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Thread: Rib removal - what's up with that?

  1. #1
    Join Date
    Jan 2011
    Posts
    197

    Rib removal - what's up with that?

    When I went to see Dr Boachie, one of the things I remember him saying is that he "may even be able to salvage my lower ribs."

    Why wouldn't I be able to keep my lower ribs? I see some of you guys mentioning having ribs removed and don't understand why that would happen or what the benefit of doing it would be. Does anyone know?
    Female, age 38
    4 years of bracing, concluded at 42*upper/38*lower
    currently 64*upper/40*lower
    Fused T3-L4 on Feb 23 2011
    now 32*upper/18* lower

  2. #2
    Join Date
    Jan 2008
    Location
    NC
    Posts
    9,267
    Linda or someone will correct me here but my understanding is rib removal is to improve the rib hump when they can't de-rotate the spine enough to get a better appearance. The ribs grow back in months, hopefully in a better, less prominent fashion.

    With pedicle screws which allow great amounts of de-rotation, rib removal is largely though maybe not completely unnecessary as I understand it.

    My one kid was quite torqued around and was de-rotated at least 90% without rib removal. Pedicle screws... more than just a good idea.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

    Question: What do you call alternative medicine that works?
    Answer: Medicine


    "We are all African."

  3. #3
    Join Date
    Jan 2006
    Location
    near Philadelphia
    Posts
    1,260
    In my case, my rib was removed to supply the crushed bone used in the fusion itself. It also eliminated my rib hump.
    Chris
    A/P fusion on June 19, 2007 at age 52; T10-L5
    Pre-op thoracolumbar curve: 70 degrees
    Post-op curve: 12 degrees
    Dr. Boachie-adjei, HSS, New York

  4. #4
    Join Date
    Jan 2011
    Posts
    197
    Good to know - thanks guys!
    Female, age 38
    4 years of bracing, concluded at 42*upper/38*lower
    currently 64*upper/40*lower
    Fused T3-L4 on Feb 23 2011
    now 32*upper/18* lower

  5. #5
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    4,180

    Thoracoplasty

    This might help. You can get this book here through NSF

    http://www.curvedspine.com/thoracoplasty.htm

    Ed
    49 yr old male, now 61, the new 61...
    Pre surgery curves 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
    Jan 2011
    Posts
    197
    That book may contain more than I want to know. (where's the I'm about to barf icon?!)
    Female, age 38
    4 years of bracing, concluded at 42*upper/38*lower
    currently 64*upper/40*lower
    Fused T3-L4 on Feb 23 2011
    now 32*upper/18* lower

  7. #7
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    4,180
    Lily,
    There is no barf icon...yes, maybe they should add one on just for us. We can use one, I can vouch for that! A constipation icon would be useful for the postie. It is hard to sit after surgery, let alone type, we could just click on the icon, post, and that would convey the message.....he he

    This book is excellent for the scoli. It covers most of the things that are needed to know to have an understanding of what happens and what can happen. Years ago, there was nothing, and I always wondered what exactly happens in these surgeries???

    Most surgeons will explain procedures, usually they explain as briefly as possible.

    After 34 years of worrying about my surgeries, thinking, reading....when I did finally read this book 6 months ago, I wasn’t surprised at all, I would have written it exactly the same way that David Wolpert did. After reading many books on the subject through the years, this is one of the best.

    Ed
    49 yr old male, now 61, the new 61...
    Pre surgery curves 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

  8. #8
    Join Date
    Oct 2007
    Location
    Indiana
    Posts
    1,978
    I'll echo Ed in saying it's a great book to read ahead of time. I read it several times before my surgery and for some dumb reason even took it with me to the hospital. It's very easy reading, plus gives you a lot of information about how to get your house ready for when you come home, etc. Of course, you have to remember that things are "in general" and it might not fit exactly with how your surgery and recovery are, but he explains everything in layman's terms-- because he also was just a regular scoli person who wanted to make a book for the rest of us that would explain about the condition, the surgery, what to expect, how to prepare, etc. I referred to it over and over AFTER my surgery as well.
    67 and plugging along...
    2007 52° w/ severe lumbar stenosis & L2L3 lateral listhesis (side shift)
    5/4/07 posterior spinal 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
    NEW 10/2018 x-rays show 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

  9. #9
    Join Date
    Jun 2009
    Location
    Los angeles
    Posts
    122
    I got a Thoracoplasty (sp?) done in my surgery.
    I think in my particulae case was absolutely needed cause i had a 100 degree curve and significant rotation. Now, you cn barely notice tell i had I rib hump before I mean you can tell just a little bit... but also he used the bone for the fusion.
    I have an extra pain from that, but it is not a big deal and the cosmetic results are totally worth it.!
    Pilar

  10. #10
    Join Date
    Aug 2009
    Posts
    1,136
    It's great to hear you sounding so positive, Pilar. You had a tough road with that big curve, but it sounds like you're firmly on the other side now.

  11. #11
    Join Date
    Mar 2005
    Location
    Ukiah CA
    Posts
    891
    when you get ribs removed it called a Thoracoplasty
    my doctor does them all the time doing spinal fusion surgeires
    Kara
    25
    Brace 4-15-05-5-25-06
    Posterior Spinal Fusion 3-10-10
    T4-L2
    Before 50T
    After 20T

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