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  1. #1
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766

    revision number 5 ,an unusual fix

    On Monday I will have my hopefully last revision surgery. It is an unusual fix to needing a thoracoplasty. Every doctor has decided that would be a very risky surgery. But my right scapula is trapped on my ribs 3,4,5. With ribs 3 and 4 being too far apart. So the team of doctors at the University of Chicago have come up with a different approach. I will have a scapulectomy and muscle reconstruction. I understand from the surgeon that he will remove as much of the scapula that he can and reattach the necessary muscles. Hopefully it will free the shoulder blade for normal movement but there is no promise that the shoulder will recover proper position. I will have no movement in my right arm for 6 weeks and then PT to try to recover the normal shoulder movement. The surgeon said he has only did this operation one other time. I like him a lot as he is real friendly and is very well recommended. At least he came up with a solution. He worked with their scoliosis specialist and this is what they came up with.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  2. #2
    Join Date
    Jun 2011
    Location
    Southern CA
    Posts
    2,224
    I will keep you in my prayers that all goes well

    Melissa
    Melissa

    Fused from C2 - sacrum 7/2011

    December 8, 2014 - Another Broken Rod Surgery

  3. #3
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766
    Thanks Melissa. I pray all is well with you too
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  4. #4
    Join Date
    May 2013
    Location
    Grove City, OH
    Posts
    275
    Jackie - I'm so happy to hear there's a solution for you! Sending prayers for a successful outcome.
    Peg
    61 yrs old
    75 degree lumbar curve with thoracic kyphosis
    T3 - S1 surgery with Dr. Buchowski in St. Louis, on 10/27/14
    Working on healing in Columbus, Ohio!

  5. #5
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766
    Thank you Peggy. I will know soon
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  6. #6
    Join Date
    Jan 2012
    Location
    Yacolt, WA
    Posts
    1,527
    Jackie: Wow, you have been through the mill in trying to find a solution to your problem! I am glad that you sought that advice at Univ of Chicago and hope that this is your answer. I hope that this surgery gives you increased shoulder mobility!

    Susan
    Adult Onset Degenerative Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Severe disc degen T & L stenosis

    2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 in 2 surgeries
    2014: Hernia @ ALIF repaired; Emergency screw removal surgery for Spinal Cord Injury at T4,5 sec to PJK
    2015: Revision Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
    2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone + prayer

  7. #7
    Join Date
    Aug 2015
    Posts
    27
    Bless your heart! Is it common to require more than one revision? I had my original surgery fairly young and had a revision. After reading all these posts of numerous surgeries I am a bit frightened my surgery was not the end of my scoliosis treatments.

  8. #8
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766
    It does seem that a lot of adult surgeries need revision. And the young ones need the lumbar fused at a older age. Some of mine were because of different problems. I was first fused t10-pelvis but fractured through t-9 at six days out of surgery. So then I had extension to t2. This last surgery (removal of part of my scapula) was because the scapula got trapped under a rib deformity left over from scoliosis . It is an unusual fix for the problem. It is going well but still early in the healing process. Hopefully when I start PT in a few weeks I will be able to recover it.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  9. #9
    Join Date
    Oct 2008
    Location
    Sunshine Coast, Queensland, Australia
    Posts
    3,261
    I'm glad you opened up to your spine surgeon. It sounds like it was beneficial to you both. Best of luck with your continuing recovery and thanks for posting about it because you probably won't be the last patient to have this problem and it's all here for posterity!
    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
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766
    Thanks for all the good wishes. It is important to post a little of the unusual. The talk with my spine team was good for me and them. I needed to be sure that I was being taken seriously about how much this trapped scapula was a problem. It is still looking good but no PT for another week.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

  11. #11
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    766
    Well I am about 8 weeks from muscle transfer surgery. So far going well. I am not allowed to use it much until 3 months. Then I will see how well it worked.
    Linda I have the copies of the surgical reports and can send them to you. This is all started because of rib hump. Let me k
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16

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