Results 1 to 6 of 6

Thread: Imaging Required Post Surgery?

  1. #1
    Join Date
    Nov 2008
    Location
    SW Ontario
    Posts
    8

    Question Imaging Required Post Surgery?

    Hi there everyone, I'm new to this forum and just think it is absolutely WONDERFUL!

    I am in my 3rd yr of medical imaging and right now working at a clinical placement in hospital. I recently completed a case study on scoliosis and learned quite a bit actually considering I've lived with it since birth Lol

    Anyways, I said to my coordinator that harrington rods seem to have faded out since my time and also that I'd wished my dad had kept the films because I'm sure the hospital has disposed of them by now.

    She responded with, "well, haven't you had any since?", and was shocked when I answered no.
    I wondered why; after all I have had no pain associated to the scoliosis...just normal back aches now and then.

    I have tried to find some definite answer, and as yet have not been successful. If the scoliosis has been corrected and the pt does not suffer bad pains/comfort, do they need to follow up periodically for imaging??

    I still have quite the curve and a shoulder blade protruding, but nothing that disrupts my daily life routines. I'd pursue it if it really should be done (no images at all since surgery in 1985 age 10), but at the same time, as an x-ray tech...I now it's a big dose if I don't need it.

    I dunno what to do!
    Help please (& thank you!! )

    ~**~ Congenital Scoliosis w associated radial clubhand/thumb aplasia ~**~
    *~2 Harrington rods + fusion in 1985 (age 10) by Dr.W Bobechko, Toronto~*
    23 yrs post op...have 3 kids, training to be MRT, next to nil pain!
    http://s152.photobucket.com/albums/s...view=slideshow
    Last edited by MRTmum; 11-12-2008 at 10:46 PM.

  2. #2
    Join Date
    Jan 2008
    Location
    Oregon
    Posts
    1,032
    Hi,

    I think the main reason for diagnostic imaging for long-since post-op spines is the determine the cause of pain/problems. If you don't have any symptoms, you would never undergo any invasive treatment just based on some abnormal radiologic finding. So it would seem like common sense that you don't need to have any more radiation right now if you are not having problems.

    I had a fusion of L4-S1 in 1984 for spondylolisthesis. I had no imaging at all of my back for the past 24 years because I really didn't have any problems. I developed pain and tingling about a year ago, and was shocked to find out I had a pseudoarthrosis at L4-L5...I assume it never healed properly. But I am glad I didn't know about it, because I would have never considered any type of revision surgery in the absence of major symptoms. I am still not ready for surgery!

    I imagine if your original surgeon thought you needed regular follow-up over the years you would have been advised at that time.

    Take care,
    Gayle, age 47
    Boston brace as a teen for AIS
    Oct 2010 fusion T8-sacrum w/ pelvic fixation, TLIF at L4/5.
    Feb 2012 major A/P revision for broken rods


    mom of Leah, 12 y/o, diagnosed Jan '08 with 26* thoracic JIS (age 6)
    4/08 26 degrees, brace 16 hrs/day
    9/08 17 deg. OOB - brace discontinued
    9/09 30 deg, resuming brace
    5/10 VBS Dr Luhmann Shriners St Louis
    5/14 stable 4 yrs post-op, 14* T

    also mom of Torrey, 9 y/o son, 12* T, decreasing spontaneously (from 19*)

  3. #3
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,337
    Hi...

    I think it's up to the patient. Most of the surgeons I know tell their patients that after a year, they can decide whether to return or not. But, I know people who go back every year for new x-rays, even without being symptomatic of anything. If a pt is having no issues, I can't imagine why they 1) expose themselves to all that radiation and 2) use valuable medical resources without a need.

    Regards,
    Linda

  4. #4
    Join Date
    Jan 2006
    Location
    PA
    Posts
    778
    Quote Originally Posted by anna_maria View Post
    All the best for you Linda!!!
    Just curious--do you have Scoliosis?
    Mom to Jamie age 21-diagnosed at age 12-spinal fusion 12/7/2004-fused from T3-L2; and Tracy age 19, mild Scoliosis-diagnosed at age 18.

  5. #5
    Join Date
    May 2009
    Posts
    84
    I think you get follow up x-rays like every 5 years or something even as a adult.
    Awww that is upsetting! Yeah the x-rays now are on CDs as you may know. They are so much nicer to transport and store. I remember when I got my first it was a film and my aprents were like "DON'T BEND IT!"

  6. #6
    Join Date
    Jan 2006
    Location
    PA
    Posts
    778
    Quote Originally Posted by S4Sarah View Post
    I think you get follow up x-rays like every 5 years or something even as a adult.

    Sarah,

    Not true. Like Linda said, every patient is different. I know adults who have never been x-rayed or seen by a doctor once they are one year post-op unless they are having problems.

    Mary Lou
    Mom to Jamie age 21-diagnosed at age 12-spinal fusion 12/7/2004-fused from T3-L2; and Tracy age 19, mild Scoliosis-diagnosed at age 18.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •