear of younger people having...
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    I don't think there's any formal definition. At...

    I don't think there's any formal definition. At UCSF, we defined it as anything that was in or immediately adjacent to a previous fusion. In the big picture, it doesn't really matter, as what it's...
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