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  1. #1
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    Question Results from MRI

    Hey, I just joined this forum a couple of months ago and have been looking through all of the advice and information posted here=) I never wrote anything up until now because I was diagnosed with scoliosis at the age of 15 and was told it was not severe enough to do anything for it, at the time i was pain free.

    I'm now 27 and have had sciatic pain for the past 6 or 7 years. I never really complained about it until recently though, and was given anti-inflammatory, muscle relaxants and percocet to deal with the pain when it comes. I went to an osteopath as well as a orthopedic doctor to get insoles.

    Finally my doctor decided to get an MRI done and I now know a bit more about what is going on with my spine. Although i don't really understand some of the medical terms that well:

    my L2/L3 has very mild diffuse circumferential bulge of the disc, facet O.A. no spinal or foraminal stenosis

    My L4/L5 mild diffuse circumferential bulge of the disc with some flattening of the sac. Mild central spinal stenosis. Severe foraminal stenosis. Right foramen is normal, facet O.A.

    and finally my L5/S1 posteromedical tear in the annulus fibrosis. Broadbase diffuse posterior disc bulge centered posteomedially coming in contact with the sac without causing mass effect. No mass effect on the nerve roots. Facet O.A. Mild central spinal stenosis. Severe bilaterial foraminal stenosis, more prominent on the left. Scoliosis convex to the left.

    My Doctor is trying to push me ahead of the waiting lists to see a Neuro Surgeon for a consultation. Just wondering what you guys think....

    I know my scoliosis is not half as bad as the majority of people here, but I was wondering if anyone has the same type of problems as me with their spines and Facets and who have gone the non-surgical route?

  2. #2
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    Hey great post. I hope you get some responses.

    I was curious as to what your Cobb angle was at 15 when your curve was too small to treat and what it is now. It seems like folks with sub-surgical curves sometimes go on to need treatment as young adults either for progression or pain which is not the paradigm you hear from surgeons.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


    "We are all African."

  3. #3
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    it was so long ago.. I think it was around 20 degrees or 21 or something. They said it was too small for surgery and that I had already stopped growing so a brace would do no help. I personally lay blame on my pediatrician who never checked my spine to begin with. It was only once I got my own GP and she did x-rays of my lungs because of Bronchitis that she saw the scoliosis.

    At the moment I have no idea what the curvature is. The MRI technicians didn't calculate it and they didn't give my Doctor the images, just their report. I will be finding out soon enough though since I need to get a copy of the images for the neuro surgeons. It's true you know, no one ever did a follow up. They never tell you that this is something that can worsen horribly as you age.
    Last edited by nell; 06-01-2010 at 03:16 PM.

  4. #4
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    I think your case is illustrative of the need for surgeons to continue observation of people even with small curves such as 20*. Though you still may be sub-surgical, it is possible some conservative treatments could have helped you and maybe have avoided your getting to the point of having damage to your lower spine. I don't know.

    I'm just saying this paradigm of making it to maturity at a subsurgical angle so as to avoid surgery in the future is looking more and more suspect. The reason it matters is my one kid was given a brace in the 30* to try to keep her below 50* and thereby avoid surgery in her life for scoliosis. I have no confidence she would have avoided surgery for some reason even if the brace held her in the mid 30*s. In other words, the brace was a complete waste of time in my opinion.

    Good luck.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


    "We are all African."

  5. #5
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    Pooka1,

    I know you have probably heard this story from many people, but it addresses your question. I wore a Boston brace for two years in 8th & 9th grade. My curve went down to 8 degrees. They took it off and it just gradually crept back up to now 67 degrees at age 38.

    I had gone to a doc just before graduating college who said at 33 degrees I would never need surgery nor future appts. Unfortunately now I am looking at surgery. I do view the brace as sort of a waste of time and wonder if I hadn't worn it if maybe I just would have gotten the surgery over with in high school. On the other hand the technology is much better now. Hope your daughter never needs surgery!

    Evelyn
    age 44
    80* thoracolumbar; 40* thoracic
    Reduced to ~16* thoracolumbar; ~0* thoracic
    Surgery 3/14/12 with Dr. Lenke, T4 to S1 with pelvic fixation
    Not "confused" anymore, but don't know how to change my username.

  6. #6
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    Quote Originally Posted by Confusedmom View Post
    Pooka1,

    I know you have probably heard this story from many people, but it addresses your question. I wore a Boston brace for two years in 8th & 9th grade. My curve went down to 8 degrees. They took it off and it just gradually crept back up to now 67 degrees at age 38.

    I had gone to a doc just before graduating college who said at 33 degrees I would never need surgery nor future appts. Unfortunately now I am looking at surgery. I do view the brace as sort of a waste of time and wonder if I hadn't worn it if maybe I just would have gotten the surgery over with in high school. On the other hand the technology is much better now. Hope your daughter never needs surgery!

    Evelyn
    Wow thanks for posting that testimonial.

    You went from 33* at he end of college to a 67* at 38. That might be a record for progression after skeletal maturity from a clearly subsurgical curve. Of course you are correct that the instrumentation now is better than 16 years ago so that's in your great favor.

    There are about 8 now that I can recall of people who were clearly sub-surgical and in some cases very sub-surgical at maturity who nevertheless progressed to surgery territory as young adults. I realize this is not a good cross-section and people come on here who are having further trouble. Maybe the vast majority of folks in the 30* range at maturity in fact never need spinal fusion for progression. But I question how many need it for ancillary damage at far younger ages than the general population. Who knows. I just find the situation curious.

    As for my kids, they are both fused. They have some connective tissue disorder which makes the brace for the one kid even more questionable as far as I can tell. That was a failed experiment if ever there was one in my opinion.

    Good luck.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


    "We are all African."

  7. #7
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    Quote Originally Posted by Confusedmom View Post
    Pooka1,

    I know you have probably heard this story from many people, but it addresses your question. I wore a Boston brace for two years in 8th & 9th grade. My curve went down to 8 degrees. They took it off and it just gradually crept back up to now 67 degrees at age 38.

    I had gone to a doc just before graduating college who said at 33 degrees I would never need surgery nor future appts. Unfortunately now I am looking at surgery.

    Evelyn
    Can I just ask you if your surgeon now is absolutely dumbfounded over your 34* progression from a very subsurgical curve at maturity in only 16 years? What did he say?

    We have another case where the surgeon didn't seem to think that it at all odd. I can tell you this is not what surgeons are telling kids as far as I can tell. We were told if the curve could be held to a sub-surgical level at maturity they she would not need fusion. Of course that was looking less and less likely as these testimonials pile up.

    Amazing. I don't understand why bracing is ever done.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


    "We are all African."

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