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New deformities above or below an existing fusion?

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  • New deformities above or below an existing fusion?

    Say you have been fused T2-T12 for 17 years...in a month you will be fused newly from T10-S1...with no pre-existing deformities above or below these two fusions, what is the risk of joint damage below the fusions due to a new heavy reliance on them, or development of a curve or instability in the C spine above the fusions?
    Feb 2003 - Diagnosed C (35) T (45) L (25)
    Dec 2003 - T2-T12 Fusion correcting to C (8), T (14), L (20)
    Oct 2019 - Lumbar curve progressed to 40
    Nov 2019 - Thoracic curve progressed to 31
    June/July 2020 - T10-S1 Fusion with SI fixation correcting to C (8), T (14), L (8)
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