Announcement

Collapse
No announcement yet.

Saw Dr Today About Kyphosis

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Saw Dr Today About Kyphosis

    Took my new x-rays to Dr Fry. I saw the report by the radiologist for the first time which acknowledges the kyphososis as well as disc degeneration, etc. The disc issues are due to my arthritis, according to Dr Fry. My original surgery and implementation looks just dandy, but I do have a 68 degree kyphotic curve and he asked what I wanted to do. I said "well, I would like to get it surgically repaired so I can stand/walk upright again without pain." He said he could certainly help me with that, but if I were his wife, he wouldn't want me to go that route. He went on to say that there is a chance that I could get the surgery done and later on the NECK could fall forward--no guarantees. I asked about fusing the neck as well and he said "you'd be stiff as a board!" Hell, I don't know so I just threw it out there. When I asked if it would be a "lesser" surgery than last time he said no. In fact he would remove all the old hardware, and still have to enter the front on my upper chest. I blinked several times taking it all in. "Really?!" I said. I was thinking he could just fix my upper area through the back only as a separate deal, and I would head on home, not only barely worse for the wear, but also straight and happy.
    He suggested I get second opinions from his collegues at UC Davis, one of whom is Dr Grupta. I mentioned Dr M in Reno as suggested by Titatiumed, and he said yes; why not go there first since it's closer and see what he has to say. He said if I decided to move forward with the surgery, he would take more x-rays to let me know the degree of improvment I could expect, but reiterated that he would not have his own wife take this route at this time.
    I am at once relieved yet very disappointed. When he left the room to determine a "value" for my curve, I continued to review the radiologist's report. I was surprised to see that the rad Dr discovered a "possible upper lung nodule" and suggested further evaluation with a CT. WHAT THE....!!!!
    So, I left the office nearly in tears, Dr Fry saying he'd talk with the CT and Dr M folks and have them call me with appts. My head is spinning, but it has been for the last month or so since I decided to venture forth and see what I could do. I really can't imagine going through the massive surgery only to possibly have it not be enough, if I'm lucky enough to survive the damn thing, and have to do it again possibly all the way up my neck. But even more concerning is the possible "thingy" in my lung.
    A very stressful day, and I wanted to let you all know.. and of course, want to hear any and all comments or experiences you are having that might shed some light on any of this.

    Regards,
    Sharon
    Singing the Blues
    Female 1951
    A/P Surgery Oct 13th & 17th '05, from T7-L5, 46 degree curve reduced to 19 degrees. Rib hump almost gone, but I have flatback. Thought it was "normal" and I would improve over time. I developed kyphosis above the surgical area. Had surgery with Dr Menmuir in Reno, Nv on October 13, 2010.
    Today I am still plagued with flatback, and I'm considering ALIF surgery.

  • #2
    Sorry you've had such a rotten day. I hope you get some answers soon.

    Your doctor didn't say exactly what he would recommend for his wife. Was he thinking a more minor surgery/physio, do you think?

    I hope someone with experience in developing kyphosis above the fusion, comes along and helps clarify some points for you. As someone fused to T4, I am interested in this because it could happen to me. I am already checking myself out side-on in the mirror.
    Surgery March 3, 2009 at almost 58, now 63.
    Dr. Askin, Brisbane, Australia
    T4-Pelvis, Posterior only
    Osteotomies and Laminectomies
    Was 68 degrees, now 22 and pain free

    Comment


    • #3
      Originally posted by Sharon C View Post
      I continued to review the radiologist's report. I was surprised to see that the rad Dr discovered a "possible upper lung nodule" and suggested further evaluation with a CT. WHAT THE....!!!!
      Hi. I think this is what is known as an incidental finding.

      When my daughter got an MRI for her scoliosis pre-op, there were two incidental findings which we then had to chase down. We were very wigged out over that on top of the impending surgery. But if I recall correctly, many if not the majority of MRIs show at least one incidental finding. Some, of course, are lucky finds that should be followed up. Some are noted with the note you had out of an abundance of caution.

      I would think a consult with a pulmonologist or thoracic guy might be in order to get a second opinion on the finding.

      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."

      Comment


      • #4
        I know how you feel

        I TOTALLY understand how you feel. I went to the doctor May 5th and left in tears and shock. I never thought I was in that bad of shape but I guess the signs were there. The pain, hunched over, barely able to walk, fatigue, problems breathing...all the signs were there.

        I cannot continue to live like this, and that is why I have my surgeries scheduled.

        Keep in touch and let me know what you decide to do. Praying for you.
        Barb

        11/1976 15th B-day
        Fusion with Harrington Rod, Milw, WI
        T4 to L4
        Pre-Surgery: 76 & 80
        Post-Surgery: 18 & 21

        5/2010 48 yrs old, Thornton, CO
        Flat Back, severe arthritis on bottom, severe pain & can barely walk

        7/13/2010 surgery - anterior
        7/27/2010 surgery - posterior
        8/30/2010 infection in abdomen surgery - 5 in hole
        10/28/2010 infection surgery - bigger hole
        11/03/2010 more infection surgery (18 cm by 14 cm hole), 20 lbs of flesch & tissue removed & wound vac attached

        Comment


        • #5
          Best of luck Barb. Will there be anyone posting how you're doing?
          Surgery March 3, 2009 at almost 58, now 63.
          Dr. Askin, Brisbane, Australia
          T4-Pelvis, Posterior only
          Osteotomies and Laminectomies
          Was 68 degrees, now 22 and pain free

          Comment


          • #6
            Barb,

            A few years ago when I was having trouble with my gallbladder I had an ultrasound which identified a spot on my liver. I also found the mention in the radiology report (my primary care doc didn't even bother to tell me). It wigged me out but after an MRI of the spot turned out to be nothing problematic. Hope your thingy turns out to be similarly inconsequential. Post about what you decide to do about the kyphosis. This seems to be a big issue.

            Thanks & best wishes,
            Evelyn
            age 48
            80* thoracolumbar; 40* thoracic
            Reduced to ~16* thoracolumbar; ~0* thoracic
            Surgery 3/14/12 with Dr. Lenke in St. Louis, T4 to S1 with pelvic fixation
            Broken rods 12/1/19; scheduled for revision fusion L1-L3-4 with Dr. Lenke 2/4/2020
            Not "confused" anymore, but don't know how to change my username.

            Comment


            • #7
              Oops--meant to address that to Sharon, sorry!

              Evelyn
              age 48
              80* thoracolumbar; 40* thoracic
              Reduced to ~16* thoracolumbar; ~0* thoracic
              Surgery 3/14/12 with Dr. Lenke in St. Louis, T4 to S1 with pelvic fixation
              Broken rods 12/1/19; scheduled for revision fusion L1-L3-4 with Dr. Lenke 2/4/2020
              Not "confused" anymore, but don't know how to change my username.

              Comment


              • #8
                Hi - just thought I'd mention I got an 'incidental' finding of a nodule on one of my lungs on a spine CT scan. It had to be investigated and I went to see a pulmonary doctor who could find nothing untoward. So lots of time taken and worry for nothing! I hope your result turns out good.

                Good luck with your 2nd/3rd opinions as well. x

                Comment


                • #9
                  hi Sharon
                  i hope you get several more opinions about your back!
                  i have not had surgery..yet..but i know how much pain discs can cause...mine are currently causing more pain than my curves...which need surgery as well...
                  i also am "particularly hypokyphotic in thoracic spine," but am lucky to have "good overall balance" (per surgeon report)

                  i hope the lung finding comes out to be nothing important once you have a specialist check it out!!

                  jess

                  Comment


                  • #10
                    Sharon,
                    I'm sorry you're going through this extra worry.

                    Barb,
                    Good luck with you upcoming surgery.
                    Karen

                    Surgery-Jan. 5, 2011-Dr. Lenke
                    Fusion T-4-sacrum-2 cages/5 osteotomies
                    70 degree thoracolumbar corrected to 25
                    Rib Hump-GONE!
                    Age-60 at the time of surgery
                    Now 66
                    Avid Golfer & Tap Dancer
                    Retired Kdgn. Teacher

                    See photobucket link for:
                    Video of my 1st Day of Golf Post-Op-3/02/12-Bradenton, FL
                    Before and After Picture of back 1/7/11
                    tap dancing picture at 10 mos. post op 11/11/11-I'm the one on the right.
                    http://s1119.photobucket.com/albums/k630/pottoff2/

                    Comment


                    • #11
                      Dear Sharon,

                      So sorry for this bad news - but don't forget this is just ONE surgeon's opinion, and it's based on what he is confident he personally could do safely.

                      In my experience, surgeon's do not sufficiently stress this in giving "verdicts". To his credit, though, he encouraged you to see others. Let's see what THEY would recommend for THEIR wives!

                      (Still kind of bugs me that this is so much a damsel in distress deal. That is, the patients are predominantly women, the surgeons, ALL male. )

                      For heavens sake, don't neglect to tell them (as per posts here) that you were having symptoms almost immediately after surgery. Sounds a good deal like naptown and her revision to me...

                      Hang in there, then. . "Not over til the fat lady sings", etc. Here meaning, until you get more opinions. Revisions are always more complicated than "virgin" surgeries and require more specialized expertise. The surgeons you consult should be approved (by Linda Racine, if no other) revision surgeons.

                      PS I'll add my name to the chorus of those who had a lung nodule as an incidental finding on review of a chest Xray, It was not only benign - no one afterward could find it on subsequent X-rays!
                      Last edited by Back-out; 07-04-2010, 12:07 PM.
                      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

                      Comment


                      • #12
                        Feeling Better Now...

                        As Always,
                        I feel better after consulting with my crooked friends! Yes, looking up the lung thingy, I find that they are not only common, but mostly benign. Wish I didn't have to spend the big $$ on a CT scan to find out, but there ya go. I really do respect my spine surgeon, and think he has my best interests at heart, but he can't walk in my shoes and feel how I feel from day to day. He definitely wants me to seek other opinions, and I feel even more confident in him for that. I'll see the Reno doc, then perhaps the so-called "deformity" experts at UC Davis. I was going to say forget the whole thing, but how can one forget when one has to stoop over and need a cane just to retrieve the mail? Don't know if I could handle becoming "worse" after a surgery, but don't want to accept that this is it either. I am very blessed in so many ways. I have a wonderful husband and family, and a few good friends who really care. But ultimately, the decision will be mine alone, and I intend to make the best choice possible after getting the best information available to me. Wonder why Doc feels that he needs to remove the old hardware for this new venture? I'll definitely ask that next time, wasn't quick enough on the draw this last time.
                        Thank-you all for your input and expertise! No one knows better than you do!!
                        S
                        Singing the Blues
                        Female 1951
                        A/P Surgery Oct 13th & 17th '05, from T7-L5, 46 degree curve reduced to 19 degrees. Rib hump almost gone, but I have flatback. Thought it was "normal" and I would improve over time. I developed kyphosis above the surgical area. Had surgery with Dr Menmuir in Reno, Nv on October 13, 2010.
                        Today I am still plagued with flatback, and I'm considering ALIF surgery.

                        Comment


                        • #13
                          Barb

                          I am so glad you are going to address your pain and disfigurement. It's been so many years since your first go 'round. I believe you can be helped significantly. I'll be thinking of you and can't wait to hear that your surgery was a smashing (well, maybe not smashing..) success!

                          Warm thoughts,
                          Sharon
                          Singing the Blues
                          Female 1951
                          A/P Surgery Oct 13th & 17th '05, from T7-L5, 46 degree curve reduced to 19 degrees. Rib hump almost gone, but I have flatback. Thought it was "normal" and I would improve over time. I developed kyphosis above the surgical area. Had surgery with Dr Menmuir in Reno, Nv on October 13, 2010.
                          Today I am still plagued with flatback, and I'm considering ALIF surgery.

                          Comment


                          • #14
                            hi Sharon
                            glad that you have had time to take a breath..and another look at all you've had to deal with lately...

                            i really hope there is a surgeon ready and willing to do revision surgery for you...and that you have an excellent outcome...i watch kristy's posts (naptown) to see how her revision healing is going...as well as other revision surgery forum folks...

                            best regards
                            jess

                            Comment


                            • #15
                              Sharon-- I'm sorry about your surgeon's discouraging (that's hardly the right word) words, but agree with others that you should seek others' opinions who have a lot of revision experience. Don't settle for life as it is now without really seeking to find out for sure if there is someone else who can help you. And if there isn't right now, there might be in a few years. Hang onto hope! You might be one of those cases that just needs the right expert-- and you just need to meet up with him somehow!
                              71 and plugging along... but having some problems
                              2007 52° w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
                              5/4/07 posterior fusion T2-L4 w/ laminectomies and osteotomies @L2L3, L3L4
                              Dr. Kim Hammerberg, Rush Univ. Medical Center in Chicago

                              Corrected to 15°
                              CMT (type 2) DX in 2014, progressing
                              10/2018 x-rays - spondylolisthesis at L4/L5 - Dr. DeWald is monitoring

                              Click to view my pics: pics of scoli x-rays digital x-rays, and pics of me

                              Comment

                              Working...
                              X