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Infection forcing consideration of rod removal

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  • Infection forcing consideration of rod removal

    About two years ago I had corrective surgery as an adult (then aged 66) during which rods were placed from T4-S1 with pelvic fixation. A hardware associated infection was identified one year later and during the course of treatment a small portion of one rod was removed. For the 9 years that followed, all seemed to be going well.

    A month ago a recurrent hardware associated infection became obvious (unresolved implant biofilm associated, presumably). My original Surgeon has retired and is not available for consultation. Consultation with a new-to-me, well respected spine surgeon has recommended removal of all hardware. His stated belief is that, noting that a CT shows (apparently) solid bone growth, replacement is not indicated and that I should anticipate spine changes (scoliosis relapse) or increased risk of catastrophic spine fracture during normal activities. Does this sound like a "reasonable" expectation?

  • #2
    Yes, that sounds reasonable, though you might want to get a second opinion just to put your mind at ease. Where do you live?
    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

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    • #3
      Portland, Oregon.

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      • #4
        Hi there. What did you decide to do? I met you a while ago. I had a hardware infection and took antibiotics for many years. I had all of my hardware replaced.
        Susan
        Adult Onset Degen Scoliosis @65, 25* T & 36* L w/ 11.2 cm coronal balance; T kyphosis 90*; Sev disc degen T & L stenosis

        2013: T3- S1 Fusion w/ ALIF L4-S1/XLIF L2-4, PSF T4-S1 2 surgeries
        2014: Hernia @ ALIF repaired; Emergency screw removal SCI T4,5 sec to PJK
        2015: Rev Broken Bil T & L rods and no fusion: 2 revision surgeries; hardware P. Acnes infection
        2016: Ant/Lat Lumbar diskectomy w/ 4 cages + BMP + harvested bone
        2018: Removal L4,5 screw
        2021: Removal T1 screw & rod

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        • #5
          Since you mention that your surgeon has retired, is it safe to assume it was Robert Hart? Unfortunately, I don't know of other adult specialists in Portland.
          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

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