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  1. Replies
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    Hi... Not sure it's dilaudid. I think...

    Hi...

    Not sure it's dilaudid. I think insomnia is REALLY REALLY common for awhile during recovery from big surgeries. It could be pain medication, or it could just be all the chemicals in your...
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    Hi... Ibuprofen is an anti-inflammatory. ...

    Hi...

    Ibuprofen is an anti-inflammatory. Research has shown that anti-inflammatory medication inhibits fusion. I searched yesterday, when I saw your post, and couldn't find anything new on the...
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    If you get a chance, would you ask your surgeon...

    If you get a chance, would you ask your surgeon for a reference on this? I can't remember ever hearing that a surgeon gave approval for ibuprofen before the 3 to 6 month postop mark.
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    There have been plenty of studies showing that...

    There have been plenty of studies showing that Schroth works in the short term. There hasn't, however, ever been a long-term follow-up study. If you're the type of person who can spend a...
  5. For the record, my comments were specifically...

    For the record, my comments were specifically about fusing to L4, since that's where the conversation started. Fusing to T12 or L1 is a completely different animal.

    --Linda
  6. I'm totally confused about both statements. Are...

    I'm totally confused about both statements. Are you saying that having a straighter spine saves levels? I've always thought it was balance. That is, if the curve is balanced, with the LIV being as...
  7. I don't think the amount of correction has any...

    I don't think the amount of correction has any affect on the risk of distal degeneration. The one thing that reduces risk in long fusions is a level LIV.

    --Linda
  8. Hi Jana... I think the risk is significant,...

    Hi Jana...

    I think the risk is significant, but I can't tell you the percentage. You might want to ask Dr. Mundis, as he's done a huge amount of research, and probably has at least an educated...
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    Sounds great Jana. So glad to hear that you're...

    Sounds great Jana. So glad to hear that you're feeling a lot better. That 6 week mark is definitely a big mile marker!

    --Linda
  10. Agree, definitely weird. A 10-25 pound weight...

    Agree, definitely weird. A 10-25 pound weight loss isn't at all uncommon. It seems to me that the only time I hear people saying they didn't have a weight loss was when they had a lot of fluid...
  11. I've spent a lot of time, communicating with...

    I've spent a lot of time, communicating with patients blindly believing, and making claims for almost all of the treatments mentioned. It sort of makes me feel nauseated, when I think of all that...
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    Must have confused her with someone else. Thanks.

    Must have confused her with someone else. Thanks.
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    Hi Misty... Congratulations on making the big...

    Hi Misty...

    Congratulations on making the big decision. It sounds like you're confident that it's the right thing, and that's one of the few things we can do to contribute to a good outcome.
    ...
  14. I knew this paper existed, but had never seen it...

    I knew this paper existed, but had never seen it previously. Good stuff.
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    A surgeon invented the Spinecor brace.

    A surgeon invented the Spinecor brace.
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    L1-5 is still not a 3 week recovery. The length...

    L1-5 is still not a 3 week recovery. The length of the fusion makes a difference in terms of flexibility after recovery, but recovery from 4 levels isn't really very different from recovery with 14...
  17. Sorry, those questions are way too specific. ...

    Sorry, those questions are way too specific.

    At 5 months, your fusions should be well on their way. My recommendation would be to not obsess about it. You can have non-union problems as early...
  18. Jana... I think you'll find that you'll make...

    Jana...

    I think you'll find that you'll make significant progress by the time you're 6 weeks postop. Hang in there. This is a tough time.

    --Linda
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    Hi... So sorry that things continue to worsen....

    Hi...

    So sorry that things continue to worsen. Life is truly not fair.

    We often see patients who are truly too sick to undergo a long fusion, and occasionally find a way to do something small...
  20. I work in the UCSF Spine Center, and have chart...

    I work in the UCSF Spine Center, and have chart reviewed literally thousands of surgery notes. I can't remember ever reading a note for a fusion surgery where local bone wasn't utilized.

    What...
  21. This occurs in all spinal fusion surgeries. In...

    This occurs in all spinal fusion surgeries. In some cases, there's not enough "local bone", so the surgeon uses other allograft or autograft or other substitutes to supplement.

    --Linda
  22. It depends on the patient, and what they have...

    It depends on the patient, and what they have done, but at UCSF, most restrictions are lifted between 3-6 months postop.
  23. With a T3-10 fusion, you will probably find that...

    With a T3-10 fusion, you will probably find that you have no restrictions. There is relatively little bending that goes on in the thoracic spine.
  24. Since you're not fused into the lumbar spine,...

    Since you're not fused into the lumbar spine, once post-surgery restrictions have been lifted, you should have absolutely no difficulty performing any of those tasks.
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    Ed... I think cervical corpectomies are more...

    Ed...

    I think cervical corpectomies are more common than thoracic or lumbar corpectomies, but all types definitely exist. I don't think that the removal of endplates (which is a fairly common...
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