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Thread: What happens if after 3 years I'm not actually fused??

  1. #1
    Join Date
    Jul 2009
    Location
    Guildford
    Posts
    17

    What happens if after 3 years I'm not actually fused??

    Basically if you read in the non-surgical posts I have updated my thread but my question is what will most likely happen if I have had fusion surgery for scoliosis T11-L3 almost 3 years ago and my surgeon is sending me for a CT scan because he has his doubts that I am actually fused (due to a number of reasons including curving off again). I'm pretty scared. He didn't say anything about an op because hes just wants to check probably before worrying me, he said this was extremely rare like 1 in 1000. It's hard not to think the worst as you guys will know...

    What'll he do next if it is a case of an unfused spine 3 years post-op??
    Lyssie, 22y/o
    Diagnosed with Scoliosis aged 10,
    Had spinal correction and fusion T11-L3 by Mr Lam
    (August 2006 aged 17)
    Fusion and correction successful!
    Developed pain early 2008!
    Denervation left SI joint mid-2010
    Further posterior correction and fusion T2-L4 by Mr Tucker
    (October 2010 aged 22) xxx

  2. #2
    Join Date
    Jul 2009
    Location
    Guildford
    Posts
    17
    Just got appointment for my Xray, CT scan and MRI scan all tomorrow from 3pm onwards!
    Lyssie, 22y/o
    Diagnosed with Scoliosis aged 10,
    Had spinal correction and fusion T11-L3 by Mr Lam
    (August 2006 aged 17)
    Fusion and correction successful!
    Developed pain early 2008!
    Denervation left SI joint mid-2010
    Further posterior correction and fusion T2-L4 by Mr Tucker
    (October 2010 aged 22) xxx

  3. #3
    Join Date
    Jan 2008
    Location
    Oklahoma City, OK
    Posts
    190
    Lyssie,
    Good luck tomorrow and be sure to let us know what they find.

  4. #4
    Join Date
    Oct 2008
    Location
    Sunshine Coast, Queensland, Australia
    Posts
    3,261
    Shame he didn't tell you what would happen in the event you aren't fused, Lyssie. Now you're left to worry about it. But hopefully not for long. Good luck and please let us know.
    Surgery March 3, 2009 at almost 58, now 63.
    Dr. Askin, Brisbane, Australia
    T4-Pelvis, Posterior only
    Osteotomies and Laminectomies
    Was 68 degrees, now 22 and pain free

  5. #5
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    3,531
    Ask about BMP.

    http://en.wikipedia.org/wiki/Bone_morphogenetic_protein

    My Doc used it on me. Think of it as "crazy glue for bone"

    Some Docs are trained to use it and some are not.

    Good luck
    Ed
    49 yr old male, now 58, the new 53...
    Pre surgery curves C12,T70,L70
    ALIF/PLIF T2-Pelvis 01/29/08, 01/31/08 7" pelvic anchors BMP
    Dr Brett Menmuir St Marys Hospital Reno,Nevada

    Bending and twisting pics after full fusion
    http://www.scoliosis.org/forum/showt...on.&highlight=

    My x-rays
    http://www.scoliosis.org/forum/attac...2&d=1228779214

    http://www.scoliosis.org/forum/attac...3&d=1228779258

  6. #6
    Join Date
    Jul 2009
    Location
    Guildford
    Posts
    17
    Thank you for your replies,
    Thank you for the link that's really interesting...
    Lol aka the crazy glue thing :P

    Will let you know how I get on although today is only the scans,

    Thank youuu

    Lyss
    Lyssie, 22y/o
    Diagnosed with Scoliosis aged 10,
    Had spinal correction and fusion T11-L3 by Mr Lam
    (August 2006 aged 17)
    Fusion and correction successful!
    Developed pain early 2008!
    Denervation left SI joint mid-2010
    Further posterior correction and fusion T2-L4 by Mr Tucker
    (October 2010 aged 22) xxx

  7. #7
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,794
    Hi...

    To answer your question, it really depends on how many levels haven't fused and where those levels are. I think the most common procedure is to go back to surgery, remove the implants, clean out the areas that aren't fused, and new fusion materials (including BMP), and reinstrumenting.

    Hope all goes well for you.

    Regards,
    Linda

  8. #8
    Join Date
    Jul 2009
    Location
    Guildford
    Posts
    17
    Thank you Linda that's really helpful,

    I had the CT and MRI scans along with plain Xrays and I caught a glimpse of the Xrays and it looks like I've lost quite a bit of correction, though I'm no Dr so I'll see Mr Lam and we'll take it from there I guess

    Thank youuu will keep you updated,

    Lyssie x
    Lyssie, 22y/o
    Diagnosed with Scoliosis aged 10,
    Had spinal correction and fusion T11-L3 by Mr Lam
    (August 2006 aged 17)
    Fusion and correction successful!
    Developed pain early 2008!
    Denervation left SI joint mid-2010
    Further posterior correction and fusion T2-L4 by Mr Tucker
    (October 2010 aged 22) xxx

  9. #9
    Join Date
    Oct 2008
    Location
    Sunshine Coast, Queensland, Australia
    Posts
    3,261
    How long before you see Mr. Lam, Lyssie?
    Surgery March 3, 2009 at almost 58, now 63.
    Dr. Askin, Brisbane, Australia
    T4-Pelvis, Posterior only
    Osteotomies and Laminectomies
    Was 68 degrees, now 22 and pain free

  10. #10
    Join Date
    Nov 2008
    Location
    Greenfield, WI
    Posts
    414
    GOOD LUCK!!!!!!!!!!!!!!!!!!
    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**

  11. #11
    Join Date
    Jul 2009
    Location
    Guildford
    Posts
    17
    I'll be seeing him on Saturday... worried much?!?! lol

    Was changed to Wednesday to see Mr L, xx
    Last edited by lyssie; 07-22-2009 at 10:33 AM.
    Lyssie, 22y/o
    Diagnosed with Scoliosis aged 10,
    Had spinal correction and fusion T11-L3 by Mr Lam
    (August 2006 aged 17)
    Fusion and correction successful!
    Developed pain early 2008!
    Denervation left SI joint mid-2010
    Further posterior correction and fusion T2-L4 by Mr Tucker
    (October 2010 aged 22) xxx

  12. #12
    Join Date
    Oct 2008
    Location
    Sunshine Coast, Queensland, Australia
    Posts
    3,261
    Good luck Lyssie. *hugs*
    Surgery March 3, 2009 at almost 58, now 63.
    Dr. Askin, Brisbane, Australia
    T4-Pelvis, Posterior only
    Osteotomies and Laminectomies
    Was 68 degrees, now 22 and pain free

  13. #13
    Join Date
    Jul 2009
    Location
    Guildford
    Posts
    17
    Thank you Jennifer, I'm quite worried, *hugs back*x
    Lyssie, 22y/o
    Diagnosed with Scoliosis aged 10,
    Had spinal correction and fusion T11-L3 by Mr Lam
    (August 2006 aged 17)
    Fusion and correction successful!
    Developed pain early 2008!
    Denervation left SI joint mid-2010
    Further posterior correction and fusion T2-L4 by Mr Tucker
    (October 2010 aged 22) xxx

  14. #14
    Join Date
    Aug 2009
    Location
    St. Louis Missouri
    Posts
    48
    Hi Lyssie:

    I had my first surgery in 1969 at age 14 and in 2006 I had a revision after years of having problems. During my 2006 surgery they did find an area L3-4 that the doctor called "pseudoarthrosis". The doctor told me he thinks it never did fuse solidly during my 1969 fusion. I was also very surprised. My doctor is Dr. Lenke in St. Louis.

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