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Old 08-17-2005, 06:31 AM   #1
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Shoreline yet another Question

Hi , Ever here of a nonunion of the fusion ? What options are there for this ? I have tried ESI Facet injections. None worked . New doctor say's surgery . My prior doctor told me nothing wrong. So I went to a OSS . He's the one who said I had a nonunion. Thats why my screw has broken. The bone never healed.

 
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Old 08-17-2005, 10:54 AM   #2
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Re: Shoreline yet another Question

Oh yeah, I have heard of non union and have 5 levelsthat never fsed. The hardwareholds things in place untill it snaps. No hardare is designed to bear your weight forever, If a fusion is succesful all the weight is taken off the hardware. But in early Xrays they base a succesful fusion on flexion and extension Xrays, as long as the hardware holds things in place they say everything is fine.

Once screw heads start shearing off and screws toggle in holes you start to get more and more movement, crunching, grinding, squeking and pain. My second surgery was a fusion, L3-4- 5, I sheared off both screws at l5 and crushed the nerves. They went back in and the screws at l3 were both damaged and the discs above and below were shredded. The doc said the old fusion materal flaked out like dried fish.

They went in to revise the fusion and I woke up 11 hours later fused from
L1-S1 and this fusion has failed, 90% non union, hardware is already broken, Screws toggle in the holes in my scarum and I crunch grind and squeek with every step.

I now have grade 2 spondiliothesis where everything above my sacrum has shifted 50% off S1. If it continues It could topple completely off my sacum and shear nerve roots, sever spinal cord and the aorta and iliac arteries that split off right at L5-S1.

Ask for flooscopy of you flexing and extending, they can check for instability/spondyliothesis and know what kind of risk your at if you do nothing.

It's not going to get better with anything other than surgery, it wll continue to deterioate untill you break more hardware and the pain can't be continously managed because it continues to get worse and when it shifts or grinds it sends a jolt through my body. Even with the pump and agressive increases, The best relief I'm getting now is abou 40% which is slowly declining. What levels are we talking about? Cervicle options are a little different. Those discs are so small you can sponatnously fuse from bone rubbing bone, because once the hardware snaps nothing is keeping the disc gaps open. That's actually a good thing.You develop arthritic spurs, discogenic pain returns, nerve pain returns, etc etc.

You can brace to protect the area, live with it untill you can't manage the pain any longer or revise it which usually means lenghtening because of the exsiting hardware, inability to remove screw tips,stress already put on the vertabrea and I forgot vertebral fractures that occur when only one screw in a vertabrea is broken and all the weight bearing is shifted to one side. That can split a vertabrea like a log. You may need Crosslinking to prevent twsiting, but it all depends on what levels are involved.. More to come about revisions after I know what levels.
Really sorry, There is a web site out there called Pedicle screwed. That's nothing but failed hardware and snapped screws and what follows.
Take care, Dave

Last edited by Shoreline; 08-17-2005 at 12:14 PM.

 
Old 08-18-2005, 06:28 AM   #3
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Re: Shoreline yet another Question

My fusion did not take but it took me MANY months of pain and agony to finally convince my NS that something was not right.and the CT and MRIs that i had did not help my case at all as i was told that yes, I had fused.Well my neck was doin this snap crackle pop thing and whenever i would move my neck into certain positions i would feel instant pain along with this horrid grinding of the bone noise.it was not until he finally sent me for a simple flexion and extention x ray that he FINALLY was convinced that I had a non fusion.boy,all of the sudden(after spending the entire summer and part of the fall back at work with basically a broken neck)hes like ,"well, we need to get this resolved asap I am scheduling your surgery for the next week".I just could not believe what I had to go through,(and his nurse was an absolute bit** during my many phone calls regarding wierd symptoms and ever increasing pain and request for refills on my pain meds which i deperately needed)just to prove to this man that my fusion never took.i know that it finally fused as after my last surgery(from absolute hell) my new NS told me that he actually visualized the fusion.i wish the NS had placed the hardware the first time around just in case this had happened.

Unfortunetly, I do believe that another surgery is going to be your only choice here really.Espescially since they were actually giving you ESIs.the steroids actually will prevent bone fusion from happening.i hope this all gets resolved as painlessly as possible for you.at least YOUR doc believed YOU,and believe me, that helps alot!Good luck and please keep us posted on how things go,K?Marcia
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3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 08-18-2005, 10:02 AM   #4
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Re: Shoreline yet another Question

Hey Marcia, I know what you went through with the docs disbelief, as if admitting a fusion failed was somehow their fault. I wasn't tryng to blame anyone, just let them know something was wrong. However untill they could see broken harware I go the same line about how stable my fusion was for 18 months..right up untill hardware started snapping. I'm glad your second attempt was succesful and your dong better now. You absolutely right about steroidsd preventing fusions, even NSAIds are a no no during post op recovery the first 6 months.
Take care, Dave

 
Old 08-24-2005, 06:20 AM   #5
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Re: Shoreline yet another Question

My NS told me there was nothing wrong with me for 9 months . Thanks to a friend on the message boards, She hooked me up with a awsome OSS . He told me right off the bat I had a nonunion with a broken pedical screw. I go in Oct,17 for surgery to get this fixed . Shoreline I cant find pedical screwed anywhere .

 
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