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Thread: pelvic fixation--separate incision or same?

  1. #1
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    pelvic fixation--separate incision or same?

    I am just wondering, for those that have lumbar fusions all the way down with pelvic fixation, do you have just a long midline incision, or is/are there separate incisions for the pelvic fixation? I read somewhere that it required additional incision(s).

    I will of course ask my doctor, too, but for today, I am curious.

    Thanks,

    Gayle
    Gayle, age 49
    Oct 2010 fusion T8-sacrum w/ pelvic fixation
    Feb 2012 lumbar revision for broken rods @ L2-3-4
    Sept 2015 major lumbar A/P revision for broken rods @ L5-S1


    mom of Leah, 15 y/o, Diagnosed '08 with 26* T JIS (age 6)
    5/10 VBS Dr Luhmann Shriners St Louis
    5/16 6 yrs post-op, 24*T/ 22* L, mild increase in curves, watching

    also mom of Torrey, 12 y/o son, 16* T, stable

  2. #2
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    Hi Gayle...

    I've never heard of a separate incision for pelvic fixation, and as far as I know, it's never been done that way at UCSF.

    Regards,
    Linda

  3. #3
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    Gayle

    I have a long anterior incision or scar from my sternum down the front in the center, with a detour around my belly button.

    Access down low is best from the front.

    Sometimes, they will do a horizontal cut on the waistline.

    Lynette had a T10-Pelvis A/P done in April.
    Ed
    49 yr old male, now 58, the new 53...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  4. #4
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    Quote Originally Posted by titaniumed View Post

    Access down low is best from the front.
    Ed
    Huh?
    .
    .
    .
    .
    .
    .

  5. #5
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    I have pelvic fixation but my surgery was wholely posterior. I have one long line down as far as my bum-crack, for want of a better word.
    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

  6. #6
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    Aha! I know the more technical words for it... gluteal cleft. But they both get the point across. (I googled it one time.)
    66 and still heartbroken...
    2007 52 w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
    5/4/07 posterior spinal fusion T2-L4 w/ laminectomies and osteotomies @L2L3, L3L4
    Dr. Kim Hammerberg, Rush Univ. Medical Center in Chicago

    Corrected to 15
    2014 DXd w/CMT (type 2)

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

  7. #7
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    Quote Originally Posted by Susie*Bee View Post
    Aha! I know the more technical words for it... gluteal cleft. But they both get the point across. (I googled it one time.)
    That one STILL cracks me up!!
    __________________________________________
    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

  8. #8
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    Sorry
    I guess I get the post of the month award for that, low meaning lower or lowest vertebrae. L5-S1

    It was one of my fastest posts, done at work. I was thinking 2 stage for some reason.

    Gayle, you might be thinking about a separate incision used to get bone from the pelvis for grafting.
    Ed
    49 yr old male, now 58, the new 53...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  9. #9
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    Thanks Susie and Debbe, for that far more elegantterm!
    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

  10. #10
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    Quote Originally Posted by titaniumed View Post
    Sorry
    I guess I get the post of the month award for that, low meaning lower or lowest vertebrae. L5-S1
    Ti Ed, you retired that award. I think we should bring it back as:

    "The Ti Ed Down Low (as opposed to Low Down) Post of the Month" competition.
    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."

  11. #11
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    I have the long scar down my back and another off to the side that is about 3 inches, along with the front scar.
    Aug.17,09 Anterior
    Aug.20,09 Posterior
    Fused T-10 to Sacral Pelvis
    Cedars-Sinai
    Dr.Pashman

    Sheri 47 years young
    Husband married 30 years
    3 kids 29,28,25
    4 grandkids 10,8,5,3

  12. #12
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    Quote Originally Posted by sheri66 View Post
    I have the long scar down my back and another off to the side that is about 3 inches, along with the front scar.
    Sheri...

    While it may be possible to do the iliac bolts through a separate incision, that certainly isn't the way it's normally done. Is it possible that the separate incision was for taking the bone graft for the fusion?

    Regards,
    Linda

  13. #13
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    Dec 2009
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    Bakersfield
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    Linda,I had a transitional L5-S1 segment with a fused L5-S1 region on the right.(Lumbosacral transitional vertebrae)I think that's why he had to make other incision.
    Aug.17,09 Anterior
    Aug.20,09 Posterior
    Fused T-10 to Sacral Pelvis
    Cedars-Sinai
    Dr.Pashman

    Sheri 47 years young
    Husband married 30 years
    3 kids 29,28,25
    4 grandkids 10,8,5,3

  14. #14
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    Sheri...

    I still think the scar you're describing is for access to your iliac crest for the bone graft. If they were trying to access L6, the scar would be right in the center.

    Do you have bolts in both sides of the pelvis? If so, why do you think there might only be a scar on one side?

    Regards,
    Linda

  15. #15
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    Linda,I only have bolts on left side where the second incision is.On previous post I said right but meant left side.
    Aug.17,09 Anterior
    Aug.20,09 Posterior
    Fused T-10 to Sacral Pelvis
    Cedars-Sinai
    Dr.Pashman

    Sheri 47 years young
    Husband married 30 years
    3 kids 29,28,25
    4 grandkids 10,8,5,3

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