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Thread: a regression- too good to be true?

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  1. #1
    Join Date
    Feb 2008
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    12

    a regression- too good to be true?

    My daughter was diagnosed 2 yrs. ago at her 5 yr checkup. She initially had a 14 degree curve with "very little" rotation. We have been taking her to Dupont Hospital in DE every six months and had watched her progress to 24 degrees last summer. Our doctor said to prepare for bracing at our next appointment which was just after Thanksgiving. Her xrays showed only 11 degrees of curve! We were so prepared for what we thought was inevitable that I don't think we asked any questions at all - we just sort of ran out of there before anyone could change their minds! I don't want to give anyone false hope if we are as lucky as I believe we are. I do feel that no one is as happy as I am about it (they still seem too worried). Can curves that regress change direction and begin to progress again? Could an experienced hospital have somehow misread a xray to that degree? Her pediatrician thought a year was too long to wait for the next xray (as her specialist wanted) and wants her xrayed again in 6 months. You all are so knowledgeable- I'd appreciate anyone's input.

  2. #2
    Join Date
    Aug 2007
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    388
    Woohoo! You must have been on cloud 9! My daughter was 6 when diagnosed and all the doctors did say that although it was unlikely, there was a chance that things could improve with further growth. From what I have read since, I figured that was like winning the lottery and I'm glad to hear that your daughter has!

    I suppose there is a chance that the xrays were misread; if you request a copy of the xrays (you may have to pay $10 or so for it) you could take it to another ortho and ask them to measure the curve for you. That would give you comfort if they came up with a similar size curve. I also have to say, I think I agree with your pediatrician that you shouldn't wait a full year for the next set of xrays. Hopefully her new curves will hold (or even continue to regress!), but scoli is infamous for its sometimes big jumps in relatively short periods so I wouldn't want to take the chanced of letting 12 months go by.

    How great it is to hear your good news.
    daughter, 12, diagnosed 8/07 with 19T/13L
    -Braced in spinecor 10/07 - 8/12 with excellent in brace correction and stable/slightly decreased out of brace curves.
    -Introduced Providence brace as adjunct at night in 11/2011 in anticipation of growth spurt. Curves still stable.
    -Currently in Boston Brace. Growth spurt is here and curves (and rotation) have increased to 23T/17L

  3. #3
    Join Date
    Feb 2008
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    12
    Jill, thanks for posting- cloud nine is right! I really appreciate that tip on having the xrays read by someone else. I will definitely do that. I hesitated to post because everyone here is dealing with the same worries I have been experiencing for 2 years and I really didn't want to give anyone false hope. The web can be so grim when you start researching. Katie sounds like a Spinecor success story- have her out-of-brace numbers improved or at least stayed the same? I wish your family well. I have been reading this forum for most of the past two years (afraid to post) and I am so impressed with the parents here. This has been the toughest thing I have had to deal with as a mom. It's funny you mentioned the lottery. The first thing I said (when I stopped crying) was that I would never purchase another lottery ticket as long as I lived because I already got mine!

  4. #4
    Join Date
    Jan 2007
    Location
    Ontario, Canada
    Posts
    140
    Just a thought, but it's possible that it was the 24 degree curve that was misread. The science of reading curves off of x-rays can be rather unprecise. My sons x-rays were read by an intern once and he found there to be no change from three months before, when I questioned this later, the surgeon looked at them and said in fact there was a significant increase. Never hurts to get another opinion.
    Hope her curves stay where they are.
    Ramona
    mom of Patrick, age 15 at time of surgery
    diagnosed July 2006 curves T58 L 38

    Nov. 2006 curves T72 L38
    also lordoscoliosis

    feb.2007 curves T79 L43

    Surgery May 16 2007
    fused T4 to L1

  5. #5
    Join Date
    Aug 2007
    Posts
    388
    I'm glad you have posted. Like you say there is enough grim news out there for people doing their research so I don't think anyone will get false hope...however, it is nice to hear some good news. We need that!

    Katie has only been in spinecor for 4 months so we haven't had any out of brace xrays yet. in fact out of brace xrays aren't really part of the spinecor protocol although at some point I will have them taken anyway -probably not for a while though unless her in brace curves start to increase. So far so good, although its too soon to tell if it will hold her curves throughout all her years of growth. (we've won the first battle, but its a looonnng war)

    Just curious, did she progress gradually to 24 degrees or were there some big jumps in the curve? Please keep posting as she has future appointments and let us know how she is doing.

    Jill
    daughter, 12, diagnosed 8/07 with 19T/13L
    -Braced in spinecor 10/07 - 8/12 with excellent in brace correction and stable/slightly decreased out of brace curves.
    -Introduced Providence brace as adjunct at night in 11/2011 in anticipation of growth spurt. Curves still stable.
    -Currently in Boston Brace. Growth spurt is here and curves (and rotation) have increased to 23T/17L

  6. #6
    Join Date
    Feb 2008
    Posts
    12
    I'm glad I posted, too. Abby's curve was thought to be only about 4 at first when her ped. picked it up with a scoliometer. I have since learned that that device only measures rotation. The follow-up xrays showed 14, which Dupont confirmed 6 mos. later. We watched her progress at every visit (just as everyone expected). Next visit was 18, then 22, then finally 24. Her rotation had also increased. All but the initial xrays were taken at Dupont where they see a LOT of scoliosis and a lot of juvenile scoliosis. I keep wondering if Abby may have bent opposite to her curve during xrays and it wasn't noticed. After such a long stretch of worry, I guess it's hard to turn off. Not that I'm complaining- I wish you all the same problem! It is a long war and I wish you all the stamina you need.

  7. #7
    Join Date
    Jan 2008
    Location
    NorthCarolina
    Posts
    51
    Hi Abbysmom

    Our story is similar to yours - rib hump first noticed at 5, first xrays at 6 and slow progression with each xray. During one visit when she was seven she dropped from 24T to 11T. We were estatic. The ortho recomended a follow up in 6 months - it was back to 26T. The ortho told us that he didn't believe the 11 - he said its hard for small girls to hold still, especially if they load them down with a heavy lead apron. If they twist to the side at all or shrug their shoulders during the xray it can really throw off the numbers.

    Hopefully your numbers are real!!
    Definitely go back in 6 months
    HaleyMom
    Mom to Haley, 13.5 yrs old
    Diagnosed at 6 yrs old - 18T.
    Boston Brace at 9.5 yrs old - 34T/18L
    Switched to SpineCor at 10 yrs old
    Stable at ~22T OBX until 12.5 yrs old
    Adolescent growth spurt was brutal - scheduled for surgery Dec 7th.

  8. #8
    Join Date
    Feb 2008
    Posts
    12

    a happy update!

    Just wanted to update all of you who were so kind: Abby returned to Dupont Hospital today for new x-rays and there is NO curve at all! I had a good feeling and so we did wait the full year, but I can't express what it felt like to hold those x-rays today and see with my own eyes how straight she looks. I really thought that was an impossibility. She will not have any more x-rays, but will continue with yearly visits to check-up. I know that we are lucky beyond explanation. My heart and prayers are with all of you and your children as you fight the good fight. Merry Christmas to all!

  9. #9
    Join Date
    Apr 2007
    Location
    Seattle, WA
    Posts
    385
    Congratulations! I can imagine the relief you must feel.
    Laurie

    Mother of Alexander & Zachary:
    Alex is 16 years old and in the 11th grade. He has congenital scoliosis due to a hemivertebrae at T10. Wore a TLSO brace for 3 1/2 years. Pre-op curves were T45 & L65; curves post-op are approx. T31 & L34. Had a posterior spinal fusion from T8 to L3 on 7/12/07 at age 12. Doing great now in so many ways, but still working on improving posture.
    Zach is 13 years old and very energetic.

  10. #10
    Join Date
    Aug 2007
    Posts
    388
    You must have read my mind...I was thinking of you and was planning to find your post and ask how thinks were going now that some time had passed. That's fantastic news! So when you say no more xrays but annual checkups, does that mean they'll visually check her (i.e. bending test)? Please keep us updated....I realize that your daughter won't have another checkup for a year, but if you could pop back in and continue to share her news with us after each checkup, I would look forward to seeing it.

    Thanks for sharing your followup news with us!!
    daughter, 12, diagnosed 8/07 with 19T/13L
    -Braced in spinecor 10/07 - 8/12 with excellent in brace correction and stable/slightly decreased out of brace curves.
    -Introduced Providence brace as adjunct at night in 11/2011 in anticipation of growth spurt. Curves still stable.
    -Currently in Boston Brace. Growth spurt is here and curves (and rotation) have increased to 23T/17L

  11. #11
    Join Date
    Sep 2008
    Posts
    14

    regression

    Hi Abbysmom,
    What great news. We have a similar situation. My 6 y/o DD was found to have a 19* curve appx 3 months ago. She had a 3 month F/U yesterday with her ortho and the new x-rays show a 10* curve! We were ecstatic. I'll look forward to reading your updates! I'm so happy or your family.
    Sally

  12. #12
    Join Date
    Feb 2008
    Posts
    12
    Sorry Jill,
    I haven't logged on in a while. Yes, Abby will go back for the forward bend and several balance test. They always seem to check reflexes pretty thoroughly, too. How is Katie?

  13. #13
    Join Date
    Feb 2008
    Posts
    12
    Hi Sally,
    I'm so glad to hear of another regression. What good news! What follow-up will there be for your daughter? Have you managed to turn off the worry yet? Please keep us updated.

  14. #14
    Join Date
    Sep 2008
    Posts
    14

    Regression of Curve

    Hi Abbysmom,
    Thanks for inquiring. The pediatric ortho surgeon wanted to see Emma in 1 year following her last appt (and the X-rays that showed her lessening curve). So that's our plan. I have stopped worrying about it. Initially, I think you are so frantic and reading so much, that it can be overwhelming. But ultimately I know that God is in control and whatever storms come, He will be with my family. I wish you and your family the best!
    Sally

  15. #15
    Join Date
    Feb 2008
    Posts
    12

    a new update

    Hi all- Just wanted to give an update. Abby had her first appt. with a new ortho closer to home yesterday (we decided not to visit the hospital since she will not be requiring xrays). After a visual check, the doc says she is still scoliosis-free! She will have another xray when she starts the dreaded adolescent growth spurt, but will only go back for visual checks every six months until then. Also, I wanted to mention that the doctor told her interns that Abby was "one of those kids who just outgrow it". She was also of the opinion that Abby's curve may not have been "real". I do not agree with her, having watched its' steady progression. She maintains that even experienced technicians can only do so much to keep young children still during an xray. She actually said to me "we'll know if the curve was real if it starts to progress during puberty". Thanks for some more sleepless nights. I'll update again in July after Abby's next appt.

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