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  • Brace after surgery?

    Does everyone have to wear a brace after surgery, or does it depend on the doctors discretion?

    I am going to be needing surgery soon. I am dreading having to go through wearing a brace again. I spent almost two years in one.

  • #2
    I think it depends on the surgeon. My surgeon had one made for me and said it was up to me whether or not I wanted to wear it. He said he didn't see a difference in his patients who wore the brace and those who didn't. I wore it in the car for about 2.5 months (mainly to protect myself in case I was in an accident). I also wore it when I walked outside for about 2 months (again to protect myself in case I fell).
    Chemist, 30

    1998- 18 degrees
    2003- 33 degrees
    2005- 37 degrees
    2006- 44 degrees
    May 2007- 47 degrees
    December 2007 - 50 degrees X-ray

    Surgery May 27, 2008
    Fused T1 to L2
    Curve corrected to 15 degrees X-ray

    Comment


    • #3
      I have to wear a brace for approx. 6-8 weeks. Which I am not looking forward to. I am also having the lumbar discs removed so I guess that's why the brace. Whatever works is what I will do. Oh the fun stuff ahead!
      Susan

      Diagnosed at 10, Boston brace from 11-13 yrs old.
      50* Lumbar w/ 5 centimeter shift to the left and slight rib hump...
      Surgery Date: April 15 and April 22, 2009
      X-LIF approach for disc repair L5,L4,L3,L2
      Posterior Approach for fusions L5-T5
      Dr. Fox @ Naval Medical Center Portsmouth
      Nice and straight now!!!!!

      Comment


      • #4
        Hi...

        It's definitely up to the surgeon. Many surgeons put all adult scoliosis patients in a brace post-op while others never put their adult patients in a brace. While it wasn't overly comfortable, I actually felt mine gave me an extra measure of security. They're meant to remind the wearer not to twist or bend, which without the brace, is easy to forget.

        Rgards,
        Linda
        Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
        ---------------------------------------------------------------------------------------------------------------------------------------------------
        Surgery 2/10/93 A/P fusion T4-L3
        Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

        Comment


        • #5
          I didn't have one. I asked my surgeon prior to surgery and he said it wasn't necessary.
          __________________________________________
          Debbe - 50 yrs old

          Milwalkee Brace 1976 - 79
          Told by Dr. my curve would never progress

          Surgery 10/15/08 in NYC by Dr. Michael Neuwirth
          Pre-Surgury Thorasic: 66 degrees
          Pre-Surgery Lumbar: 66 degrees

          Post-Surgery Thorasic: 34 degrees
          Post-Surgery Lumbar: 22 degrees

          Comment


          • #6
            I wore one for about 5 months post-op, and I agree with Linda that it provides protection-- and it gives you a feeling that you're not going to blow something by moving wrong or getting hit...

            My surgeon does not brace all adults, and I didn't know for sure if I'd have a brace or not until around my last pre-op appointment. Some factors that can influence whether you wear one are length of fusion (mine was a long one--15 vertebrae), age and strength. I'm not necessarily talking about muscle strength, but condition of your spine, etc. The brace provided the support that I very much needed. I can't imagine how it would have been without it those first months. I had a lot of discomfort set in again once I started getting weaned off the brace.
            71 and plugging along... but having some problems
            2007 52° w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
            5/4/07 posterior fusion T2-L4 w/ laminectomies and osteotomies @L2L3, L3L4
            Dr. Kim Hammerberg, Rush Univ. Medical Center in Chicago

            Corrected to 15°
            CMT (type 2) DX in 2014, progressing
            10/2018 x-rays - spondylolisthesis at L4/L5 - Dr. DeWald is monitoring

            Click to view my pics: pics of scoli x-rays digital x-rays, and pics of me

            Comment


            • #7
              I had a brace for 4 months, and as Linda says, it does remind you not to bend or twist the wrong way. As others have mentioned, it does give you a sense of security when walking, especially in a mall or other crowded places where you might fall or people might bump into you. Even though it's made of light materials, I remember it feeling sooo heavy when they put it on me right after surgery. I felt so weak! But that feeling does go away as you get used to it. Be sure and stock up on white cotton tank tops or t shirts to wear under it. They will keep you feeling dry and your brace nice and clean.
              Posterior fusion T5-L1 May 5, 2003-age 43
              Posterior revision, thoracotomy,fusion T2-L2 April 8, 2008-age 49
              Fusion extension C1-L2 evacuation left pulmonary effusion May 9, 2008, age 49
              www.buggfamily.blogspot.com

              Comment


              • #8
                Originally posted by trishthedish View Post
                I had a brace for 4 months, and as Linda says, it does remind you not to bend or twist the wrong way. As others have mentioned, it does give you a sense of security when walking, especially in a mall or other crowded places where you might fall or people might bump into you. Even though it's made of light materials, I remember it feeling sooo heavy when they put it on me right after surgery. I felt so weak! But that feeling does go away as you get used to it. Be sure and stock up on white cotton tank tops or t shirts to wear under it. They will keep you feeling dry and your brace nice and clean.
                As I said above, I didn't have a brace and did fine without it....but initially, when I was in a crowd, no matter how small, I was always panicy about someone bumping into me. I think I gave a few people who came to close to me the evil eye
                __________________________________________
                Debbe - 50 yrs old

                Milwalkee Brace 1976 - 79
                Told by Dr. my curve would never progress

                Surgery 10/15/08 in NYC by Dr. Michael Neuwirth
                Pre-Surgury Thorasic: 66 degrees
                Pre-Surgery Lumbar: 66 degrees

                Post-Surgery Thorasic: 34 degrees
                Post-Surgery Lumbar: 22 degrees

                Comment


                • #9
                  Rarely are thoracic fusion patients braced: Very little bending is done through the thoracic area, and the ribs offer adequate protection (a natural brace of sorts).

                  Lumbar patients, on the other hand, are often prescribed one, as are patients who've experienced prior pseudoarthrosis.

                  Any of the above, just like anything else, can vary by doctor. For instance, while I don't personally know anyone who's been braced after a thoracic fusion, I know several who have NOT been braced after lumbar surgery.

                  Regards,
                  Pam
                  Fusion is NOT the end of the world.
                  AIDS Walk Houston 2008 5K @ 33 days post op!


                  41, dx'd JIS & Boston braced @ 10
                  Pre-op ±53°, Post-op < 20°
                  Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston


                  VIEW MY X-RAYS
                  EMAIL ME

                  Comment


                  • #10
                    Hi. I had a Thorasic & a Lumbar curve which were both corrected w/the fusion. My Doc said it was not needed either. I often wondered why some did and some didnt but again, we are all different & we all have diff. docs w/different opinions. I can see where the brace would be a reminder not to move incorrectly. I catch myself almost on a daily basis twisting a little or bending a little bit too much...mostly when Im in the bathroom. I always say to myself "ohh crap, remember next time!!" One of these times I will listen to myself!!
                    Lynn -30.... something
                    DxD @ 8 yrs old: 10* curve-no brace-no nothin'!
                    At age 26: Thorasic 48*/Lumbar 50*
                    At age 34: Thorasic 58*/Lumbar 60*
                    Posterior T5-L4 Fusion Jan 14th, 2009 w/Dr Tribus
                    UW Madison, WI Hospital
                    **AFTER: less than 10* Thorasic/15* Lumbar**

                    Comment


                    • #11
                      I wore a brace for 2 months, and I have just weaned off it completely at 3 months. It's not as big or cumbersome as the Milwaukee brace, and you don't sleep in it. At least not the kind I had. I agree with others that it's mostly to remind you not to twist or bend. Also, when I was out, it did feel like I had a bit of "armor" around me, and also people could see it and so when I asked for help with a carry-out at the grocery store, I didn't have to even explain why--they could see that something was going on. I had a lumbar curve, so that may be why I was braced.

                      Good luck!
                      Lisa MS
                      age 46

                      Braced 1976 - 1980, corrected to 19" then
                      Spinal fusion, a/p, 8 vertebrae, 11/17/08
                      Lumbar curve was 57 degrees, now 24 degrees
                      Dr. Doug Wong, Panorama Ortho, Golden, Colo.

                      Comment


                      • #12
                        I haven't heard if DD will have a brace or not. I don't think so but I would LOVE for her to have one.

                        I keep thinking putting her in bubble wrap will make me feel so much better when she goes back to school. At least with a brace if she gets josstled it won't be quite as bad???????
                        Becky
                        Mom to DD (15) with S 48*+ curve
                        Had her surgery March 9, 2009

                        Comment


                        • #13
                          Bubble wrap....now there's an idea!! LOL I wish I would have thought of that! Thanks for the laugh...I needed it this morning!

                          Thats all...take care, & have a fabulous weekend! ~
                          Lynn -30.... something
                          DxD @ 8 yrs old: 10* curve-no brace-no nothin'!
                          At age 26: Thorasic 48*/Lumbar 50*
                          At age 34: Thorasic 58*/Lumbar 60*
                          Posterior T5-L4 Fusion Jan 14th, 2009 w/Dr Tribus
                          UW Madison, WI Hospital
                          **AFTER: less than 10* Thorasic/15* Lumbar**

                          Comment


                          • #14
                            Originally posted by LisaMS View Post
                            I wore a brace for 2 months, and I have just weaned off it completely at 3 months. It's not as big or cumbersome as the Milwaukee brace, and you don't sleep in it. At least not the kind I had. I agree with others that it's mostly to remind you not to twist or bend. Also, when I was out, it did feel like I had a bit of "armor" around me, and also people could see it and so when I asked for help with a carry-out at the grocery store, I didn't have to even explain why--they could see that something was going on. I had a lumbar curve, so that may be why I was braced.

                            Good luck!
                            Just wanted to mention there are lots of kinds of post-op braces that surgeons' have their patients wear. We had a thread awhile back about this... Mine was a TLSO brace, worn under my clothing (unless you want to look absolutely ridiculous!) but over a light-weight t-shirt/undershirt-- and Geish had one you wore on top of your clothing, etc., and that sounds like what Lisa's was too. I needed to wear mine when I was sitting, standing or walking-- so basically anytime when I wasn't lying down, except when showering. So I think there is no set kind of brace that is used post-op-- it probably depends on your situation and your surgeon.

                            You can do a search-- or this link has pics of Geish's and my braces (posts #10 and 11) and a lot of various brace discussion... http://www.scoliosis.org/forum/showt...post-op+braces
                            Last edited by Susie*Bee; 02-21-2009, 11:22 AM.
                            71 and plugging along... but having some problems
                            2007 52° w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
                            5/4/07 posterior fusion T2-L4 w/ laminectomies and osteotomies @L2L3, L3L4
                            Dr. Kim Hammerberg, Rush Univ. Medical Center in Chicago

                            Corrected to 15°
                            CMT (type 2) DX in 2014, progressing
                            10/2018 x-rays - spondylolisthesis at L4/L5 - Dr. DeWald is monitoring

                            Click to view my pics: pics of scoli x-rays digital x-rays, and pics of me

                            Comment

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