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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...
  8. 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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    I'm sure it varies by surgeon. At UCSF, I think...

    I'm sure it varies by surgeon. At UCSF, I think it's protocol to get a CT scan if the patient has any radiculopathy (arm or leg pain).
  12. Glad to hear from you. I just thought about you...

    Glad to hear from you. I just thought about you on Saturday, and was going to try to make the effort to contact you again. Sorry to hear that things aren't really all that much better.

    --L
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    Iíve heard many surgeons state that spinal...

    Iíve heard many surgeons state that spinal fusions actually protect against trauma.
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    It could also be PLIFs. TLIF:...

    It could also be PLIFs.

    TLIF:
    https://www.spine-health.com/video/transforaminal-lumbar-interbody-fusion-tlif-video

    PLIF:...
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    I have the same balance issue. Iíve always...

    I have the same balance issue. Iíve always suspected that it had something to do with oneís center of balance being altered. I was once on an airport train shuttle that came to a rather sudden stop....
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    Yes, it sounds like you have TLIFs. Dr. Lenke...

    Yes, it sounds like you have TLIFs. Dr. Lenke used that technique frequently.
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    Agree with Sharon. This is probably totally junk...

    Agree with Sharon. This is probably totally junk science.
  18. Hi... Welcome to the forum. I'm not sure...

    Hi...

    Welcome to the forum. I'm not sure you'll find a lot of other young adults on here, but you never know.

    VBT on adults is still very rare. The only surgeons I've heard even considering...
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    At this point, it doesn't matter all that much...

    At this point, it doesn't matter all that much who you'll see, as the importance is getting a diagnosis. If you need surgery, research will be of much more importance. Buckland is Australian, and...
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    Hi Jamie... It is possible, but I wouldnít...

    Hi Jamie...

    It is possible, but I wouldnít draw that conclusion yet. I think itís a good idea to see one of Dr Erricoís partners, and have X-rays taken.

    Linda
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    The effects of radiation are cumulative, and...

    The effects of radiation are cumulative, and actually should be considered in healthcare decisions.

    https://www.ncbi.nlm.nih.gov/pubmed/31053308
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    All the additional implants and BMP add...

    All the additional implants and BMP add significantly to the cost of surgery (probably somewhere in the neighborhood of an additional $100K+). Also, there is a risk of cancer with BMP, so most...
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    CT is definitely gold standard for determining...

    CT is definitely gold standard for determining fusion, though not even that is always accurate. They don't routinely do CTs because of their cost and the amount of radiation exposure to a population...
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    Never heard of that happening, but thereís always...

    Never heard of that happening, but thereís always a possibility. Most times, the rods donít move very much, as theyíre usually anchored on one end. If a rod were to come loose if the construct,...
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    Ed.... I honestly think it's the paperclip...

    Ed....

    I honestly think it's the paperclip thing. You never know if/when that paperclip will break. Sometimes it break after 3 or 4 bends and other times it might take a dozen bends. I've heard...
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