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Thread: A newbie to the forum.......

  1. #31
    Join Date
    Jan 2012
    Location
    Yacolt, WA
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    Quote Originally Posted by Pooka1 View Post
    Have they ruled out infection as to why you have pain in the area of instrumentation?

    http://www.ncbi.nlm.nih.gov/pubmed/24487974

    http://www.ncbi.nlm.nih.gov/pubmed/20032526
    Sharon, the article about adolescent instrumentation removal was interesting as the #1 reason for removal was "fistula" [I think the # was 38.9%]. Yikes! Exactly what do they mean?
    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

  2. #32
    Join Date
    Jan 2008
    Location
    NC
    Posts
    8,901
    Quote Originally Posted by susancook View Post
    Sharon, the article about adolescent instrumentation removal was interesting as the #1 reason for removal was "fistula" [I think the # was 38.9%]. Yikes! Exactly what do they mean?
    Susan
    I don't know what they mean. Maybe Linda can tell us.
    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."

  3. #33
    Join Date
    Jan 2008
    Location
    Oregon
    Posts
    1,160
    A fistula is an abnormal channel or opening from one structure into another due to infection.

    Doesn't sound good at all!
    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

  4. #34
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,794
    Quote Originally Posted by titaniumed View Post
    And thank you Sharon for posting, and I thought it was just me that thought curve progression was risky after implant removal. I guess some surgeons “don’t” reveal all the facts. (For the Facebook group)

    Patients should be cautioned that hardware removal after posterior spinal fusion may not provide complete pain relief. Furthermore, there is risk for curve progression following removal of instrumentation, particularly in the setting of infection. Back pain may be an indicator of infection, and intraoperative cultures should be taken at the time of implant removal.

    I'm not a surgeon, but I can read. I might not be a revision patient, but it is my business to be informed.

    Sorry for the rant.

    Ed
    If you're removing implants on a child or young adult, there is a risk of minor curve progression over the patient's lifetime. I think the progression is rarely enough to require treatment, but nonetheless, it's something that should be disclosed. If you're talking older adults, the risk of progression comes from the lack of solid fusion. It is irresponsible for a surgeon to not disclose that information. The risk of reoperation is there whether the implants are removed or not.
    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
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  5. #35
    Join Date
    Sep 2003
    Location
    Northern California
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    6,794
    Quote Originally Posted by leahdragonfly View Post
    A fistula is an abnormal channel or opening from one structure into another due to infection.

    Doesn't sound good at all!
    When someone has a deep infection, I think it often (maybe even always) forms a fistula. Without getting too graphic, there has to be somewhere for the biproduct of the infection gets stored.
    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
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    If you've signed up and are having trouble posting, please check your spam folder. An email was sent to the email address which you subscribed. You have to follow the instructions in that email. Done that and still having trouble posting? Contact Joe O'Brien at jpobrien@scoliosis.org.

  6. #36
    Join Date
    Mar 2005
    Location
    Ukiah CA
    Posts
    891
    good luck with your surgery
    Kara
    25
    Brace 4-15-05-5-25-06
    Posterior Spinal Fusion 3-10-10
    T4-L2
    Before 50T
    After 20T

  7. #37
    Join Date
    Jan 2012
    Location
    Yacolt, WA
    Posts
    1,524
    I get what a fistula is....but why did 38% of the adolescents have fistulas and it is not mentioned at all for the adult population?
    What am I missing?
    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

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