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  1. Hi... When we look at MRIs and CTs, I often...

    Hi...

    When we look at MRIs and CTs, I often hear that a level looks fused or not fused, but I hear it only rarely when viewing xrays. Everyone is different, and as far as I know, the average is 1...
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    You actually can see bone growth on many...

    You actually can see bone growth on many radiographs, but as you indicated, you can't really tell if a fusion is solid by looking at one.
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    We don't actually track ICBG, as it's not a...

    We don't actually track ICBG, as it's not a billable procedure (all systems and data are based on what's billable, unfortunately). I know I've seen it in notes occasionally, but I can't tell you how...
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    As always, I would choose a surgeon I felt I...

    As always, I would choose a surgeon I felt I could trust, and if the surgeon felt that I needed ICBG, I'd go along. :-)
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    Surgeons are still using ICBG in some situations,...

    Surgeons are still using ICBG in some situations, for spine surgeries as well as other types of surgery. When they can't get enough local bone, and there is concern that the patient won't fuse, the...
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    Hi Gayle... Sorry to hear that you're headed...

    Hi Gayle...

    Sorry to hear that you're headed for more surgery, but at least you now know the cause, and are hopefully going to be out of pain soon. If your CT is scheduled for before you see Dr....
  7. Hi... Ed's list is pretty thorough, through I...

    Hi...

    Ed's list is pretty thorough, through I would definitely add Washington University in St. Louis. ...
  8. I think most of us can't even imagine the terror...

    I think most of us can't even imagine the terror of not being able to move our legs. I hope you eventually start to forget those moments.

    ---Linda
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    Hi Gayle... I'm really sorry to hear that...

    Hi Gayle...

    I'm really sorry to hear that you're experiencing pain once again. I hope it's temporary. I remember seeing some advanced imaging of what clearly looked like a crack in the fusion...
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    Welcome George, and congratulations on the fast...

    Welcome George, and congratulations on the fast recovery. Keep up the good work!

    --Linda
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    Hi... Thanks! I think that if the doctor...

    Hi...

    Thanks!

    I think that if the doctor didn't get the steroid to the problem area, they would have mentioned it. If it was done under fluoroscopy, they pretty much know exactly where it...
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    Good point Melissa. Thanks for the support...

    Good point Melissa.

    Thanks for the support everyone, both publicly and through PM. Now, back to our regularly scheduled program.
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    So, only MDs can read a radiograph? Please...

    So, only MDs can read a radiograph?

    Please reread m posts that you mentioned above (but did not quote). I never said that bone always progresses microscopically after implant removal. What I...
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    I was asked to moderate this forum by the...

    I was asked to moderate this forum by the National Scoliosis Foundation because of the thousands of hours I spent helping people on a previous listserv. I am not paid to do this, nor have I ever...
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    Jackie... Glad to hear that you're feeling like...

    Jackie... Glad to hear that you're feeling like you finally have some understanding. I can honestly say I've never heard of anything like it before. I wonder if your surgeon is thinking of...
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    Would you please point us all to the place where...

    Would you please point us all to the place where I said that all people with hardware removal will revert back?
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    So, when you encourage someone to have their...

    So, when you encourage someone to have their implants removed, that's an opinion. And, when I post a study showing that some people have had their curves increase after they have their implants...
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    Yes, though I've worked on dozens of papers, I'm...

    Yes, though I've worked on dozens of papers, I'm only an author on one. Search Pubmed for proximal junctional kyphosis and racine.
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    Unless it's a case study, studies NEVER apply to...

    Unless it's a case study, studies NEVER apply to all.

    And, are you joking that I'm just here as a moderator?
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    I am a researcher in a very busy complex spine...

    I am a researcher in a very busy complex spine center, and I do talk to patients every day. I am also fused from T4-S1. So, although I'm certain I'm not the only one in the world, I have a rather...
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    Unless there's something wrong with the implants,...

    Unless there's something wrong with the implants, you can't progress within the fusion area. You can, however, progress above the fusion. Try not to stress about it. You'll know for certain in a...
  22. By the way, if it is broken, it's placement...

    By the way, if it is broken, it's placement doesn't surprise me. It's hard to tell without a lateral, but I think the area of concern is right over the SI joint, which is very typical.

    And,...
  23. Did Dr. Hart confirm that the screw is broken? ...

    Did Dr. Hart confirm that the screw is broken? Note that the other screw (on the left) looks somewhat the same. I was wondering if it's something like this:
    ...
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    I'm not an engineer, so it's impossible for me to...

    I'm not an engineer, so it's impossible for me to know the answer, but I suspect they'll find that these implants break when used in deformity patients.

    I'm not clear what you mean by "in those...
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    Implants can be removed many years after surgery,...

    Implants can be removed many years after surgery, as long as there's not a lot of bony overgrowth. If the implants are really buried, I think it's generally not advisable to remove any implants that...
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