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Thread: Questions about a loose screw

  1. #1
    Join Date
    Jan 2009
    Location
    Indianapolis, IN
    Posts
    106

    Questions about a loose screw

    At my 6-month checkup my doctor mentioned that I had a loose screw (no, not a "screw loose", but a lumbar pedical screw that was loose ). He said it was on my lower left side and that it was not unusual for a screw to fail down low if the bone is not strong enough for it. He had noticed it at my 2 month checkup and said it had not changed in the xrays. I have had no pain or problems associated with it. I was surprised but not worried because I have no problems.

    I have started wondering what the future may hold. I have read on this forum about people who have lots of issues with loose screws, usually requiring revision surgery. Has anyone had a loose screw that DID NOT eventually cause a problem?

    Sheri
    At age 56 my curves measured: 48/60/30 with lots of rotation and getting worse
    Posterior fusion T5-L4 June 30, 2009
    Excellent correction

  2. #2
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,797
    Hi Sheri...

    I think loose screws often mean that there's an area of non fusion. If that's the case, and you need more surgery, it would actually be a fairly easy surgery, especially in comparison to your first surgery. Since you don't have any pain in that area, however, it could mean absolutely nothing. Hope that's the case.

    Regards,
    Linda

  3. #3
    Join Date
    May 2009
    Location
    Adelaide, Australia
    Posts
    424
    Hi Sheri, at my 5 month post-op appt, my xray showed that one on my screws at L5/S1 was probably loose. Dr H said he was not concerned at all because there appeared to be good bone growth (something to that effect) at anterior L4/5-L5/S1 and that this wouldn't affect the outcome. I have had no issues in regards to this (although an incident this week had me worried - chances of damaging hardware thread)and i hope that this remains the case. I looke at it this way, if it doesn't bother my surgeon, i won't let it bother me!
    Vali
    44 years young! now 45
    Surgery - June 1st, 2009
    Dr David Hall - Adelaide Spine Clinic
    St. Andrews Hospital, Adelaide, South Australia
    Pre-op curve - 58 degree lumbar
    Post -op - 5 degrees
    T11 - S1 Posterior
    L4/5 - L5/S1 Anterior Fusion

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