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Thread: CT Results.. Kinda Confused...

  1. #1
    Join Date
    Sep 2013
    Posts
    13

    CT Results.. Kinda Confused...

    Hi ladies,

    I got a copy of my CT report of my lumbar spine. Good news is that it says there is no evidence of the screws loosing. But it also says, "there is no evidence of solid fusions across the disc space level. Some posterior lateral bone graft material is in place without convincing evidence of solid fusion posterior laterally as well."

    It's been almost four months since my revision surgery at L3 and L4, should I be concerned that there is "no evidence of a solid fusion". Sending results off to get a second opinion from another surgeon, but curious if anyone could give me any insight into this in the meantime.

    Thanks!

    Lauren

  2. #2
    Join Date
    Mar 2010
    Posts
    2,634
    Lauren,
    You did the right thing by sending your results to a surgeon. I hope you sent a copy of the CT scan disc along with the interpretation for him/her to actually look at. I'm not sure how long it takes for fusions to be solid. Just from reading on here, though, I'm assuming that it can take longer than four months. I wouldn't panic just yet. Get your second opinion and see what the doctor says.

    I wish you all the best!
    1985 - Dx w/ painful AIS at 16 with 39* upper LEFT thoracic single curve.
    2000 - 41*
    2010 - 46* (T1 - T6) 38* (T6-L2) Now a double thoracic
    2012 - Dx w/ Cervical Muscle Dystonia.
    DDD L5/S1 with left nerve impingement
    Left SI joint dysfunction

  3. #3
    Join Date
    Sep 2013
    Posts
    13
    Thanks!!

  4. #4
    Join Date
    Mar 2010
    Posts
    2,634
    You are most welcome! I hope you have some peace of mind while you wait for your second opinion. =)
    1985 - Dx w/ painful AIS at 16 with 39* upper LEFT thoracic single curve.
    2000 - 41*
    2010 - 46* (T1 - T6) 38* (T6-L2) Now a double thoracic
    2012 - Dx w/ Cervical Muscle Dystonia.
    DDD L5/S1 with left nerve impingement
    Left SI joint dysfunction

  5. #5
    Join Date
    Jul 2011
    Posts
    515
    Dr. Lenke did not see fusion in my X-rays until 12+ months.
    44 years old at time of surgery, Atlanta GA

    Pre-Surgery Thorasic: 70 degrees, Pre-Surgery Lumbar: 68 degrees, lost 4 inches of height in 2011
    Post-Surgery curves ~10 degrees, regained 4 inches of height

    Posterior T3-sacrum & TLIF surgeries on Nov 28, 2011 with Dr. Lenke, St. Louis
    2 rods, 33 screws, 2 cages, 2 connectors, living a life I always dreamed of - now pain free!

    http://thebionicachronicles.blogspot.com/

  6. #6
    Join Date
    Jan 2012
    Location
    Yacolt, WA
    Posts
    1,133
    It is my understanding that fusion of vertebrae cannot be seen on X-rays but that thickening/solidifying between vertebrae can be seen which MAY BE fusion, but that fusion itself can not be definitively diagnosed or decided. Fusion can be decided/diagnosed at a surgery to stress the joining of the vertebrae or in the negative sense, when someone w/ spinal surgery has sudden pain and the X-ray shows non-junction.

    Opinions? Susan
    Dxed 8/2011: Degenerative Adult-Onset Scoliosis age 65
    XRAY 1/2012: 25* T levoscoliosis/ 36* L dexroscoliosis w/ 4.1 cm coronal & 3.5 cm sagittal balance
    XRAY: 12/2012: Scoliosis curve same, Coronal Balance increased to 11.2 cm. T kyphosis 90 degrees
    Severe disc degeneration thoracic & lumbar, stenosis esp L4
    Surgery: T3 to S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 in 2 surgeries,
    19 & 22 March 2013, Dr. Serena Hu @ UCSF
    Postop incisional hernia @ ALIF incision, repaired 3/2014

  7. #7
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,212
    In adults, we don't expect full fusion until ~12 months postop, so the CT results would be considered normal at this time. What they were looking for was haloing around the screws, which they didn't see. That's good news, though it doesn't explain your pain.

    --Linda
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Dilbert
    I'm sarcastic... what's your super power? --Unknown
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

  8. #8
    Join Date
    Sep 2013
    Posts
    13
    Thanks, everyone! I feel a lot better about it now. You are all so knowledgeable! I have a lot to learn. Thanks for the info! Have a great weekend everyone!

    -Lauren

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