Results 1 to 15 of 63

Thread: Not sure what this means

Hybrid View

Previous Post Previous Post   Next Post Next Post
  1. #1
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    925

    Not sure what this means

    Well after many surgeries and a very horrific car accident here is one more problem.
    After partial hardware removal in January I have had severe thoracic pain and balance issues.
    This week I had an appointment with a scoliosis specialist. Again.
    After new xrays there is evidence of sagittal imbalance. A full spine myelogram is ordered.
    In the office notes by the neurosurgeon among many things he has written
    C6-T4 hypnosis of -26 degrees. What does the negative mean?
    He is saying from a combination of PJK and the bilateral C7fracture.
    We discussed an upper thoracic osteotomy.
    Another big decision. Walking is difficult
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    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

  2. #2
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    7,125
    Quote Originally Posted by jackieg412 View Post
    Well after many surgeries and a very horrific car accident here is one more problem.
    After partial hardware removal in January I have had severe thoracic pain and balance issues.
    This week I had an appointment with a scoliosis specialist. Again.
    After new xrays there is evidence of sagittal imbalance. A full spine myelogram is ordered.
    In the office notes by the neurosurgeon among many things he has written
    C6-T4 hypnosis of -26 degrees. What does the negative mean?
    He is saying from a combination of PJK and the bilateral C7fracture.
    We discussed an upper thoracic osteotomy.
    Another big decision. Walking is difficult
    I assume you mean hypokyphosis, not hypnosis. :-)

    The amount of kyphosis in a "normal" spine is 20-40 degrees. This refers to the "hump" in the thoracic area of a normal spine. When the measurement is negative, it means that the normal curve has been replaced with a flattening (when viewed from the side), at the top of the back.
    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

  3. #3
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    925
    Thanks for the correction and information
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    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

  4. #4
    Join Date
    May 2008
    Location
    reno,nevada
    Posts
    4,222
    Jackie, You have had so many procedures, I can't remember.... Do you have "any" hardware left up high in the thoracic? I thought they removed it all due to your scapula problems?

    You surgeon pointed out C6-T4, which is up high. Negative 26 degrees in this area alone. If you have any new "side" x-rays, can you post those? It sounds incredibly painful.

    What did your surgeon say about the osteotomies? Posterior only?

    One day at a time...

    See attachment below for Hyper and Hypo kyphosis.

    Ed
    Attached Images Attached Images
    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

  5. #5
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    925
    You are right I have had a lot. Of procedures. I have had parts removed on left side t6-10th on the right side in January I had t4-6 removed because of the non healing wound. When I tried to get up right after surgery i t was like someone removed the string that held me upright. At the six week checkup I was still a little off balance. But it kept getting g worse and sharp pain developed around t5-6 area. A bite your fist type of pain. I am still being seen by pain management and have a pump that needs filling. So I worked with the Dr through steroids, injections and finally a spinal cord stimulator trial with a little help. But I knew I was off balance. I needed to see a neurosurgeon for implementing, but he took xrays that showed many problems. A lot of very prominent cervical hardware that must come out. He wants a complete spinal myelogram that will be this week and through the pump. I am to make an appointment right after that for further discussion.
    I will ask more questions then as he will have better information.
    I have a daughter getting married in October so nothing will be done before that.
    It is very difficult walking with my head down . If I try to base forward I loose my balance. It can't stay like this or I will soon not walk much .
    I don't have X-Ray copies yet. It is a little much as the surgeon said it was a massive undertaking.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    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

  6. #6
    Join Date
    Dec 2008
    Location
    illinois
    Posts
    925
    Ed i looked at the pictures but my X-Ray shows the head almost completely resting on the chest. It is hard to get comfortable.
    T10-pelvis fusion 12/08
    Fractured t-9 six days out of surgery
    C5,6,7 fusion 9/10
    PJK at t-9
    T2--T10 fusion 2/11
    Removal of left side t6-t10. 8/14
    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

Posting Permissions

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