Results 1 to 15 of 15

Thread: fusing or not

  1. #1
    Join Date
    Dec 2009
    Location
    NC
    Posts
    791

    fusing or not

    I do not know if this is a silly question But can you not fuse?

    Is that a possibility? Is so what happens? I have my first post -op opportment

    tomorrow with my surgeon and it is on my mind. I keep worrying about it and I

    want to know if this is something that I need to worry about

    Thanks

    Melissa

  2. #2
    Join Date
    Jan 2009
    Location
    Ames, Iowa
    Posts
    1,250
    Melissa--Yes, that is possible. That's why everyone has so many restrictions. Also why they want you to walk. I believe that promotes fusing & healing. Also restrictions on tylenol, etc. etc. It can happen but thankfully most fuse! Janet
    Janet

    61 years old--57 for surgery

    Diagnosed in 1965 at age of 13--no brace
    Thoracic Curve: 96 degrees to 35 degrees
    Lumbar Curve: 63 degrees to 5 degrees
    Surgery with Dr. Lenke in St. Louis--March 30, 2009
    T-2 to Pelvis, and hopefully all posterior procedure.

    All was posterior along with 2 cages and 6 osteotomies.

  3. #3
    Join Date
    Nov 2007
    Location
    Houston, TX
    Posts
    1,757
    Quote Originally Posted by Doodles View Post
    Also restrictions on tylenol, etc. etc. It can happen but thankfully most fuse! Janet
    Sorry, Janet, but I just wanted to correct this before anyone freaks out ...

    It's not Tylenol (acetaminophen) that's restricted after surgery.

    Ibuprofen (Advil, Motrin, etc.) - and other NSAIDs like naproxen sodium (Aleve) and aspirin are restricted by some surgeons because they feel it increases the chance of pseudoarthrosis.
    Fusion is NOT the end of the world.
    AIDS Walk Houston 2008 5K @ 33 days post op!


    41, dx'd JIS & Boston braced @ 10
    Pre-op 53, Post-op < 20
    Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


    VIEW MY X-RAYS
    EMAIL ME

  4. #4
    Join Date
    Dec 2009
    Location
    NC
    Posts
    791
    when does your body start fusing after surgery? Will it show at the first X-ray?

    Melissa

  5. #5
    Join Date
    Nov 2007
    Location
    Houston, TX
    Posts
    1,757
    Quote Originally Posted by mbeckoff View Post
    when does your body start fusing after surgery? Will it show at the first X-ray?
    I guess in a literal sense, the inflammatory response kick starts fusion immediately (or very soon after) surgery. It's somewhat debatable when it can actually be seen.

    In my case, evidence of fusion was visible on my 8 weeks post-op x-ray (compared to my 3 weeks one) in the form of a distinct softening of the severe angles on the hardware. Each subsequent x-ray showed more of the same.

    Pseudoarthrosis *does* happen, but it's not extremely (or even "very") common. Try not to worry yourself over it - especially if you haven't been identified in the patients most at risk.

    Pam
    Last edited by txmarinemom; 06-08-2010 at 02:54 PM.
    Fusion is NOT the end of the world.
    AIDS Walk Houston 2008 5K @ 33 days post op!


    41, dx'd JIS & Boston braced @ 10
    Pre-op 53, Post-op < 20
    Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


    VIEW MY X-RAYS
    EMAIL ME

  6. #6
    Join Date
    May 2008
    Location
    Central NJ
    Posts
    1,956
    At my 6 week checkup/appointment, the Dr. said it was too soon too see any fusion. At my 9 month appointment, there were good signs of fusion on the Xrays.
    __________________________________________
    Debbe - 50 yrs old

    Milwalkee Brace 1976 - 79
    Told by Dr. my curve would never progress

    Surgery 10/15/08 in NYC by Dr. Michael Neuwirth
    Pre-Surgury Thorasic: 66 degrees
    Pre-Surgery Lumbar: 66 degrees

    Post-Surgery Thorasic: 34 degrees
    Post-Surgery Lumbar: 22 degrees

  7. #7
    Join Date
    Dec 2009
    Location
    NC
    Posts
    791
    What makes a patient at risk for not fusing?

  8. #8
    Join Date
    Oct 2009
    Location
    PA
    Posts
    798
    txmarinemom
    I guess in a literal sense, the inflammatory response kick starts fusion immediately (or very soon after) surgery.
    Fascinating! That must be why NSAIDs are forbidden.
    Not all diagnosed (still having tests and consults) but so far:
    Ehler-Danlos (hyper-mobility) syndrome, 69 - somehow,
    main curve L Cobb 60, compensating T curve ~ 30
    Flat back, marked lumbar kyphosis (grade?) Spondilolisthesis - everyone gives this a different grade too. Cervical stenosis op'd 3-07, minimally invasive

  9. #9
    Join Date
    Nov 2007
    Location
    Houston, TX
    Posts
    1,757
    Quote Originally Posted by mbeckoff View Post
    What makes a patient at risk for not fusing?
    Here's what the SRS says ...
    Fusion is NOT the end of the world.
    AIDS Walk Houston 2008 5K @ 33 days post op!


    41, dx'd JIS & Boston braced @ 10
    Pre-op 53, Post-op < 20
    Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


    VIEW MY X-RAYS
    EMAIL ME

  10. #10
    Join Date
    Nov 2007
    Location
    Houston, TX
    Posts
    1,757
    Quote Originally Posted by Back-out View Post
    Fascinating! That must be why NSAIDs are forbidden.
    No idea on that. Personally, I wasn't told to avoid NSAIDs - but a lot of people are.
    Fusion is NOT the end of the world.
    AIDS Walk Houston 2008 5K @ 33 days post op!


    41, dx'd JIS & Boston braced @ 10
    Pre-op 53, Post-op < 20
    Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


    VIEW MY X-RAYS
    EMAIL ME

  11. #11
    Join Date
    Oct 2009
    Location
    PA
    Posts
    798
    If the inflammatory response after surgery triggers fusion (and by extrapolation, continues it?), then blocking inflammation must block fusion - at least, the initiaton of it.

    Shame as inflammation also accompanies pain (and I have found, exacerbates it). WHen my back hurts the most, I seem to always have a low fever. Really need my sed rate checked again as well as tests for RF and ANA. Sure hope I don't have a collagen disease complicating things! Was once so dxed.
    Not all diagnosed (still having tests and consults) but so far:
    Ehler-Danlos (hyper-mobility) syndrome, 69 - somehow,
    main curve L Cobb 60, compensating T curve ~ 30
    Flat back, marked lumbar kyphosis (grade?) Spondilolisthesis - everyone gives this a different grade too. Cervical stenosis op'd 3-07, minimally invasive

  12. #12
    Join Date
    Nov 2007
    Location
    Houston, TX
    Posts
    1,757
    Quote Originally Posted by Back-out View Post
    If the inflammatory response after surgery triggers fusion (and by extrapolation, continues it?), then blocking inflammation must block fusion - at least, the initiaton of it.
    Yes, I agree it makes sense in the early stages of fusion.

    That said, the inflammatory response is the first phase of fusion (of healing *any* injury), and I'm not sure how long that phase lasts for this surgery. Fairly early on it would seem, the work has to shift to the reparative and remodeling stages - and I don't know how NSAIDs would affect fusion by reducing inflammation that no longer exists.

    (I hope that was clear enough - LOL ... in re-reading it, it may not even be clear to me! ;-)
    Fusion is NOT the end of the world.
    AIDS Walk Houston 2008 5K @ 33 days post op!


    41, dx'd JIS & Boston braced @ 10
    Pre-op 53, Post-op < 20
    Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


    VIEW MY X-RAYS
    EMAIL ME

  13. #13
    Join Date
    Jan 2009
    Location
    Ames, Iowa
    Posts
    1,250
    Pam--Thanks for correcting me! I knew I wrote that too fast. I'd have been in bad shape with all that Tylenol in my hydrocodone for months. Janet
    Janet

    61 years old--57 for surgery

    Diagnosed in 1965 at age of 13--no brace
    Thoracic Curve: 96 degrees to 35 degrees
    Lumbar Curve: 63 degrees to 5 degrees
    Surgery with Dr. Lenke in St. Louis--March 30, 2009
    T-2 to Pelvis, and hopefully all posterior procedure.

    All was posterior along with 2 cages and 6 osteotomies.

  14. #14
    Join Date
    May 2005
    Location
    Wheeling, WV
    Posts
    1,105
    I think this is an important thread that everyone should read. Great questions, bring great answers. I've always known that this forum is a huge source of intelligent information, from very informed and intelligent people.

    Proud to be here,
    Shari
    Last edited by Shari; 06-09-2010 at 10:41 PM.

  15. #15
    Join Date
    May 2009
    Location
    Adelaide, Australia
    Posts
    424
    Hi all, i just logged on and now i have to quickly go out again, but thought you may be interested in this site, where it talks about some of the things on this site. I was not allowed NSAIDS either after surgery and my surgeon did state that the inflammatory process was needed initially for fusion to commence.

    Site is: www.nsg-online.com

    Catchya soon
    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

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •