Results 1 to 14 of 14

Thread: Hardware removal

  1. #1
    Join Date
    Aug 2008
    Posts
    37

    Hardware removal

    I haven't been on here in ages! I wanted to post, since a few people have recently contacted me.

    I had Harrington rods as a child. I had them replaced when I was 30 with Moss Miami Instrumentation. I suffered a deep wound infection 2 years later. Total hardware removal was done two years after that revision. My back has stayed exactly as it was since the day I came out of my cast in 1976. My curve has not changed at all.

    I did need another revision for lumbar and sacrum in 2013. I have lower hardware in now.

    I did have my illiac screws removed.

    I currently suffer from left leg nerve pain.

    I hope this helps anyone trying to decide about rod removal.

    Ps. Rod removal is easy compared to fusion surgery.

  2. #2
    Join Date
    Jan 2019
    Posts
    18

    Hardware removal

    Thank you for posting. I wish more people would post that have had hardware removal. Some people have some serious pain due to the hardware that is put in. I am scheduled to have some of my hardware removed as well. Dr. thinks it will help with 60% of my pain. Hoping for great results.

  3. #3
    Join Date
    Sep 2019
    Posts
    319
    Does rod removal have to be done by the same type of surgeon who performed the scoliosis surgery, i.e. a deformity expert who went through a scoliosis fellowship?

    Or can any orthopedic spine surgeon or even a spinal neurosurgeon perform it?

    I have thought about having my rods removed but have encountered resistance from the two surgeons I consulted so far.

    I would be interested in hearing people's experiences with hardware removal.

  4. #4
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    1,062
    I think all of those doctors can remove the hardware. There is a lot of reluctance to do so. Maybe a part of The hardware but not all. It can be difficult because of the bone growth.
    According to a few of my doctors, the removal doesn't always help anyway. There should always be a very good reason, like infection, loose hardware,etc.
    T10-pelvis fusion 12/08
    C5,6,7 fusion 9/10
    T2--T10 fusion 2/11
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16
    Broken neck 9/28/2018
    Emergency surgery posterior fusion C4- T3
    Repeated 11/2018 because rods pulled apart added T2 fusion
    Removal of partial right thoracic hardware 1/2020
    Removal and replacement of C4-T10 hardware with C7 and T 1
    Osteotomy

  5. #5
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    7,196
    Quote Originally Posted by Tina_R View Post
    Does rod removal have to be done by the same type of surgeon who performed the scoliosis surgery, i.e. a deformity expert who went through a scoliosis fellowship?

    Or can any orthopedic spine surgeon or even a spinal neurosurgeon perform it?

    I have thought about having my rods removed but have encountered resistance from the two surgeons I consulted so far.

    I would be interested in hearing people's experiences with hardware removal.
    I would want to have someone with a lot of experience in removing implants. If the only surgeon you can find to remove implants is someone who isn't a spine specialist, I would be very concerned.
    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

  6. #6
    Join Date
    Sep 2019
    Posts
    319
    Quote Originally Posted by LindaRacine View Post
    I would want to have someone with a lot of experience in removing implants. If the only surgeon you can find to remove implants is someone who isn't a spine specialist, I would be very concerned.
    But does he have to be a deformity (scoliosis) expert or can he be a spine specialist who performs other types of spine surgeries?

  7. #7
    Join Date
    Sep 2019
    Posts
    319
    Quote Originally Posted by jackieg412 View Post
    I think all of those doctors can remove the hardware. There is a lot of reluctance to do so. Maybe a part of The hardware but not all. It can be difficult because of the bone growth.
    According to a few of my doctors, the removal doesn't always help anyway. There should always be a very good reason, like infection, loose hardware,etc.
    My reason is that 1) I have multiple problems including pain, ramrod stiffness, and other weird neurological sensations in my back. I'll try anything to get rid of them.

    2) My rods are obscuring any MRI images anyone tries to do for any diagnostic purpose. I'm surprised more patients don't have this problem, I never hear it mentioned on this or another forum I frequent. If using titanium instead of steel gets around the radiology problem I don't understand why steel was used in my case, why it is ever used for anyone.

  8. #8
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    1,062
    I would think a deformity specialist is best . The MRI is impacted by the hardware. I have titanium rods and still isn't useful to be have a MRI.However, when I had that car accident with a broken neck, the neurosurgeon had a MRI done in addition to a CT scan. On the MRI, they were able to find the blood clots in the epidural layer of the spinal cord. Let me tell you that those really hurt. Once they were removed at least 50percent of t the pain was gone.
    For removal won't help with the stiffness unless you don't have that area fused. And if it isn't fused the spine will twist there and believe me there will be pain as all the discs are removed, and then it is bone on bone.
    T10-pelvis fusion 12/08
    C5,6,7 fusion 9/10
    T2--T10 fusion 2/11
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16
    Broken neck 9/28/2018
    Emergency surgery posterior fusion C4- T3
    Repeated 11/2018 because rods pulled apart added T2 fusion
    Removal of partial right thoracic hardware 1/2020
    Removal and replacement of C4-T10 hardware with C7 and T 1
    Osteotomy

  9. #9
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    7,196
    Quote Originally Posted by Tina_R View Post
    But does he have to be a deformity (scoliosis) expert or can he be a spine specialist who performs other types of spine surgeries?
    Almost all deformity specialists also do other types of minor spine surgery, and most non-deformity surgeons do a small number of deformity surgery.
    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

  10. #10
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    7,196
    Quote Originally Posted by jackieg412 View Post
    And if it isn't fused the spine will twist there and believe me there will be pain as all the discs are removed, and then it is bone on bone.
    While it's common to have some discs removed during deformity surgery, it's rare that all discs are removed. That doesn't mean there won't be problems if there is a non-fusion. (I don't know if it's still being done, but Dr. Gaines was routinely doing a bunch of bone on bone deformity surgeries. I don't think any other surgeons ever believed in the technique.)
    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

  11. #11
    Join Date
    Sep 2019
    Posts
    319
    Yeah, it's possible my spine hasn't fused and then removal might allow it to curve again.

    Some people have had great results with removal. Some even say it was a relatively easy operation -- probably not for the surgeon.

    One scoliosis surgeon I saw says it is not easy, not when you have to rip metal out of bone. He, incidentally, also says he has never seen a case of rejection of the hardware and doesn't believe it exists. But he's not that old, either.

    Thanks for the advice, guys.
    Last edited by Tina_R; 06-07-2021 at 03:46 PM.

  12. #12
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    4,407

    Corrosion of Metallic Biomaterials

    This might be of some interest....the body environment is harsh.

    From the perspective of corrosion, the most important characteristics of body fluids are the chloride, dissolved oxygen and pH levels. Different parts of the body have different pH values and oxygen concentrations. Consequently, a metal which performs well in one part of the body may suffer an unacceptable amount of corrosion in another part.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384782/

    Ed
    49 yr old male, now 62, the new 63...
    Pre surgery curves T70,L70
    ALIF/PSA 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

  13. #13
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    4,407

    Easy on the salt

    We have never talked about sodium and salt around here....salt can be really bad, especially if you have implants.

    Thus, the adverse effect of a high-salt diet on bones degradation and the high prevalence of arthroplasty prescribed every year for elderly people [17] should be taken into consideration as a potential risk factor of implant loosening.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535979/

    Ed
    49 yr old male, now 62, the new 63...
    Pre surgery curves T70,L70
    ALIF/PSA 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

  14. #14
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    1,062
    If you really think about it, the atmosphere of the human body is under the design to take out anything that is of a foreign nature. Both necessary to keep people well but a challenge for necessary implants.
    T10-pelvis fusion 12/08
    C5,6,7 fusion 9/10
    T2--T10 fusion 2/11
    C 4-5 fusion 11/14
    Right scapulectomy 6/15
    Right pectoralis major muscle transfer to scapula
    To replace the action of Serratus Anterior muscle 3/16
    Broken neck 9/28/2018
    Emergency surgery posterior fusion C4- T3
    Repeated 11/2018 because rods pulled apart added T2 fusion
    Removal of partial right thoracic hardware 1/2020
    Removal and replacement of C4-T10 hardware with C7 and T 1
    Osteotomy

Posting Permissions

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