Hey All, I developed a severe kyphosis/scoliosis after lumbar fusion w/ BAK cages @ L4-5, L5-S1 in 1998. Started off 5 years later w/ a drooping right shoulder, but breaking my left femur in 2009 seemed to increase progression of curves (seems odd, but it is true). The 1998 surgery was a horror show- I woke up screaming, took 12+ Dilaudid bolus to quiet me down- I was never right after that day. I was in hospital for 12 days, the incision would not stop seeping. I had only left side lumboscaral radiculopathy before surgery, and used to sleep on a Spring Air Deluxe mattress placed directly on floor for back support. I used to sleep so well on my side. After the 98 surgery, I could not stand up from bed w/o a crippling low back muscle spasm, and if I tried to sleep on my side after 2+ hours I would get a steady dull ache in both of my thighs. Now I am confined to an adjustable bed, and have to sleep on my back. That history I thought was necessary to provide a backround for my questions: I am considering a "soup to nuts" thoracic to scarum scoliosis/kyphosis correction, breaking my spine in 2 palces, mounting hardware screwed into each vertebrae and sacrum, then rods bolted into the mounting posts, and necessary fusions. The surgeon is shooting for a 70% correction( the actual post op results I have seen in journal articles are never that high, usually topping out @ 40%). I also have a 5/6 fibrosis rating on my liver- w/some edema in lower extremeties. My Child Pugh and MELD scores are 0 and 6, respectively. ALT, AST etc. liver enzymes are WNL. QUESTIONS: 1) Has anyone w/ significant cirrhosis been warned against getting this traumatic surgery? 2) If you are forced to sleep on your back, can you feel the instrumentation? 3) How many people were placed in ICU and allowed to recover a bit before being allowed to wake up? ("titaniumed" related this was done with him) 4) How many have had uncontrollable pain upon awakening like I described after my 1998 surgery? ( It is obvious to me, because of the previously non existent thigh pain when sleeping on my side, and persistent post op pain at the surgery site, they must have damaged some nerves. I have had two other surgeries with negligible pain upon awakening, and no incision problems.) I do have a VERY high opiate tolerance after 18+ years of opiate use. At one point I was taking 8-10 100 mg MS-CONTIN tablets per day. My dose now is about 20% of that, but I'm in pain constantly. Hence my question about post op pain management- what out of the ordinary procedures were used for those of you who had long histories of heavy opiate use? 5) What was your overall percentage of correction? 6) How many folks got through with no major complications/revision surgeries? THATS ALL THE QUESTIONS. Note: I hope none of you can answer ALL of these questions, because that means you would have been in as bad a shape as I am now. If I want any QOL, I must have it done. Given my history, and the complication rates of this complex and extremely traumatic procedure, I am quite frightened. I hope you folks can help shed some light w/ your expereinces on my questions, I really need your help. Scouring the medical journals only fills my head with contradictory information and statistics. That 1998 experience is something that I will never be able to forget. No sentient creature should have to endure that amount of pain, and for that length of time. Thanks to anyone willing to share your stories, I am struggling with these weighty concerns. RJM