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    failed fusion..?

    Just had a revision of insturmentation, was fused t11 t12 , now I'm fused t10 thru L2 , with a kyphosis centered on the collapse of the t12 vertabra..
    posterior lateral bone graft from t10 thru L2..
    latest ct scan reads ... There is no evidence of solid bony fusion across the facet joints or solid fusion across the bone graft along the posterior elements..
    my question is this pseudoathorisis..??

    #2
    Pseudoarthorisis

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      #3
      It can be considered this if chronic. Are they planning on more surgery to correct it?

      (KLD)
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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        #4
        Hi thank you for replying.. I just had revision of insturmentation this past October 2014..and this is the first ct scan.. so I'm not sure what neuro surgeon is going to say , judging by what ct scan says this is a failed fusion..
        with more time could this heal on its own..?

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          #5
          I am 12 years post injury .. t12 complete.. but can walk and was trained to walk with or without afo's , walker or forearm crutches... for now my training is on hold do to pain at the t12 injury site..
          basically I'm hinged on the hardware I'm presuming ..?

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            #6
            So I'm unsure about surgery .. my guess is I will need more surgery , with the removal of the t12 vertabra and insturmentation anteriorly

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              #7
              This is a big surgery, but if the non-union is putting you at risk of causing cord or nerve root impingement (possibly causing you further impairment) you probably need to go ahead. This is something I would recommend getting a second opinion on just to be sure that your only option is surgery.

              (KLD)
              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                #8
                Lately I have been noticing and increase in pain and numbness and do feel less capable..
                I know what's already happened is irreversible..

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                  #9
                  Really do appreciate your input.. thank you .. healthcare is very difficult to navigate

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                    #10
                    This is the result of a really bad burst fracture and initial not well thought out fusion.. also had a syrinx and shunting , untethering of the cord surgery 2012.
                    also revision of hardware this past October..
                    I'm questioning if I would even be considered for a forth surgery..?

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                      #11
                      Unfortunately, it is not uncommon to need more surgery if the initial surgery was not actually done correctly. I would recommend that you include an orthopedic spine specialist in your group of physicians whom you are seeking opionions from. Their perspective is different (not necessarily better, just different) than the neurosurgeon.

                      (KLD)
                      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                        #12
                        Hello.. I went to see my neurosurgeon and we talked about the fusion.. bone graft is in place but did not grow or heal.. surgeon indicated that when I was cut open that there was a lack of blood flow to the area and he feels this is why fusion did not take place...
                        Question would a bone stimulater be something worth trying in my case..?

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                          #13
                          Hello.. I went to see my neurosurgeon and we talked about the fusion.. bone graft is in place but did not grow or heal.. surgeon indicated that when I was cut open that there was a lack of blood flow to the area and he feels this is why fusion did not take place...
                          Question would a bone stimulater be something worth trying in my case..?

                          Comment


                            #14
                            So it's been 9 and half months since revision of insturmentation and no fusion has taken place.. I am using a bone stimulator and a diatomaceous earth to help fusion grow... so far it hasn't happened and I'm essentially left with the same problems I had prior to surgery , which is hinged on the hardware , but now more hardware..
                            Everything I do causes pain with t11 and t12 grinding together..
                            My only option is and extensive surgery with going through anteriorly taking out till 11 to 12 putting spaces in and caging which is a very long lengthy surgery , which will more then likely I'll loose more sensation or gain more neuropathic pain , no guarantees..
                            This would be my 4th spinal cord surgery..
                            What a choose to make , grind to vertebrae together for the rest of my life or roll the dice on and extensive surgery. .
                            STUMPED .....

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